RESUMO
An enzyme-linked inmunosorbent assay (ELISA) for trichinosis using a Melcher's antigen was developed for the detection of IgG antibodies in 41 serum samples from patients confirmed or suspected to have trichinosis by strong clinical and epidemiological evidences. ELISA-IgG was compared with a precipitin test (PT), a bentonite floculation test (BFT) and an indirect hemagglutination test (IHAT). The cut-off value as determined using serum samples from 67 apparently healthy persons employing two serum dilutions (1:100 and 1:500) with three standard desviations (SD). The sensitivity of ELISA-IgG was 97,6 for percent and 95,2 for percent using serum dilutions of 1:100 and 1:500 respectively, whereas the values for the other tests were: PT (92,7 for percent), BFT (63,4 for percent) and IHAT (85,4 for percent). According to MacNemar test, Elisa-IgG did not present statistical significance (p>0.01). In order to find out the specificity of ELISA-IgG, additional 124 serum samples from individuals with other parasitoses, such as cysticercosis (31), fascioliasis (17), hydatidosis (51) and toxocariasis (25) were also tested. ELISA-IgG presented a specificity of 99,5 for percent with both serum dilutions. The positive predictive values were 97,6 and 97,5 for percent, whereas the negative one were 99,5 and 99,0 for percent for 1:100 and 1:500 serum dilutions respectively. The use of ELISA-IgG and Melcher's antigen in the diagnosis of human trichinosis is discussed
Assuntos
Humanos , Ensaio de Imunoadsorção Enzimática , Técnicas In Vitro , Testes Sorológicos , Triquinelose/diagnóstico , Antígenos de Helmintos/imunologia , Estudos de Casos e Controles , Valor Preditivo dos Testes , Reações Antígeno-Anticorpo/imunologia , Sensibilidade e Especificidade , Testes de Hemaglutinação , Trichinella spiralis/imunologia , Trichinella spiralis/patogenicidade , Triquinelose/imunologiaRESUMO
Se estudio prospectivamente 78 casos índices pediátricos, infectados por Toxocara sp. y su grupo familiar que dio un total de 356 personas, conjuntamente con 28 familias conformadas por 97 integrantes, libres de esta infeccion, siendo ambos grupos comparables. A cada familia se le aplicó el índice de Graffar modificado con el fin de evaluar el nivel socioeconómico y cultural de los hogares. Además a cada persona se le hizo una anamnesis, examen físico y ELISA para toxocariasis. Los hábitos como geofagia, juegos o manipulación de tierra, el inadecuado lavado de las manos en especial antes de ingerir alimentos, al igual que la edad de los perros, resultaron estadísticamente mas frecuentes en la familias infectadas. En los hogares con un paciente con toxocariasis, un promedio de 2,8 de sus integrantes tenía serología positiva para la parasitosis a títulos significativos. Se destaca la distribución intrafamiliar de esta infección y la importancia de su prevención primaria