Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA

Background: Strongyloides stercoralis is a world wide distributed small intestinal nematode parasite. In immunocompetent individuals S stercoralis can produce asymptomatic infections or a moderate clinical picture of diarrhea, some cases become chronic. In immunocompromised patients, a disseminated...

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Autores principales: Mercado P,Rubén, Jercic L,María Isabel, Torres H,Patricio, Alcayaga U,Sergio, Martins de Paula,Fabiana, Costa-Cruz,Julia María, Ueta,Marlene T
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2002
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200005
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spelling oai:scielo:S0034-988720020012000052003-02-05Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISAMercado P,RubénJercic L,María IsabelTorres H,PatricioAlcayaga U,SergioMartins de Paula,FabianaCosta-Cruz,Julia MaríaUeta,Marlene T Enzyme linked immunosorbent assay Nematode infections Strongyloides stercoralis Background: Strongyloides stercoralis is a world wide distributed small intestinal nematode parasite. In immunocompetent individuals S stercoralis can produce asymptomatic infections or a moderate clinical picture of diarrhea, some cases become chronic. In immunocompromised patients, a disseminated disease may appear, sometimes fatal. In Chile, there is little epidemiological information about S stercoralis infections and appropriate diagnostic techniques are usually not used. Aim: To evaluate the yield of an ELISA test for the diagnosis of strongyloidiasis in Chilean patients. Material and methods: Ten serum samples from patients with S stercoralis infections confirmed by a positive stool examination, 66 samples from individuals with other infections by tissue helminthes (24 toxocariasis, 15 trichinellosis, 11 hydatidosis, 12 fascioliasis and 4 cysticercosis), 13 samples from subjects with autoimmune diseases and 49 samples from apparently healthy individuals with a normal eosinophil count, were studied. ELISA antigen was prepared using a filariform larval extract obtained from a murine species of Strongyloides, maintained in laboratory animals. Results: Using 0.33 optical density units as a cut off value, 9 of 10 sera of S stercoralis infected individuals, had a positive ELISA test. No cross reactions were observed with sera of patients with other helminthic infections, autoimmune diseases or in healthy individuals. Thus, specificity, positive and negative predictive values were 100%. Conclusions: The results obtained are similar with those found by other investigators. ELISA test for strongyloidiasis is a useful tool for the diagnosis of clinical cases and for seroepidemiological studies of this nematode infection in Chile (Rev Méd Chile 2002; 130: 1358-64)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.12 20022002-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200005es10.4067/S0034-98872002001200005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Enzyme linked immunosorbent assay
Nematode infections
Strongyloides stercoralis
spellingShingle Enzyme linked immunosorbent assay
Nematode infections
Strongyloides stercoralis
Mercado P,Rubén
Jercic L,María Isabel
Torres H,Patricio
Alcayaga U,Sergio
Martins de Paula,Fabiana
Costa-Cruz,Julia María
Ueta,Marlene T
Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
description Background: Strongyloides stercoralis is a world wide distributed small intestinal nematode parasite. In immunocompetent individuals S stercoralis can produce asymptomatic infections or a moderate clinical picture of diarrhea, some cases become chronic. In immunocompromised patients, a disseminated disease may appear, sometimes fatal. In Chile, there is little epidemiological information about S stercoralis infections and appropriate diagnostic techniques are usually not used. Aim: To evaluate the yield of an ELISA test for the diagnosis of strongyloidiasis in Chilean patients. Material and methods: Ten serum samples from patients with S stercoralis infections confirmed by a positive stool examination, 66 samples from individuals with other infections by tissue helminthes (24 toxocariasis, 15 trichinellosis, 11 hydatidosis, 12 fascioliasis and 4 cysticercosis), 13 samples from subjects with autoimmune diseases and 49 samples from apparently healthy individuals with a normal eosinophil count, were studied. ELISA antigen was prepared using a filariform larval extract obtained from a murine species of Strongyloides, maintained in laboratory animals. Results: Using 0.33 optical density units as a cut off value, 9 of 10 sera of S stercoralis infected individuals, had a positive ELISA test. No cross reactions were observed with sera of patients with other helminthic infections, autoimmune diseases or in healthy individuals. Thus, specificity, positive and negative predictive values were 100%. Conclusions: The results obtained are similar with those found by other investigators. ELISA test for strongyloidiasis is a useful tool for the diagnosis of clinical cases and for seroepidemiological studies of this nematode infection in Chile (Rev Méd Chile 2002; 130: 1358-64)
author Mercado P,Rubén
Jercic L,María Isabel
Torres H,Patricio
Alcayaga U,Sergio
Martins de Paula,Fabiana
Costa-Cruz,Julia María
Ueta,Marlene T
author_facet Mercado P,Rubén
Jercic L,María Isabel
Torres H,Patricio
Alcayaga U,Sergio
Martins de Paula,Fabiana
Costa-Cruz,Julia María
Ueta,Marlene T
author_sort Mercado P,Rubén
title Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
title_short Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
title_full Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
title_fullStr Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
title_full_unstemmed Inmunodiagnóstico de las infecciones por Strongyloides stercoralis en Chile utilizando la prueba de ELISA
title_sort inmunodiagnóstico de las infecciones por strongyloides stercoralis en chile utilizando la prueba de elisa
publisher Sociedad Médica de Santiago
publishDate 2002
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200005
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