Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-1-17
pubmed:abstractText
The performance of indirect haemagglutination assays (IHA), enzyme-linked immunosorbent assays (ELISA) and indirect immunofluorescent antibody tests (IFAT) were compared with 450 sera from a Schistosoma mansoni-endemic area in Burkina Faso. All participants in this survey provided at least one sample each of stool, urine and serum. From those with an egg-negative Kato-Katz thick smear, a second stool sample was examined. IHA was based on either extracts of adult S. mansoni worms (SmIHA) or S. japonicum egg antigen (SjIHA). For ELISA, three antigen preparations were used, namely: (i) soluble S. mansoni adult worm antigens (SWAP); (ii) soluble S. mansoni egg antigens (SEA); and (iii) a cationic exchange fraction of S. mansoni eggs (CEF6). IFAT was performed with S. mansoni male worm sections. Among the egg-excretors, the sensitivity of ELISA was high and egg antigens performed slightly better (SEA, 96%; CEF6, 97%) than worm antigen (94%). Sensitivity of IHA was satisfactory with homologous (Sm, >85%), but not heterologous (Sj, 56%) parasite antigen. In IFAT, the parenchyma-associated fluorescence showed high sensitivity (95%), but gut-associated fluorescence, which is known to be a sensitive diagnostic marker for schistosome-infected European travelers, was observed only in 76% of a sub-sample of 100 of the endemic sera. Among sera from egg-negative individuals, many gave positive reactions in several or all of the tests employed. These reactions (formally "false positive") are considered to represent true infections, since chemotherapy had not yet been delivered to this population. For the purpose of further surveys in Burkina Faso or other resource-poor settings, we suggest IHA as an accurate diagnostic test and propose to further improve its performance by including egg rather than worm antigens.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0001-706X
pubmed:author
pubmed:issnType
Print
pubmed:volume
93
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
169-80
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15652331-Adolescent, pubmed-meshheading:15652331-Adult, pubmed-meshheading:15652331-Animals, pubmed-meshheading:15652331-Antibodies, Helminth, pubmed-meshheading:15652331-Antigens, Helminth, pubmed-meshheading:15652331-Burkina Faso, pubmed-meshheading:15652331-Child, pubmed-meshheading:15652331-Cross-Sectional Studies, pubmed-meshheading:15652331-Endemic Diseases, pubmed-meshheading:15652331-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:15652331-Feces, pubmed-meshheading:15652331-Female, pubmed-meshheading:15652331-Fluorescent Antibody Technique, Indirect, pubmed-meshheading:15652331-Hemagglutination Tests, pubmed-meshheading:15652331-Humans, pubmed-meshheading:15652331-Male, pubmed-meshheading:15652331-Parasite Egg Count, pubmed-meshheading:15652331-Schistosoma mansoni, pubmed-meshheading:15652331-Schistosomiasis mansoni
pubmed:year
2005
pubmed:articleTitle
Serodiagnosis of Schistosoma mansoni infections in an endemic area of Burkina Faso: performance of several immunological tests with different parasite antigens.
pubmed:affiliation
Institut de Recherche en Sciences de la Santé, Bobo-Dioulasso, Burkina Faso.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't