Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2010-3-12
pubmed:abstractText
The present study aimed to compare the diagnostic performance of different European reference laboratories in diagnosing helminths and intestinal protozoa, using an ether-concentration method applied to sodium acetate-acetic acid-formalin (SAF)-preserved faecal samples. In total, 102 stool specimens were analysed during a cross-sectional parasitological survey in urban farming communities in Côte d'Ivoire. Five SAF-preserved faecal samples were prepared from each specimen and forwarded to the participating reference laboratories, processed and examined under a microscope adhering to a standard operating procedure (SOP). Schistosoma mansoni (cumulative prevalence: 51.0%) and hookworm (cumulative prevalence: 39.2%) were the predominant helminths. There was excellent agreement (kappa > 0.8; p < 0.001) among the reference laboratories for the diagnosis of S. mansoni, hookworm, Trichuris trichiura and Ascaris lumbricoides. Moderate agreement (kappa = 0.54) was found for Hymenolepis nana, and lesser agreement was observed for other, less prevalent helminths. The predominant intestinal protozoa were Entamoeba coli (median prevalence: 67.6%), Blastocystis hominis (median prevalence: 55.9%) and Entamoeba histolytica/Entamoeba dispar (median prevalence: 47.1%). Substantial agreement among reference laboratories was found for E. coli (kappa = 0.69), but only fair or moderate agreement was found for other Entamoeba species, Giardia intestinalis and Chilomastix mesnili. There was only poor agreement for B. hominis, Isospora belli and Trichomonas intestinalis. In conclusion, although common helminths were reliably diagnosed by European reference laboratories, there was only moderate agreement between centres for pathogenic intestinal protozoa. Continued external quality assessment and the establishment of a formal network of reference laboratories is necessary to further enhance both accuracy and uniformity in parasite diagnosis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1469-0691
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
267-73
pubmed:meshHeading
pubmed-meshheading:19456836-Acetic Acid, pubmed-meshheading:19456836-Adolescent, pubmed-meshheading:19456836-Adult, pubmed-meshheading:19456836-Animals, pubmed-meshheading:19456836-Child, pubmed-meshheading:19456836-Child, Preschool, pubmed-meshheading:19456836-Cote d'Ivoire, pubmed-meshheading:19456836-Europe, pubmed-meshheading:19456836-Feces, pubmed-meshheading:19456836-Female, pubmed-meshheading:19456836-Fixatives, pubmed-meshheading:19456836-Formaldehyde, pubmed-meshheading:19456836-Health Services Research, pubmed-meshheading:19456836-Helminthiasis, pubmed-meshheading:19456836-Helminths, pubmed-meshheading:19456836-Humans, pubmed-meshheading:19456836-Laboratories, pubmed-meshheading:19456836-Male, pubmed-meshheading:19456836-Microscopy, pubmed-meshheading:19456836-Middle Aged, pubmed-meshheading:19456836-Parasitology, pubmed-meshheading:19456836-Protozoan Infections, pubmed-meshheading:19456836-Sodium Acetate, pubmed-meshheading:19456836-Specimen Handling, pubmed-meshheading:19456836-Young Adult
pubmed:year
2010
pubmed:articleTitle
Microscopic diagnosis of sodium acetate-acetic acid-formalin-fixed stool samples for helminths and intestinal protozoa: a comparison among European reference laboratories.
pubmed:affiliation
Department of Public Health and Epidemiology, Swiss Tropical Institute, Basel, Switzerland. juerg.utzinger@unibas.ch
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't