Comparative Efficacy of Antigen and Antibody Detection Tests for Human Trichinellosis

Autor: H.R. Gamble, D Ivanoska, K.D. Murrell, K Cuperlović
Rok vydání: 1989
Předmět:
Zdroj: The Journal of Parasitology. 75:38
ISSN: 0022-3395
DOI: 10.2307/3282932
Popis: Sera collected from patients with suspected or confirmed exposure to Trichinella spiralis were tested for circulating parasite antigens and antiparasite antibodies. Using an immunoradiometric assay, excretory--secretory antigens from muscle-stage larvae of T. spiralis were detected in the sera of 47% of 62 patients with clinical trichinellosis and 13% of 39 patients without clinical signs but suspected of exposure to infected meat. In comparison, antibodies were detected using an indirect immunofluorescent test in the circulation of 100% of the 62 patients with clinical trichinellosis and 46% of the 39 patients with suspected exposure. The presence of antibodies specific to excretory-secretory products of T. spiralis muscle larvae was confirmed in the majority of the samples tested by a monoclonal antibody-based competitive inhibition assay. These results indicate that antibody detection is a more sensitive diagnostic method for human trichinellosis, but that antigen detection might be a useful confirmatory test because it is a direct demonstration of parasite products in the circulation.
Databáze: OpenAIRE