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Evaluation of two laboratory methods for the diagnosis of hydatidosis

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Detalhes bibliográficos
Resumo:Hydatidosis, also known as hydatid cyst, is caused by the larval stages of the parasite Echinococcus granulosus. Its diagnostic relies mainly on clinical findings, epidemiology, and imaging techniques supported by serological tests. Surgery is the commonest treatment; it is important to have a definitive diagnosis of hydatidosis before surgery, to avoid the spread of the cysts during the procedure. In this study, two immunoserologic tests for the diagnostic of hydatidosis are compared: Enzyme-linked Immunosorbent Assay (ELISA) for immunoglobulin G; and Fluoro-Enzyme Immunoassay (FEIA) for immunoglobulin E. Of the 55 patients included in this study are in a pre-surgery stage, 31% have a calcified hydatic cyst, 54,5% a not calcified cyst and 14.5% have no hydatic cyst. Both tests had the same specificity (87.5%), and the sensitivity of the ELISA IgG was lower (63.8%) than the FEIA IgE (76.6%). The correlation observed between both tests was good (r = 0.726, p < 0.05).
Autores principais:Batista, Generosa
Outros Autores:Magalhães, Zúzeca; Abreu, Renato; Caria, Elisa; Almeida, Ana
Assunto:Echinococcus granulosus Hidatidose ELISA FEIA Echinococcus granulosus Hydatidosis ELISA FEIA
Ano:2009
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa
Idioma:português
Origem:Saúde & Tecnologia
Descrição
Resumo:Hydatidosis, also known as hydatid cyst, is caused by the larval stages of the parasite Echinococcus granulosus. Its diagnostic relies mainly on clinical findings, epidemiology, and imaging techniques supported by serological tests. Surgery is the commonest treatment; it is important to have a definitive diagnosis of hydatidosis before surgery, to avoid the spread of the cysts during the procedure. In this study, two immunoserologic tests for the diagnostic of hydatidosis are compared: Enzyme-linked Immunosorbent Assay (ELISA) for immunoglobulin G; and Fluoro-Enzyme Immunoassay (FEIA) for immunoglobulin E. Of the 55 patients included in this study are in a pre-surgery stage, 31% have a calcified hydatic cyst, 54,5% a not calcified cyst and 14.5% have no hydatic cyst. Both tests had the same specificity (87.5%), and the sensitivity of the ELISA IgG was lower (63.8%) than the FEIA IgE (76.6%). The correlation observed between both tests was good (r = 0.726, p < 0.05).