Abstract

Two commercially produced enzyme-immunosorbent assays (EIAs) to detect antigens ofGiardia lambliain stool specimens, Ridascreen Giardia and Serazym Giardia, were evaluated. A total of 88 stool specimens were collected from patients who presented for various medical complaints in our outpatient clinic. Every specimen was examined by a conventional microscopic examination (CME), PCR and tested by both EIA kits. When microscopy was used as the reference standard, the Ridascreen Giardia showed a sensitivity of 72.9% and a specificity of 100%. Serazym Giardia had a sensitivity of 93.8% and a specificity of 100%. Antigen detection by EIA has been established as a valuable tool to make parasite stool diagnostics more effective.

Highlights

  • The 88 specimens were examined by conventional microscopic examination (CME), immunofluorescence microscopy (IFM), polymerase chain reaction (PCR) and two enzyme-immunosorbent assays (EIAs)

  • With PCR used as a background for the EIAs, results became more divergent (Table 3): Ridascreen Giardia performed with a sensitivity of 73.2% and a specificity of 83.4%, while Serazym Giardia showed a sensitivity of 95.1%, and a specificity of 87.2%

  • We evaluated the performance of two commercially available EIA kits for detecting Giardia lamblia antigens

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Summary

Introduction

EIA results were compared with those obtained by conventional microscopic examination (CME), immunofluorescence microscopy (IFM) and by PCR. Enzyme immuno-assays (EIAs) for detection of the specific antigens in stools have developed into an efficient diagnostic technique in the detection of Giardia lamblia[4,7,8,9]. In this study we tested two commercially available EIA kits that detect antigens of Giardia lamblia in stool samples (Ridascreen Giardia; manufactured by r-biopharm, and Serazym Giardia; manufactured by Seramun Diagnostica).

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