Evaluation of the optimal number of faecal specimens in the diagnosis of cryptosporidiosis in AIDS and immunocompetent patients.
This study determines the optimal number of faecal samples that should be examined in order to minimize the occurrence of false-negative results in the diagnosis of cryptosporidiosis using routine techniques. A total of 23,023 faecal samples from 10,870 patients submitted for parasitological examination were processed by the formalin-ethyl acetate concentration technique and stained using a modified Ziehl-Neelsen method. Cryptosporidiosis was diagnosed in 232 patients (2.13%), 44 of whom were infected by HIV, the prevalence rate in this population group being 15.54%. The increase in the number of diagnoses obtained by the examination of n and (n-1) specimens was evaluated statistically. This study found that three is the optimal number of faecal samples that should be examined when cryptosporidiosis is suspected in immunocompetent patients; whereas, only two samples are required for diagnosing this protozoosis in AIDS patients.
Clavel
A
A
Servicio de Microbiología y Parasitología, Hospital Clínico Universitario, Zaragoza, Spain.
Arnal
A C
AC
Sánchez
E C
EC
Varea
M
M
Castillo
F J
FJ
Ramírez de Ocáriz
I
I
Quílez
J
J
Cuesta
J
J
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000469:parasitology*; D000818:Animals; D003457:Cryptosporidiosis / Q000150:complications / Q000175:diagnosis*; D003458:Cryptosporidium / Q000302:isolation & purification*; D005188:False Negative Reactions; D005243:Feces / Q000469:parasitology*; D006801:Humans; D016867:Immunocompromised Host; D009894:Opportunistic Infections / Q000469:parasitology*; D010270:Parasite Egg Count; D012680:Sensitivity and Specificity