title: Diagnosis of Giardia duodenalis infection in Bangladeshi infants: faecal antigen capture ELISA.
abstract: An enzyme-linked immunosorbent assay (ELISA) to detect antigens of Giardia duodenalis in faeces was evaluated as a diagnostic tool by testing faecal samples collected during a cohort study of 229 infants living in an urban slum in Dhaka, Bangladesh. Faecal samples had been collected at enrollment, on a routine monthly basis, and repeatedly during episodes of diarrhoea and infection with Giardia, and a portion of all samples was frozen in saline. A direct smear of all had been examined by microscopy and again after concentrating cysts by ether sedimentation. A total of 2121 of the 4936 samples stored during the 22 months study were tested by the ELISA. After excluding non-specific binding, the sensitivity of the assay was 94.2% and the specificity was 98%. The presence of other parasites, including flagellated protozoa, was not linked to false positive ELISA results. There was a correlation between the number of Giardia cysts present and the ELISA optical density. Assuming that the ELISA is 100% sensitive, microscopy detected 92.4% of the infections detected by the ELISA.
authors.affiliation: Department of Medical Parasitology, London School of Hygiene and Tropical Medicine, UK.
authors.forename: A J
authors.initials: AJ
authors.lastname: Goldin
authors.forename: A
authors.initials: A
authors.lastname: Hall
authors.forename: R N
authors.initials: RN
authors.lastname: Sarker
authors.forename: D C
authors.initials: DC
authors.lastname: Warhurst
authors.forename: M A
authors.initials: MA
authors.lastname: Miles
mesh_terms: D000818:Animals; D000953:Antigens, Protozoan / Q000032:analysis*; D003967:Diarrhea / Q000469:parasitology; D004797:Enzyme-Linked Immunosorbent Assay / Q000379:methods; D005188:False Negative Reactions; D005189:False Positive Reactions; D005243:Feces / Q000469:parasitology*; D005872:Giardia / Q000276:immunology* / Q000302:isolation & purification; D005873:Giardiasis / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D011446:Prospective Studies
chemical_list: D000953:Antigens, Protozoan