ImmunoCard STAT! cartridge antigen detection assay compared to microplate enzyme immunoassay and modified Kinyoun's acid-fast staining technique for detection of Cryptosporidium in fecal specimens. 2012

Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
Department of Parasitology, Faculty of Medicine, Suez Canal University, Ismaïlia, Egypt. dramal8@hotmail.com

Cryptosporidium species infect humans and a wide range of animals worldwide; outbreaks of cryptosporidiosis have been reported in several countries. Routine diagnostic methods may be insufficient to demonstrate the presence of these organisms. The study assessed the diagnostic accuracy of the antigen detection immuno-cartridge test, ImmunoCard STAT! (Meridian Bioscience Inc., Cincinnati, OH, USA), compared to the combined gold standard: modified Kinyoun's acid-fast technique confirmed with the microplate enzyme immunoassay (EIA) for the detection of Cryptosporidium in fecal specimens. Three hundred fifteen formalin-fixed stool specimens were submitted for testing. The Kinyoun's acid-fast-stained smear revealed 24 positive samples for Cryptosporidium (of which 23 specimens were confirmed by the EIA) and 291 negative samples (of which 289 were negative by EIA). Agreement between the three used tests was shown in 22 positive and 288 negative samples for Cryptosporidium. Kappa score of agreement between the immuno-cartridge test and EIA was 0.957, p = 0.000. The sensitivity of the immuno-cartridge test was 96% (95% confidence interval (CI), 87% to 104%) and the total accuracy of the test was 97% (95% CI, 93-103). The ImmunoCard STAT! Cryptosporidium cartridge assay is easy to use and does not require specialized training or equipment and is useful in routine diagnosis and screening for Cryptosporidium especially where rapid, point of care testing is needed or where other reliable tests are unfeasible with a performance comparable to the EIA and acid-fast technique.

UI MeSH Term Description Entries
D007118 Immunoassay A technique using antibodies for identifying or quantifying a substance. Usually the substance being studied serves as antigen both in antibody production and in measurement of antibody by the test substance. Immunochromatographic Assay,Assay, Immunochromatographic,Assays, Immunochromatographic,Immunoassays,Immunochromatographic Assays
D008297 Male Males
D010274 Parasitology The study of parasites and PARASITIC DISEASES. Medical Parasitology,Parasitology, Medical
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003457 Cryptosporidiosis Intestinal infection with organisms of the genus CRYPTOSPORIDIUM. It occurs in both animals and humans. Symptoms include severe DIARRHEA. Cryptosporidium Infection,Cryptosporidioses,Cryptosporidium Infections,Infection, Cryptosporidium
D003458 Cryptosporidium A genus of coccidian parasites of the family CRYPTOSPORIDIIDAE, found in the intestinal epithelium of many vertebrates including humans. Cryptosporidiums
D005243 Feces Excrement from the INTESTINES, containing unabsorbed solids, waste products, secretions, and BACTERIA of the DIGESTIVE SYSTEM.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
November 1990, Journal of clinical microbiology,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
November 2004, Journal of the American Veterinary Medical Association,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
January 2008, Indian journal of pathology & microbiology,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
June 1990, Journal of clinical microbiology,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
December 1998, The Journal of communicable diseases,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
June 1983, The Journal of parasitology,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
February 2017, Diagnostic microbiology and infectious disease,
Amal Abdul-Rasheed El-Moamly, and Mohamed Aly El-Sweify
October 1989, Singapore medical journal,
Copied contents to your clipboard!