Diagnostic performance of Mini Parasep® solvent-free faecal parasite concentrator relative to Kato-Katz and McMaster for the diagnosis of intestinal parasitic infections

Trans R Soc Trop Med Hyg. 2017 Dec 1;111(12):572-578. doi: 10.1093/trstmh/try010.

Abstract

Background: In this cross-sectional study, we compared the performance of Mini Parasep® solvent-free (SF) faecal parasite concentrator, Kato-Katz thick smear and McMaster techniques for the diagnosis of intestinal parasitic infections among children in Wosha Soyama Primary School, Ethiopia.

Methods: Stool samples were collected from 381 children and examined for intestinal parasitic infections using Mini Parasep® SF faecal parasite concentrator, Kato-Katz thick smear and McMaster techniques.

Results: About 86.1% of children were infected with at least one species of intestinal parasite based on combined results of the three techniques. The sensitivity and negative predictive values of Mini Parasep® SF, Kato-Katz and McMaster tests for detecting at least one species of intestinal parasite infections were 90.2% and 62.4%, 80.0% and 44.5%, and 55.2% and 26.5%, respectively. While Mini Parasep® SF was more sensitive in detecting Ascaris lumbricoides, Schistosoma mansoni and Hymenolepis nana infections, Kato-Katz was more sensitive in detecting Trichuris trichiura infection, and McMaster had higher sensitivity in diagnosing hookworm infection.

Conclusions: The Mini Parasep® SF faecal parasite concentrator technique showed better performance than the Kato-Katz and McMaster techniques for the detection of intestinal helminth infections in stool samples, particularly for S. mansoni, A. lumbricoides and H. nana. Hence, Mini Parasep® SF could be used as one of the suitable faecal examination methods for surveillance and monitoring of preventive chemotherapy of schistosomiasis.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Animals
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Diagnostic Tests, Routine / methods*
  • Ethiopia
  • Feces / parasitology*
  • Female
  • Helminthiasis / diagnosis
  • Helminthiasis / parasitology
  • Humans
  • Intestinal Diseases, Parasitic / diagnosis
  • Intestinal Diseases, Parasitic / parasitology*
  • Intestines / parasitology*
  • Male
  • Parasite Egg Count
  • Parasites / growth & development*
  • Schools
  • Sensitivity and Specificity

Supplementary concepts

  • Intestinal helminthiasis