(F) Advances of DX Parasitology: (lecture-based) Flashcards
Rupert-based
- Gold standard
- Allows detection of parasites
- Morphologically distinct parasites are differentiated
- Requires high parasite density to achieve a good level of sensitivity
MICROSCOPY
Enumerate the Basic Microscopic Techniques (5)
- DFS
- Kato Katz
- Formol-Ether-Sedimentation Technique
- Harada-Mori
- Mcmaster technique
TOF. For a good level of sensitivity, there should be a low parasite densitive.
F (high parasite density)
2 Reagents used for DFS
Lugol’s iodine and NSS
DFS
TOF. The lugol’s iodine is ONLY used to improve the nuclear detail and visualize the morphology of egg and ova.
F (not only, it is also used for larvae or other diagnostic feature/stage depending on the parasite accd. to ser)
Kato Katz Technique, except:
A. Determine the intensity of infection
B. Quantitative method
C. 6.5mm template hole size
D. Green cellophane tape is used
E. Read under the microscope using OIO
E (10x and 40x obj. lang)
Arrange in Order
Kato Katz Technique
A. Place cellophane tape
B. Sieve the stool in a mesh screen
C. Place the stool in a template
D. Wait for 10-30 minutes
E. Read under 10x and 40x objective
CBADE
Here’s the complete:
- Stool sample, then place the stool in a template ○ Template contains a hole where the stool sample is placed ○ 6.5 mm (diameter of hole)
- Spatula is needed
- A sieve/screen is used where the stool is sieved in a mesh screen
- Cellophane tape is placed
- Wait 10-30 minutes.
- Read under the microscope using 10x and 40x power objective
This technique is used to homogenize the stool sample and form 4 layers after centrifugation.
Formol Ether Sedimentation
- Homogenize the stool sample and take a quantity of 1g
- Use 10 ml of 10% formol water solution to emulsify the stool and filter the mixture with a sieve and gauze to remove large particles
- Transfer 7 ml of the filtered solution into 15 mL centrifuge tube and add 3 ml of ether or ethyl acetate
- Centrifuge the mix at 1600 rpm at 10℃ for 5 minutes
- After centrifugation, there should be 4 layers
- Discard the supernatant and add 1 ml of sediment onto a glass slide, and read it under the microscope with 10x and 40x objectives
FEST
- Emulsify the stool
- Remove large particles
- Promote separation fo the sediment from the supernatant
A. NSS
B. 10% formol water
C. Sieve
D. Centrifugation
BCD
FEST
Enumerate the 4 layers in order
upper to last layer
Ether, Fecal debri, Formol Water, Sediment (containing the parasites)
FEST
Arrange in Order
A. Centrifuge the mix at 1600 rpm at 10℃ for 5 minutes
B. Formation of 4 layers
C. Discard the supernatant and add 1 ml of sediment onto a glass slide
D. Take 1g of homogonize stool sample
E. Use 10 ml of 10% formol water solution to emulsify the stool and filter the mixture with a sieve and gauze to remove large particles
F. Transfer 7 ml of the filtered solution into 15 mL centrifuge tube and add 3 ml of ether or ethyl acetate
DEFABC
- Filter paper strip with stool sample
- Remove the strip and close the tube
- Centrifuge the sample at 1500 rpm for 2 minutes
- Discard the supernatant
- Using a pipette, remove the sediment, place it on a slide and re-cover it with a cover glass
- Read the slide with the 10x power objective of the microscope
Harada Mori
A. Allows visualization of hookworm
B. Allows visualization of Strongyloides stercoralis filariform larvae
C. Allows visualization of Angiostrongylus stercoralis
D. AB
E. BC
D
harada mori
identify
* Incubation days
* Centrifuge (RPM for how many minutes)
- 3-7; pero p’wede rin 10 days
- 1500rpm for 2 minutes
Harada Mori
- For examining animal parasites
- Uses ZnSO4 solution but also uses Sucrose solution in some
- Read with 10x microscope objective
- Mimics hemocytometer
- Checks for the presence of eggs
MCMASTER TECHNIQUE
McMaster Technique
A. Add 60 ml of ZnSO4 solution in a beaker and homogenize
B. Filter the mixture into another beaker
C. Transfer filtrate into a clean 15 ml tube and place a cover glass on the top of tube for 15 min
D. Fill both McMaster chambers, mount the chambers on a microscope and examine with the 10x microscope objective
E. Carefully transfer the cover glass onto a glass slide and read with 10x microscope objective
ABCED
- Weigh 2g of stool
- Add 60 ml of ZnSO4 solution in a beaker and homogenize (vigorously by vortexing)
- Filter the mixture into another beaker
- Transfer filtrate into a clean 15 ml tube and place a cover glass on the top of tube for 15 min
- Carefully transfer the cover glass onto a glass slide and read with 10x microscope objective
- Fill both McMaster chambers, mount the chambers on a microscope and examine with the 10x microscope objective
Power Objective
- Kato Katz
- FEST
- Harada-mori
- Mcmaster technique
A. 10x
B. 40x
C. both
D. neither
may repeating answers
CCAA
INTESTINAL NEMATODE INFECTIONS
Microscopic techniques used for diagnosis
- DFS and kato-katz
INTESTINAL NEMATODE INFECTIONS
- Used to increase diagnostic sensitivity of microscopy; labor-intensive have poor
reproducibility owing to operator error, and usually require centrifugation steps - Enables assessing the prevalence and intensity of infection in nematode control programmes
identify techniques
- Floatation and conc techniques
- Kato katz
INTESTINAL NEMATODE INFECTIONS
TOF. Larvae of Ascaris lumbricoides may be observed in the sputum suring pulmonary migration.
T
INTESTINAL NEMATODE INFECTIONS
Advantage
A. Sensitive
B. ID of nematode eggs
C. ID of larvae and adult forms of nematodes
D. AB
E. BC
C (the others are the disadvantage; make it opposite)
INTESTINAL NEMATODE INFECTIONS
TOF. Microscopic analysis of multiple samples with multiple slides per sample over several days is required for sensitive detection and quantification of nematode infections.
T
INTESTINAL NEMATODE INFECTIONS
Familiariza yourself with the advantages and disadvantages
OK
pati na rin intestinal tapeworm infections + liver lung and blood flukes infection advantages and disad
INTESTINAL NEMATODE INFECTIONS
TOF. The DFS as the most commonly used microscopic technique, enables assessing the prevalence and intensity of
infection in nematode control programmes
F (kato katz)
INTESTINAL NEMATODE INFECTIONS
TOF. In the Kato-Katz method, nematode eggs are observed at specific intervals (“clearing times”) after slide preparation, affecting the test’s sensitivity and specificity for hookworm detection. Hookworm eggs, with their thin shells, may disintegrate over time and are reported as helminth eggs.
T
INTESTINAL TAPEWORM INFECTIONS
TOF. Conventional coproscopic examination has HIGH sensitivity due to variable egg excretion in stool and the small sample volume analyzed.
F [low sensitivity; (60-70% of cases missed)]
LIVER, LUNG AND BLOOD FLUKES INFECTION
TOF. Microscopy cannot diagnose early-stage (prepatent) infections since it relies on detecting parasite eggs, which, in schistosomiasis, appear at least two months after the last freshwater contact.
T
Microscopic techniques used for diagnosis
- Kato-Katz Method
- Wet mount preparation of fresh or concentrated stool
A. INTESTINAL NEMATODE INFECTIONS
B. INTESTINAL TAPEWORM INFECTIONS
C. LIVER,LUNG AND BLOOD FLUKES INFECTION
Just choose one infection
A
Microscopic techniques used for diagnosis
- Wet mount preparations of fresh or concentrated stool
- Preianal scraping (Graham’s test)
- Haematoxylin and eosin staining of gravid proglottids obtained from stool samples
A. INTESTINAL NEMATODE INFECTIONS
B. INTESTINAL TAPEWORM INFECTIONS
C. LIVER,LUNG AND BLOOD FLUKES INFECTION
1 answer
B
Microscopic techniques used for diagnosis
- Wet mount preparation of stool/ bile/ sputum/ urine after the concentration by sedimentation or flotation techniques
- Membrane filtration technique using nucleopore filters for schistosomal infections
- Kato-Katz method ○ Sedimentation or flotation techniques
A. INTESTINAL NEMATODE INFECTIONS
B. INTESTINAL TAPEWORM INFECTIONS
C. LIVER,LUNG AND BLOOD FLUKES INFECTION
C
- Detect either antigen or antibodies in clinical specimens
- Useful in monitoring response to chemotherapy
- Alternative test; support test that we can employ to fully diagnose true positive patients with parasitive infection.
Immunodiagnosis
Familiarize ka nalang beh mga naka-include sa immunodiagnosis
15 items lang ‘to lahat sa exam
o Immunofluorescent assay (IFA)
o Enzyme linked immunosorbent assay (ELISA)
o Hemagglutination test (HA)
o Immunoblotting (dot blot)
TOF. Microscopic techniques can be unnecessary for patients hence we have immunodiagnosis for non-invasive procedures and accurate/rapid results.
T
The detection of (Antibody/Antigen)
- This test is used against the parasite in question are used when biologic specimens do not permit microscopic diagnosis during chronic or asymptomatic infections
- Indicates recent or past infections
- Are useful when significant levels of athis are produced with parasitic infections
Antibodies
TOF. In antibody detection assay, use WHOLE parasites from animal models or in vitro cultures soluble crude extracts as antigens
T
Pls study the ANTIBODY DETECTION TEST OFFERED AT CDC
okay thx
familiar urself lang raw
The detection of (Antigen/Antibody)
- Detection of specific parasite ________ is more sensitive and specific immunodiagnostic test to determine the disease status of patients
- Cross reactivity
- Feces, urine, duodenal fluid or biopsy specimens for the small intestine or urine (for intestinal parasites)
- Serum or whole blood (for blood parasites)
- To determine the immune status of the patient
DETECTION OF ANTIGEN
Detection of Antigen
Arrange in order
A. Capture antibody binds to antigen with high specificity
B. Wells are pre-coated with capture antibody and sample is added
C. Enzyme labeled antibody binds to Fc region of detection antibody
D. Primary antibody binds the immobilized antigen
E. Substrate is catalyzed by the enzyme and gives color
BADCE
Detection of Antigen
Shape of the antibody
Y
Components of Detection of Antigen
What is done for the first antibody?
either monoclonal or polyclonal
immobilized in a solid phase
Components of Detection of Antigen
What is used when it comes to this solid state
Microtiter plate and nitrocellulose membrane
Components of Detection of Antigen
The parasite antigen is detected by the second antibody, which is usually (monoclonal/polyclonal) antibody labeled with an enzyme
Mono