Parastic Diagnostics And Therapies Flashcards
Which tests detect antibodies?
ELISA
Agglutination
Which test detects antigens?
RDT (dipstick)
How does the RDT (dipstick) work?
Add sample and antibodies
Liquid is absorbed up stick
Passes antigen specific capture antibody
If positive the antibody tagged antigen will stick
Passes control which captures the antibodies
Two lines equal positive
Culture pros
Definitive
Culture cons
Delayed diagnosis
Lacks sensitivity
Microscopy pros
Easy
Quick
Microscopy cons
Technician training
Lacks sensitivity and specificity
Serology (antibody testing) pros
High specificity
Cheap and easy (CATT)
Quantitative (ELISA)
Serology (antibody testing) cons
False positives because it only tests for any exposure not current infection
No “pan-detection”
Antigen testing pros
Detects active infections
Quantitative (ELISA)
Cheap and easy (RDT)
Antigen tests cons
Lacks sensitivity
RDT is non-quantitative
Molecular PCR testing pros
Detects active infections
Quantitative (ELISA)
Sensitive (multi copy targets)
Molecular PCR testing cons
Technical and skill requirements
“Pan-detection” vs species
Leishmania treatments
Antimonials (inhibits replication)
Miltefonsine (inhibits replication)
Pentamidine (accumulates)
Ergosterol inhibitors (amphotericin and ketoconazole) (inhibit cell membrane production)
Toxoplasma treatments
Antifolates (pyrimethamine and sulfadoxine) (inhibits DNA replication)