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PERFORMANCE EVALUATION OF DIRECT WET MOUNT TECHNIQUE WITH RESPECT TO FORMOL ETHER CONCENTRATION TECHNIQUE, AT THE BAMENDA REGIONAL HOSPITAL

Nfor Omarine Nlinwe, Tata Juliet Kumla

 

ABSTRACT: Intestinal parasites are neglected tropical diseases which still cause tremendous morbidity, despite recommendations for massive de worming by the world health organization. The direct wet mount technique has over the years been used as the routine method for the diagnosis of intestinal parasites in the current study area. Consequently, it is essential to evaluate its diagnostic performance in relation to a more sensitive but rarely used technique. This study was therefore designed to evaluate the performance of wet mount technique with respect to the formol ether concentration technique. Out of the 212 examined patients, 06.60% (14/212) and 16.98% (36/212) tested positive by direct wet mount and formol ether concentration techniques respectively. The following intestinal parasites were diagnosed; Gardia lamblia, Entamoeba coli, Entamoebahistolytica, Isosporabustchli, Fasciola hepatica, Enterobiusvermicularis and Hookworm. There was a significant [P=0.0424]difference between the test results by both techniques. Thekappa values between both techniques was lower for the diagnosis of helminthic than for protozoan infections. Therefore, the formol ether concentration technique should be used to complement the routine direct wet mount technique in the study area.

 

KEY WORDS: Direct wet mount, Formol ether concentration, Intestinal parasites, Performance evaluation

REFERENCES:

  1. Hotez PJ, Pecoul B, Rijal S, Boehme C, Aksoy S, Malecela M. Eliminating the neglected tropical diseases: translational science and new technologies. PLoS neglected tropical diseases. 2016;10,3:e0003895.

  2. Baldursson S, Karanis P. Waterborne transmission of protozoan parasites: review of worldwide outbreaks–an update 2004–2010. Water research. 2011;45,20:6603-14.

  3. Savioli L, Smith H, Thompson A. Giardia and Cryptosporidium join the ‘neglected diseases initiative’. Trends in parasitology. 2006;22,5:203-8.

  4. Moges F, Belyhun Y, Tiruneh M, Kebede Y, Mulu A, Kassu A. Comparison of formol-acetone concentration method with that of the direct iodine preparation and formol-ether concentration methods for examination of stool parasites. The Ethiopian Journal of Health Development ,EJHD. 2010;24,2:148-51.

  5. Levecke B, De Wilde N, Vandenhoute E, Vercruysse J. Field validity and feasibility of four techniques for the detection of Trichuris in simians: a model for monitoring drug efficacy in public health? PLoS neglected tropical diseases. 2009;3,1:e366.

  6. Ahmadi NA, Damraj F-a. A field evaluation of formalin–gasoline technique in the concentration of stool for detection of intestinal parasites. Parasitology research. 2009;104,3:553-7.

  7. Lier T, Simonsen GS, Wang T, Lu D, Haukland HH, Vennervald. Low sensitivity of the formol-ethyl acetate sedimentation concentration technique in low-intensity Schistosoma japonicum infections. PLoS neglected tropical diseases. 2009;3,2:e386.

  8. Calvopina M, Romero-Alvarez D, Diaz F, Cevallos W, Sugiyama H. A comparison of Kato-Katz technique to three other methods for diagnosis of Amphimerus spp. liver fluke infection and the prevalence of infection in Chachi Amerindians of Ecuador. PloS one. 2018;13,10:e0203811.

  9. Knopp S, Rinaldi L, Khamis IS, Stothard JR, Rollinson D, Maurelli MP. A single FLOTAC is more sensitive than triplicate Kato–Katz for the diagnosis of low-intensity soil-transmitted helminth infections. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2009;103,4:347-54.

  10. Tarafder M, Carabin H, Joseph L, Balolong Jr E, Olveda R, McGarvey S. Estimating the sensitivity and specificity of Kato-Katz stool examination technique for detection of hookworms, Ascaris lumbricoides and Trichuris trichiura infections in humans in the absence of a ‘gold standard’. International journal for parasitology. 2010;40,4:399-404.

  11. Mutombo PN, Man NW, Nejsum P, Ricketson R, Gordon CA, Robertson G. Diagnosis and drug resistance of human soil-transmitted helminth infections: A public health perspective. Advances in parasitology. 2019;104:247.

  12. Funk AL, Boisson S, Clasen T, Ensink JH. Comparison of Kato-Katz, ethyl-acetate sedimentation, and Midi Parasep® in the diagnosis of hookworm, Ascaris and Trichuris infections in the context of an evaluation of rural sanitation in India. Acta tropica. 2013;126,3:265-8.

  13. Ebrahim A, El-Morshedy H, Omer E, El-Daly S, Barakat R. Evaluation of the Kato-Katz thick smear and formal ether sedimentation techniques for quantitative diagnosis of Schistosoma mansoni infection. The American journal of tropical medicine and hygiene. 1997;57,6:706-8.

  14. Tungtrongchitr A, Chiworaporn C, Praewanich R, Radomyos P, Boitano JJ. The potential usefulness of the modified Kato thick smear technique in the detection of intestinal sarcocystosis during field surveys. Southeast Asian journal of tropical medicine and public health. 2007;38,2:232.

  15. Santos FLN, Cerqueira EJL, Soares NM. Comparison of the thick smear and Kato-Katz techniques for diagnosis of intestinal helminth infections. Revista da Sociedade Brasileira de Medicina Tropical. 2005;38,2:196-8.

  16. Barda BD, Rinaldi L, Ianniello D, Zepherine H, Salvo F, Sadutshang T. Mini-FLOTAC, an innovative direct diagnostic technique for intestinal parasitic infections: experience from the field. PLoS neglected tropical diseases. 2013;7,8:e2344.

  17. Becker SL, Lohourignon LK, Speich B, Rinaldi L, Knopp S, N'goran EK. Comparison of the Flotac-400 dual technique and the formalin-ether concentration technique for diagnosis of human intestinal protozoon infection. Journal of clinical microbiology. 2011;49,6:2183-90.

  18. Lin D-D, Liu J-X, Liu Y-M, Hu F, Zhang Y-Y, Xu J-M. Routine Kato–Katz technique underestimates the prevalence of Schistosoma japonicum: a case study in an endemic area of the People's Republic of China. Parasitology international. 2008;57,3:281-6.

  19. Hailu T, Abera B. Performance evaluation of direct saline stool microscopy, Formol ether concentration and Kato Katz diagnostic methods for intestinal parasitosis in the absence of gold standard methods. Tropical doctor. 2015;45,3:178-82.

  20. Mengist HM, Demeke G, Zewdie O, Belew A. Diagnostic performance of direct wet mount

  21. microscopy in detecting intestinal helminths among pregnant women attending ante-natal care ,ANC in East Wollega, Oromia, Ethiopia. BMC research notes. 2018;11,1:276.

  22. Pakdad K, Nasab SDM, Damraj F-A, Ahmadi NA. Comparing the efficiency of four diagnostic concentration techniques performed on the same group of intestinal parasites. Alexandria journal of medicine. 2018;54,4:495-501.

  23. Parija S, Bhattacharya S, Padhan P, Shivaprakash M. Evaluation of Formalin—Acetone Sedimentation in the Concentration of Stool for Intestinal Parasites. Tropical doctor. 2003;33,3:163-4.

  24. Parameshwarappa K, Chandrakanth C, Sunil B. The Prevalence of Intestinal Parasitic Infestations and the Evaluation of Different Concentration Techniques of the Stool Examination. Journal of Clinical & Diagnostic Research. 2012;6,7:1188-91.

  25. Sheyin Z, Bigwan E, Galadima M. Comparison of formol-ether, direct smear and nigrosine methylene blue for the diagnosis of human intestinal parasites. Journal of Microbiology Research and Reviews. 2013;1,3:30-4.

  26. Goodman D, Haji HJ, Bickle QD, Stoltzfus RJ, Tielsch JM, Ramsan M. A comparison of methods for detecting the eggs of Ascaris, Trichuris, and hookworm in infant stool, and the epidemiology of infection in Zanzibari infants. The American journal of tropical medicine and hygiene. 2007;76,4:725-31.

  27. Yimer M, Hailu T, Mulu W, Abera B. Evaluation performance of diagnostic methods of intestinal parasitosis in school age children in Ethiopia. BMC research notes. 2015;8,1:820.

  28. Endris M, Tekeste Z, Lemma W, Kassu A. Comparison of the Kato-Katz, wet mount, and formol-ether concentration diagnostic techniques for intestinal helminth infections in Ethiopia. International Scholarly Research Notices  parasitology. 2012;2013:180439.

  29. Speich B, Utzinger J, Marti H, Ame S, Ali S, Albonico M. Comparison of the Kato-Katz method and ether-concentration technique for the diagnosis of soil-transmitted helminth infections in the framework of a randomised controlled trial. European journal of clinical microbiology & infectious diseases. 2014;33,5:815-22.

  30. Taye S. Comparison of Kato-Katz and Formol-Ether concentration methods for the diagnosis of intestinal helminthic infections among school children of Wonji Shoa town, Eastern Ethiopia: A school based cross-sectional study. American Journal of Health. 2014;2:271-4.

  31. Glinz D, Silué KD, Knopp S, Lohourignon LK, Yao KP, Steinmann P. Comparing diagnostic accuracy of Kato-Katz, Koga agar plate, ether-concentration, and FLOTAC for Schistosoma mansoni and soil-transmitted helminths. PLoS neglected tropical diseases. 2010;4,7:e754.

  32. Utzinger J, Rinaldi L, Lohourignon LK, Rohner F, Zimmermann MB, Tschannen AB. FLOTAC: a new sensitive technique for the diagnosis of hookworm infections in humans. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2008;102,1:84-90.

  33. Suwansaksri J, Nithiuthai S, Wiwanitkit V, Soogarun S, Palatho P. The formol-ether concentration technique for intestinal parasites: comparing 0.1 N sodium hydroxide with normal saline preparations. Southeast Asian journal of tropical medicine and public health. 2003;33:97-8.

  34. Egbe T, Ncham E, Takang W, Egbe E, Halle-Ekane G. Use of the partogram in the Bamenda health district, north-west region, Cameroon: a cross-sectional study. Gynecol Obstet Res Open J. 2016;2,5:102-11.

  35. Taylor‐Robinson DC, Maayan N, Donegan S, Chaplin M, Garner P. Public health deworming programmes for soil‐transmitted helminths in children living in endemic areas. Cochrane Database of Systematic Reviews. 2019;9:7-11.

  36. Tchuenté L-AT, Ngassam RIK, Sumo L, Ngassam P, Noumedem CD, Nzu DDoL. Mapping of schistosomiasis and soil-transmitted helminthiasis in the regions of centre, east and west Cameroon. PLoS neglected tropical diseases. 2012;6,3:30-4.

 To cite this article:

Nlinwe NO, Kumla TJ. Performance evaluation of direct wet mount technique with respect to formol ether concentration technique, at the bamenda regional hospital. Int. J. Med. Lab. Res. 2020; 5,2:32-41. http://doi.org/10.35503/IJMLR.2020.5205

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