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Wisetmora A, Artchayasawat A, Laummaunwai P, Pitaksakulrat O, Wattanawong O, Boonmars T. Formalin-fixed stool improves the performance of the Kato-Katz method. Vet World 2024; 17:99-107. [PMID: 38406352 PMCID: PMC10884569 DOI: 10.14202/vetworld.2024.99-107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 12/14/2023] [Indexed: 02/27/2024] Open
Abstract
Background and Aim Parasitic infections are a public health problem worldwide, including in Thailand. An epidemiological survey for helminthiasis based on stool examination uses the Kato-Katz method as recommended by the World Health Organization. Limitations of this method include the need for fresh stool, time requirement, and lack of quality control. The aim of this study was to enhance the efficiency of the Kato-Katz technique using formalin and glycerol solutions and to implement specimen preparation in fieldwork. Materials and Methods For the Kato-Katz method, stool samples were divided into formalin-fixed and unfixed groups at various time points and processes. Fresh echinostome eggs were added to each stool group. Incubation with glycerol increased the clearing process. Each group was observed and photographed using a light microscope. Parasite eggs were imaged and compared using the standard Kato-Katz method. Results Visualization of echinostome eggs from formalin-fixed stool slides was significantly better than that from unfixed stool slides (p < 0.01). Stool samples fixed for 7 days retained normal echinostome eggs morphology. Incubation with glycerol for 1 h resulted in increased Kato-Katz performance by digesting the stool content and enhancing egg observation. Moreover, the results of the Kato-Katz method using fixed and fixed stool plus glycerol for natural helminth infection showed good quality of Opisthorchis viverrini and Taenia egg visualization and normal morphology with a clear background of slides. Conclusion Formalin-fixed stool could be more suitable than fresh stool for the Kato-Katz method.
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Affiliation(s)
- Ampas Wisetmora
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
- Division of General Communicable Diseases, Department of Disease Control, Ministry of Public Health, Nonthaburi, 11000, Thailand
| | - Atchara Artchayasawat
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Porntip Laummaunwai
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Opal Pitaksakulrat
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Oranard Wattanawong
- Office of Diseases Prevention and Control 4 Saraburi, Ministry of Public Health, Saraburi, 18120, Thailand
| | - Thidarut Boonmars
- Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
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Stefano VC, Loiola SH, Dos Santos BM, Soares FA, Rosa SL, Suzuki CT, Bresciani KD, Sabadini E, Falcão AX, Gomes JF. Effects of hypertonic solutions on two species of human intestinal parasites during fecal examination. Future Microbiol 2023; 18:197-203. [PMID: 36916423 DOI: 10.2217/fmb-2022-0055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
Abstract
Aim: Ova and parasite examination by flotation requires hypertonic solutions, which can damage the egg and cyst membranes, leading to false negatives. The authors investigated the harmful effects of ZnSO4 and C12H22O11 solutions on the ova and parasite examination. Materials & methods: The authors processed samples using the Three Fecal Test technique. Aliquots were floated in different pH levels, temperatures and solution densities. Results: Densities above 1.12 g/ml led structures to collapse after 6-10 min. pH neutralization of the ZnSO4 solution did not prevent the parasites from changing. Conclusion: All structures were altered when standard methods were performed. To delay collapse, the parasite floating under 5 °C is highly desirable.
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Affiliation(s)
- Vitória C Stefano
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil
| | - Saulo Hn Loiola
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Medical Sciences, University of Campinas, 126, Tessália Vieira de Camargo St., Campinas, São Paulo, 13083-887, Brazil
| | - Bianca M Dos Santos
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Medical Sciences, University of Campinas, 126, Tessália Vieira de Camargo St., Campinas, São Paulo, 13083-887, Brazil
| | - Felipe A Soares
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Medical Sciences, University of Campinas, 126, Tessália Vieira de Camargo St., Campinas, São Paulo, 13083-887, Brazil
| | - Stefany L Rosa
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Medical Sciences, University of Campinas, 126, Tessália Vieira de Camargo St., Campinas, São Paulo, 13083-887, Brazil
| | - Celso Tn Suzuki
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil
| | - Katia Ds Bresciani
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Veterinary Medicine, São Paulo State University, Araçatuba, 793, Clóvis Pestana St., Araçatuba, São Paulo, 16050-680, Brazil
| | - Edvaldo Sabadini
- Institute of Chemistry, University of Campinas, 126, Josué de Castro St., Campinas, São Paulo,13083-861, Brazil
| | - Alexandre X Falcão
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil
| | - Jancarlo F Gomes
- Laboratory of Image Data Science, Institute of Computing, University of Campinas, 573, IC-3,5, Saturnino de Brito St., Room 364, Campinas, São Paulo, 13083-852, Brazil.,School of Medical Sciences, University of Campinas, 126, Tessália Vieira de Camargo St., Campinas, São Paulo, 13083-887, Brazil
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