中国寄生虫学与寄生虫病杂志 ›› 1988, Vol. 6 ›› Issue (3): 161-165.

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间接荧光抗体试验用于丝虫病诊断及监测的研究

刘海云,王雷平,徐振刚,王兆刚,赵兰凤,金小林,郑长倩,李允鹤   

  1. 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 江苏省寄生虫病防治研究所; 苏州医学院
  • 收稿日期:2017-01-10 修回日期:2017-01-10 出版日期:1988-08-31 发布日期:2017-01-10

STUDIES ON THE INDIRECT FLUORESCENT ANTIBODY TEST FOR DIAGNOSIS AND SURVEILLANCE OF HUMAN FILARIASIS

  • Received:2017-01-10 Revised:2017-01-10 Online:1988-08-31 Published:2017-01-10

摘要: 本文报告用马来丝虫成虫冰冻切片抗原作IFA。125例班氏微丝蚴血症阳性者的血清和干滴血阳性率分别为99.2%和96.8%;311例非丝虫病流行区健康者均为阴性。289例其它疾病患者,有0~7.1%的交叉反应率;用IFA与常规血检方法检查班氏丝虫病流行区居民共801人,阳性符合率为97.0%。62例班氏丝虫微丝蚴血症阳性者经海群生治疗后3个月,其抗体水平已显著下降,6个月后下降非常显著;原微丝蚴血症者治后9年(马来丝虫病流行区)和10年(班氏丝虫病流行区)的阳性率和抗体滴度已降至接近流行区的健康人群水平。以上表明,IFA具有较高的敏感性和特异性,可作为诊断和监测的方法。

关键词: 班氏丝虫病, 抗体试验, 间接荧光, 寄生虫病, 防治研究, 马来丝虫病, 抗体滴度, 阳性率, 江苏省, 抗体水平

Abstract: This paper reports the results of indirect fluorescent antibody test(IFA) with frozen sections of adult Brugia malayi as antigen for detecting antibody in human filariasis.Sera and ear-lobe blood were collected from 125 cases with bancroftian microfilaremia. The positive rate of IFA was 99.2% for serum and 96.8% for PBS eluates of dry blood, and the GMRT for the two groups was 31.14 and 33.08 respectively, showing no statistically significam difference in either positive rate or antibody titre.Observation on cross reaction in 289 cases of various parasitoses comprising nematode and trematode infections as well as malaria revealed positive rates of 0-7.1%. In view of the fact that GMRT of all the 62 bancroftian filariasis cases dropped significantly 6 monThs after diethylcarbamazine (DEC) therapy, and that both IFA positive rates and antibody titres were extremely low in historical bancroftian and malayan microfilaremia cases who had been cured by DEC 9-10 years ago, it is reasonable ta consider that IFA can be used to evaluate therapeutic effect of antifilarial drugs and as an useful technique in epidemiological surveillance of filariasis.