Mansonella Ozzardi in Haiti

III. A Comparison of the Sensitivity of Four Sampling Methods in Detecting Infections

Christian Raccurt Service de Microbiologie, FacultƩ de MƩdecine, International Center for Medical Research, Tulane University, Port-au-Prince, Haiti, U.S.A.

Search for other papers by Christian Raccurt in
Current site
Google Scholar
PubMed
Close
,
Robert C. Lowrie Jr. Service de Microbiologie, FacultƩ de MƩdecine, International Center for Medical Research, Tulane University, Port-au-Prince, Haiti, U.S.A.

Search for other papers by Robert C. Lowrie Jr. in
Current site
Google Scholar
PubMed
Close
,
Jacques Boncy Service de Microbiologie, FacultƩ de MƩdecine, International Center for Medical Research, Tulane University, Port-au-Prince, Haiti, U.S.A.

Search for other papers by Jacques Boncy in
Current site
Google Scholar
PubMed
Close
, and
Stephen P. Katz Service de Microbiologie, FacultƩ de MƩdecine, International Center for Medical Research, Tulane University, Port-au-Prince, Haiti, U.S.A.

Search for other papers by Stephen P. Katz in
Current site
Google Scholar
PubMed
Close
Restricted access

A study to compare the sensitivity of four sampling methods in detecting Mansonella ozzardi among 133 inhabitants of Bayeux, Haiti, is reported. The Knott method proved the most sensitive with 40 microfilaria carriers detected. No additional infections were revealed by the other sampling methods. This was followed in order by 20 mm3 thick films of earlobe blood (34 cases), finger-prick blood (32 cases in the first sample), and skin biopsy (14 cases from paired samples). The combination of three finger-prick samples (60 mm3 of blood) detected 38 of 40 (95%) Knott-positive infections. The Knott method detected only one case not observed by at least one of the other three sampling methods. This sampling procedure did not detect more M. ozzardi in the 0-19-year age group than observed by the 20-mm3 finger prick method. Based on these results, a correction factor of 1.25 can be applied to our earlier Bayeux survey.

Save