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Journal of Tropical Pediatrics 2004 50(2):68-72; doi:10.1093/tropej/50.2.68
© 2004 by Oxford University Press
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Secretory IgA Antibody Responses in Venezuelan Children Infected with Giardia duodenalis

Orquídea L. Rodríguez1,*, Isabel Hagel1,*, Yovana González1, María Elena Roque1, Nelson Vásquez1, Elianska López1 and María Cristina Di Prisco1

1 Institute of Biomedicine, Faculty of Medicine, Central University of Venezuela,Venezuela

We standardized and evaluated an ELISA technique for the detection of total and specific anti-Giardia duodenalis secretory IgA antibodies (slgA). Samples of saliva and serum of 161 Venezuelan schoolchildren were analysed. After stool examination, 66 children were diagnosed to be infected with Giardia duodenalis, 22 with other protozoa, and 73 non-parasitized. The mean (+ 2 SD) values of secretory IgA in the non-parasitized group was considered as the criterion of positivity. The levels of total and specific anti-Giardia slgA were significantly higher in children with Giardia compared with the group with other protozoa (p < 0.01) and the non-parasitized group (p < 0.001). The ELISA technique developed showed values of sensitivity and specificity of 74 and 94 per cent, respectively, a predictive value of 92 per cent for positive samples and 80 per cent for negative samples. Specific anti-Giardia IgA serum levels showed a low sensitivity (57 per cent) and a predictive value for negative samples (53 per cent). Our results suggest that secretory anti-Giardia IgA levels measured in saliva samples may reflect local intestinal IgA responses elicited by these parasites. Thus, determinations of the levels of slgA anti-Giardia could be a useful diagnostic tool for giardiasis in children.


* Correspondence: Tel. +58-212-860 70 95; Fax +58-212-861 55 30. E-mail <orquileo{at}hotmail.com; ihagel{at}telcel.net.ve>.


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