Métodos estatísticos na avaliação de reações cruzadas entre Leishmania spp. E Ehrlichia spp. por meio de técnicas sorológicas e moleculares
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Data
2017-01-03
Autores
Nagata, Walter Bertequini [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
O objetivo do presente estudo foi investigar, por métodos estatísticos, a ocorrência de reações cruzadas entre Leishmania spp. e Ehrlichia spp. com o uso de técnicas sorológicas e moleculares. Um total de 100 amostras sanguíneas de cães foram colhidas e processadas por meio do ELISA (Ensaio Imunoenzimático Indireto) e PCR (Reação em Cadeia da Polimerase). A análise estatística consistiu nos testes de McNemar e Coeficiente de concordância Kappa. As estatísticas foram consideradas significativas quando p<0,05. A sensibilidade e especificidade dos testes foram determinadas pela curva ROC (Receiver Operator Characteristic), considerando o PCR como teste padrão ouro. A partir das análises pode-se verificar que 48,0% dos animais foram reativos na ELISA e 58,0% foram positivos na PCR, no caso da Leishmania spp. Para Ehrlichia spp., a ocorrência de anticorpos pelo ELISA foi de 54,0% e, pela PCR, 48,0% dos cães foram positivos. Nota-se, também, que 37,0% dos animais foram positivos para os dois patógenos por meio do teste molecular, e quatro cães foram reativos no teste ELISA para ambas as doenças e tiveram resultado negativo apenas no teste molecular de Ehrlichia spp. Estes resultados, na sorologia, podem sugerir possíveis casos de reatividade cruzada entre a Leishmania spp. e Ehrlichia spp.. Entretanto, é mais provável que estes resultados estejam relacionados com a coinfecção desses agentes. Por meio dos resultados obtidos, há mais evidências de coinfecção por estes dois agentes patogênicos no cão, do que reatividade cruzada entre eles.
The aim of this study is to investigate, by statistical methods, the occurrence of cross-reactivity between Leishmania spp. and Ehrlichia spp. using serological and molecular techniques. A total of 100 blood samples from dogs were collected and processed by ELISA (indirect Enzyme-Linked Immunosorbent Assay) and PCR (polymerase chain reaction). Statistical analysis consists of McNemar tests and agreement coefficient Kappa. The statistics were considered significant when p <0.05. The sensitivity and specificity of the tests were determined by ROC curve (Receiver Operator Characteristic), considering the PCR as gold standard. From the analysis it can be seen that 48,0% of the animals were reactive in ELISA and 58,0% were positive in PCR in the case of Leishmania spp. For Ehrlichia spp., the occurrence of antibodies by ELISA was 54,0% and, by PCR, 48,0% of the dogs were positive. It can be noted also that 37,0% of the animals were positive for both parasites through molecular test and four dogs were reactive in the ELISA test for both diseases and were negative only in molecular test for Ehrlichia spp. These results in serology can suggest possible cases of cross-reactivity between Leishmania spp. and Ehrlichia spp.. However, it is more likely that these results are related to coinfection of these agents. Through the results obtained, there are more evidences of coinfection by these two pathogens in dogs than cross-reactivity between them.
The aim of this study is to investigate, by statistical methods, the occurrence of cross-reactivity between Leishmania spp. and Ehrlichia spp. using serological and molecular techniques. A total of 100 blood samples from dogs were collected and processed by ELISA (indirect Enzyme-Linked Immunosorbent Assay) and PCR (polymerase chain reaction). Statistical analysis consists of McNemar tests and agreement coefficient Kappa. The statistics were considered significant when p <0.05. The sensitivity and specificity of the tests were determined by ROC curve (Receiver Operator Characteristic), considering the PCR as gold standard. From the analysis it can be seen that 48,0% of the animals were reactive in ELISA and 58,0% were positive in PCR in the case of Leishmania spp. For Ehrlichia spp., the occurrence of antibodies by ELISA was 54,0% and, by PCR, 48,0% of the dogs were positive. It can be noted also that 37,0% of the animals were positive for both parasites through molecular test and four dogs were reactive in the ELISA test for both diseases and were negative only in molecular test for Ehrlichia spp. These results in serology can suggest possible cases of cross-reactivity between Leishmania spp. and Ehrlichia spp.. However, it is more likely that these results are related to coinfection of these agents. Through the results obtained, there are more evidences of coinfection by these two pathogens in dogs than cross-reactivity between them.
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Palavras-chave
Bioestatística, Ehrlichia, Ensaio de imunoadsorção enzimática, Leishmaniose, Reação em cadeia da polimerase