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in vitro culture and isoenzyme analysis of giardia lamblia

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The second group consisted <strong>of</strong> "apparently healthy" children from various<br />

<strong>in</strong>stitutions: (i) Oth<strong>and</strong>weni Home, (an <strong>in</strong>stitution that cares for ab<strong>and</strong>oned<br />

children) located 15 km south <strong>of</strong> Durban. Stools were collected mostly from<br />

children aged from six months to ten years (ii) children (2-5 years <strong>of</strong> age)<br />

attend<strong>in</strong>g pre-school <strong>and</strong> day care centres at the follow<strong>in</strong>g residential areas for the<br />

Black African community: (a) Clermont, (Kideo Pre-school), 30km west <strong>of</strong> Durban;<br />

(b) Amanzimtoti (Siyakuth<strong>and</strong>a Creche) 45 km south <strong>of</strong> Durban.<br />

2.2.2 Sample Preparation for Microscopic Detection<br />

One thous<strong>and</strong> <strong>and</strong> twenty-three faecal specimens collected from the day care<br />

centres <strong>and</strong> Hlabisa laboratory were concentrated by the formol-ether technique to<br />

amplify cyst detection.<br />

2.2.2.1 Formol-ether Concentration <strong>of</strong> faeces for microscopic exam<strong>in</strong>ation<br />

The modified method <strong>of</strong> Ritchie (1948)<br />

Approximately O,35g (pea-size) <strong>of</strong> stool was placed <strong>in</strong> a 15ml polypropylene<br />

centrifuge tube followed by the addition <strong>of</strong> 7ml <strong>of</strong> 10% formal<strong>in</strong>. The faecal matter<br />

was broken up with an applicator stick <strong>and</strong> the suspension was filtered through<br />

two layers <strong>of</strong> wet gauze <strong>in</strong>to a paper cup. The filtrate was returned to a clean<br />

centrifuge tube <strong>and</strong> 3ml <strong>of</strong> diethyl ether added. The tube contents were thoroughly<br />

mixed by shak<strong>in</strong>g vigorously for 30 seconds prior to centrifugation at 400xg for<br />

5m<strong>in</strong> at 22°C. The supernatant formal<strong>in</strong>-ether layers were discarded <strong>and</strong> the<br />

deposit was screened microscopically for the presence <strong>of</strong> Giardia forms. After<br />

systematically scann<strong>in</strong>g the entire area covered by a coverslip on the slide, all<br />

Giardia positive samples were semi-quantitated as shown <strong>in</strong> Table 2.1.<br />

41

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