Prevalence of Candida albicans and Trichomonas vaginalis in Pregnant Women in Havana City by an Immunologic Latex Agglutination Test

Dr. Octavio Fernández Limia, Dra. María Isela Lantero, Lic. Arsenio Betancourt, Lic. Elizabeth de Armas, Lic. Alejandra Villoch

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Materials and Methods

The evaluated parameters were analytic specificity (cross-reactions) and clinical sensitivity and specificity. The detection limit used was 106 cells/mL for Trichomonas vaginalis and 106 colony-forming units (CFU)/mL for Candida albicans.

The analytic specificity was determined by cross-reacting each type of latex with positive samples of the other agent. Cross-reaction tests used concentrations of Trichomonas vaginalis of 108 cells/mL for Candida latex and Candida albicans of 108 CFU/mL for Trichomonas latex. Both types of latex were evaluated against a sample with 108 CFU/mL of Gardnerella vaginalis and a confirmed multiple-specimen negative control.

For the trial of clinical sensitivity and specificity, 525 clinical samples were obtained. The study was carried out in the same hospital (Hospital C) as the prevalence study, using specimens from women with a diagnosis of vaginitis attending Hospital C's laboratory. These specimens were evaluated using the kit and reference methods. For Trichomonas vaginalis, the reference method was culture in Diamond medium with observation of the parasite; for Candida albicans, the method was culture in Saboraud medium and observation of the yeast colonies.

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