<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1012-2966</journal-id>
<journal-title><![CDATA[Gaceta Médica Boliviana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Med Bol]]></abbrev-journal-title>
<issn>1012-2966</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad Mayor de San Simón]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1012-29662023000100014</article-id>
<article-id pub-id-type="doi">10.47993/gmb.v46i1.613</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sensibilidad de la prueba ELISA para detectar los anticuerpos IgG contra el Strongyloides stercoralis en pacientes inmunocomprometidos]]></article-title>
<article-title xml:lang="en"><![CDATA[Sensitivity of the ELISA test for the detection of IgG antibodies against Strongyloides stercoralis among immunocompromised patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gétaz]]></surname>
<given-names><![CDATA[Laurent]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro Soto]]></surname>
<given-names><![CDATA[Maria del Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Ginebra Servicio de Medicina Tropical y Humanitaria Facultad de Medicina]]></institution>
<addr-line><![CDATA[Ginebra ]]></addr-line>
<country>Suiza</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Ginebra facultad de Medicina Servicio de Medicina Penitenciaria]]></institution>
<addr-line><![CDATA[Ginebra ]]></addr-line>
<country>Suiza</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Viedma Servicio de Infectologia ]]></institution>
<addr-line><![CDATA[Cochabamba ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>14</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1012-29662023000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1012-29662023000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1012-29662023000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  la sensibilidad subóptima de las pruebas coproparasitológicas dificulta el diagnóstico de la estrongiloidiasis. Los métodos serológicos son más sensibles, pero los estudios en pacientes inmunodeprimidos son escasos. El objetivo del estudio fue de evaluar la sensibilidad de una prueba ELISA comercial en pacientes inmunodeprimidos.  Métodos:  se realizó en Bolivia un estudio multicéntrico en pacientes con cáncer, VIH, enfermedades reumatológicas y hematológicas. 88 pacientes con larvas de S.stercoralis en heces identificadas mediante técnicas coproparasitológicas tuvieron una prueba serológica ELISA (Bordier Affinity Products).  Resultados:  la sensibilidad de la técnica ELISA fue de 77,3% (61/88) (CI95%: 67,7-85,1). La sensibilidad de este test serológico fue identificada más baja en pacientes HIV+ con CD4&lt;300 (64,5%) que en pacientes HIV+ con CD4&gt;300 o una serología VIH desconocida (84,2%) (p=0,035).  Conclusiones:  la sensibilidad del ELISA es inversamente proporcional al grado de inmunosupresión. Este resultado refuerza la recomendación de diagnosticar la estrongiloidiasis mediante una combinación de técnicas serológicas y coproparasitológicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives:  the sensitivity of coproparasitological tests for the diagnosis of strongyloidiasis are suboptimal. Serological methods are more sensitive, but studies among immunocompromised patients are scarce. The aim of this study was to evaluate the sensitivity of a commercial ELISA test among immunocompromised patients.  Methods:  a multicenter study was conducted in Bolivia among patients with cancer, HIV, rheumatologic or hematologic diseases. 88 patients with S. stercoralis larvae in stool identified by coproparasitological techniques had an ELISA serological test (Bordier Affinity Products). Results: the sensitivity of the ELISA technique was 77,3% (61/88) (CI95%: 67,7-85,1), and was identified lower among HIV+ patients with CD4&lt;300 (64,5%) than among HIV+ patients with CD4&gt;300 or unknown HIV serology (84,2%) (p=0,035).  Conclusions:  the sensitivity of ELISA is inversely proportional to the degree of immunosuppression. This result reinforces the recommendation to diagnose strongyloidiasis by a combination of serological and coproparasitological techniques.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Strongyloides stercoralis]]></kwd>
<kwd lng="es"><![CDATA[pruebas serológicas]]></kwd>
<kwd lng="es"><![CDATA[pruebas de sensibilidad parasitaria]]></kwd>
<kwd lng="es"><![CDATA[ensayo de inmunoadsorción enzimática]]></kwd>
<kwd lng="en"><![CDATA[Strongyloides stercoralis]]></kwd>
<kwd lng="en"><![CDATA[serologic tests]]></kwd>
<kwd lng="en"><![CDATA[parasitic sensitivity tests]]></kwd>
<kwd lng="en"><![CDATA[enzyme-linked immunosorbent assay]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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