Table 1.
Method | Principle | Advantage | Disadvantage | Sensitivity | Time | Sample Amount |
---|---|---|---|---|---|---|
Kato–Katz | Feces are pressed through a mesh screen to remove large particles. A portion of sieved sample is then transferred to the hole of a template on a slide. After filling the hole, the template is removed, and the remaining sample is covered with a piece of cellophane soaked in glycerol. The glycerol clears the fecal material from around the eggs. | Easy sample preparation Cheap |
Reduced sensitivity in individuals with low parasite loads | Medium | 30–60 min | 41.7 mg |
McMaster | Sample is added to a flotation solution and placed under a slide with two gridded chambers. Eggs float towards the surface and the ones within the gridded area of the chamber are counted using a microscope. | Easy procedure Fast results |
Lacks sensitivity at low eggs counts | Medium | 5–10 min | 2 g |
FECPAK | A tube with a central pillar is filled with a stool sample dissolved in flotation solution, allowing the parasite eggs to accumulate into a single viewing area within a fluid meniscus. An image of the fecal sample is then captured. | Digitalized images Doesn’t require technical skills |
Limited sensitivity of the test | Medium | 24 min | 3 g |
FLOTAC | Technique based on centrifugal flotation of a fecal sample suspension and subsequent translation of the apical portion of the floating suspension. | Very precise and sensitive | Complexity of the application Requirement for large swinging bucket centrifuge |
Very high | 12–15 min | 1 g |
Mini-FLOTAC | Method based on flotation of the eggs. Miniaturized version of FLOTAC. Two chambers (1 mL each) are filled with fecal sample diluted in flotation solution. | Permits work with fresh and fixed fecal samples No centrifugation steps |
Detection of some parasites (e.g., trematoda) requires centrifugation | High | 12 min | 2 g |
Cornell Wisconsin | Flotation of eggs in salt solutions is enabled by centrifugation. After centrifugation in a swinging bucket rotor, the eggs are collected on the top of the centrifugal tube meniscus, and subsequently transferred onto a cover slip and counted by light microscopy. |
No expensive tools needed Cheap and easy procedure |
Lack of precision, owing to the absence of a grid on the coverslip Low sensitivity |
Low | 20 min | 5 g |
Lab-on-a-disk | Separation is based on a combined gravitational and centrifugal flotation, with the eggs guided to a packed monolayer, enabling quantitation and identification of subtypes of the eggs present in a single field of view | Single and high quality digitalized image Fast results |
Not commercially available Cost unclear |
High | 15 min | 1 g |