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. 2019 Dec 5;10(12):852. doi: 10.3390/mi10120852

Table 1.

Comparison of the major techniques for parasite detection in stool (info mainly from [11]).

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