Table 2.
Principle, advantages and limitations of commonly used faecal egg counting techniques
| Method | Principle | Advantages | Limitations |
|---|---|---|---|
| Direct smear | The small amount of fresh faeces mixed with saline (or iodine) on a microscope slide | Cheap, fast processing time | Qualitative, very low accuracy, precision and sensitivity |
| Cornell-Wisconsin | Based on centrifugal flotation of eggs in a salt solution in a tube, collection onto a coverslip and counting under a microscope | Cheap, high limit of detection | Time-consuming, low accuracy and very low precision |
| McMaster | Faeces mixed in a flotation solution are loaded onto chambers of a slide and the floated eggs are counted | Cheap, medium processing time | Low sensitivity |
| FLOTAC® | Based on centrifugal-flotation of eggs in a specialised apparatus and subsequent translation of the top layer | Cheap, high sensitivity, very high accuracy and precision | Time-consuming, special equipment (centrifugation rotors) required |
| Mini-FLOTAC® | A modified version of FLOTAC without centrifugation step and reduced reading volume | High sensitivity, accuracy and precision, medium processing time | Detection of some parasites (e.g. trematodes) requires centrifugation |
| FECPAK® | Eggs are floated in a flotation solution, accumulated into a single viewing area and imaged | Does not require technical skills as eggs identified and counted remotely, digitalised images | Low accuracy, precision and medium sensitivity, time-consuming |
| Parasight System® | A faecal sample mixed in water is filtered to remove debris, eggs are labelled with a fluorescent dye, imaged and counted using an automated algorithm | High precision, does not require technical skills, fast, automated counting, digitalised images | Expensive, some results need to be confirmed visually, does not detect overlying eggs, cannot differentiate with high debris background |
Note: Sources: Cringoli et al. (2017); Sukas et al. (2019).