Immunological diagnostic methods for Trypanosoma cruzi depend
specifically on the presence of antibodies and parasitological methods lack
sensitivity during the chronic and “indeterminate” stages of the disease. This study
performed a serological survey of 1,033 subjects from 52 rural communities in 12 of
the 18 municipalities in the state of Querétaro, Mexico. We detected anti-T.
cruzi antibodies using the following tests: indirect haemagglutination
assay (IHA), indirect immunofluorescence assay (IFA), ELISA and recombinant ELISA
(rELISA). We also performed Western blot (WB) analysis using iron superoxide
dismutase (FeSOD), a detoxifying enzyme excreted by the parasite, as the antigen.
Positive test results were distributed as follows: ELISA 8%, rELISA 6.2%, IFA and IHA
5.4% in both cases and FeSOD 8%. A comparative study of the five tests was
undertaken. Sensitivity levels, specificity, positive and negative predictive values,
concordance percentage and kappa index were considered. Living with animals, trips to
other communities, gender, age, type of housing and symptomatology at the time of the
survey were statistically analysed using SPSS software v.11.5. Detection of the FeSOD
enzyme that was secreted by the parasite and used as an antigenic fraction in WBs
showed a 100% correlation with traditional ELISA tests.