Evaluation of a monoclonal antibody-based sandwich-ELISA for detection of circulating Schistosoma japonicum antigen (Sj31/32) in an endemic area of China

Abstract

A sandwich-ELISA specific for 31/32 kDa schistosome proteins was used to trace infections in a Chinese population living in a low endemicity area for schistosomiasis japonica. The study population included 304 persons for whom records were available from 1992 onwards. In 1994, 2 individuals were positive in the miracidial hatching assay performed with 30 g of stools. The ELISA gave positive results for 8 individuals, including these 2 with active infections. Of the remaining 6 ELISA-positive, 5 had excreted eggs and received praziquantel in 1993 and may have harboured residual worms in 1994. It is concluded that this ELISA is able, in a low prevalence situation, to identify the few infected individuals.