Presence of specific DNA and coproantigen of Cryptosporidium as an indicator of ongoing infection

Cryptosporidium is a genus of apicomplexan unicellular epicellular parasite with worldwide distribution causing watery diarrhea in humans and animals. The life cycle is completed in one host, where Cryptosporidium parasitizing epithelial cells of gastrointestinal tract and in birds can cause disease of respiratory or urogenital tract. Course of disease depends on condition of immune system. For immunodeficient individuals could be life threatening. One of problems especially in developing countries is early and correct diagnostic, particularly no effective treatment currently exist. The aim of this thesis was to compare efficiency of immunochromatographic tests in samples stored under different conditions. The comparison of sensitivity and specificity of these tests with molecular and microscopic techniques was also performed. Additionaly, suitability of immunochromatographic tests for detection of active infection during prepatent period was evaluated. The theoretic part includes general information about Cryptosporidium. Its taxonomy, cycle of evolution or transmission and course of disease. Using of immunochromatographic test is also mentioned. No differences in sensitivity of used immunochromatographic tests was observed in this thesis. The detection rate for most of tests was 200 oocyst per sample. The presence of coproantigen is depend upon presence of oocysts in a sample. False negative results of immunochromatographic assays was caused by i) low concentration of oocysts in a sample (sensitivity) or ii) antibodies in used test don´t react with antigen of Cryptosporidium spp. (specificity). Results of this thesis show that combination of immunochromatographic tests and other techniques is convenient. During prepatent period is not possible to detect specific DNA, antigen or oocysts of Cryptosporidium. The active infection could not be distinguish from passage of oocysts using of immunochromatographic assays even if PCR is also used