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Discrepâncias entre resultados de reações de Guerreiro-Machado executadas em diferentes laboratórios

Complement-fixation tests performed in three laborarories, using basically the same tecnique, presented discrepant results with Chagasic sera. Only 16 sera from a lot of 26 in the acute phase of the infection had positive tests in the three laboratories, although none of them presented a consensus of negative tests. When 224 sera from parasitologically proven cases of Chagas disease were tested, positive results were obtained in 95% of them in one laboratory, 89% in the second one and only 64% in the other. The results showed that the discrepancies observeddependedof the quality of the antigens used, stressing the necessity of the standardization not only of the antigen preparations but also of the methodology of the tests, in order to have comparable results in the Guerreiro-Machado tests, in sensitivity and specificity.


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