PMID- 23612867 OWN - NLM STAT- MEDLINE DCOM- 20140207 LR - 20220311 IS - 1573-0832 (Electronic) IS - 0301-486X (Linking) VI - 176 IP - 1-2 DP - 2013 Aug TI - Evaluation of Paracoccidioides brasiliensis infection by gp 43 intradermal test in rural settlements in Central-West Brazil. PG - 41-7 LID - 10.1007/s11046-013-9656-x [doi] AB - Epidemiological studies of paracoccidioidomycosis have been based on surveys achieved with intradermal tests, and paracoccidioidin is the most common antigen used in most cases. The glycoprotein of 43-kDa (gp43) has been used in intradermal tests. It is the most antigenic component of Paracoccidioides brasiliensis, and it provides greater specificity to evaluate infection for this fungus. In this study, the prevalence of P. brasiliensis infection was estimated with intradermal tests involving gp43 for 695 people in rural Central-West Brazil. The infection rate was 45.8 % (95 % CI = 42.1-49.5), and the average age of those infected was 45.8 +/- 18.2 years. The prevalence did not show gender-based differences but increased with age. The results demonstrate the importance of P. brasiliensis infection in rural settlements and the early exposure of children in the region to the fungus. Despite the high antigenicity and specificity of gp43, its usage must be standardized, so that epidemiological surveys will be comparable and more accurately reflect P. brasiliensis infection in endemic areas. FAU - Marques, Ana Paula da C AU - Marques AP AD - Universidade Federal do Mato Grosso do Sul, Cidade Universitaria s/n, Campo Grande, 79070-900, Brazil. FAU - Oliveira, Sandra Maria V L AU - Oliveira SM FAU - Rezende, Grazielli R AU - Rezende GR FAU - Melo, Dayane A AU - Melo DA FAU - Fernandes-Fitts, Sonia M AU - Fernandes-Fitts SM FAU - Pontes, Elenir Rose J C AU - Pontes ER FAU - Bonecini-Almeida, Maria da Gloria AU - Bonecini-Almeida Mda G FAU - Camargo, Zoilo P AU - Camargo ZP FAU - Paniago, Anamaria M M AU - Paniago AM LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130424 PL - Netherlands TA - Mycopathologia JT - Mycopathologia JID - 7505689 RN - 0 (43 kDa protein, Paracoccidioides) RN - 0 (Antigens, Fungal) RN - 0 (Fungal Proteins) RN - 0 (Glycoproteins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Antigens, Fungal MH - Brazil/epidemiology MH - Child MH - Child, Preschool MH - Female MH - *Fungal Proteins MH - *Glycoproteins MH - Humans MH - Infant MH - Intradermal Tests/*methods MH - Male MH - Middle Aged MH - Paracoccidioides/*immunology MH - Paracoccidioidomycosis/*diagnosis/*epidemiology MH - Prevalence MH - Rural Population MH - Sensitivity and Specificity MH - Young Adult EDAT- 2013/04/25 06:00 MHDA- 2014/02/08 06:00 CRDT- 2013/04/25 06:00 PHST- 2012/09/23 00:00 [received] PHST- 2013/04/11 00:00 [accepted] PHST- 2013/04/25 06:00 [entrez] PHST- 2013/04/25 06:00 [pubmed] PHST- 2014/02/08 06:00 [medline] AID - 10.1007/s11046-013-9656-x [doi] PST - ppublish SO - Mycopathologia. 2013 Aug;176(1-2):41-7. doi: 10.1007/s11046-013-9656-x. Epub 2013 Apr 24.