Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms

ABSTRACT: Objectives: Describe the diagnostic characteristics of a conventional multiplex PCR for the diagnosis of S. stercoralis, N. americanus and Ancylostomas spp. Methods: Fecal samples were collected from a cross-sectional study in Orán department, Salta province, Argentina. The stool samples...

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Autores principales: Pedro E. Fleitas, Paola A. Vargas, Nicolás Caro, M. Cristina Almazan, Adriana Echazú, Marisa Juárez, Pamela Cajal, Alejandro J. Krolewiecki, Julio R. Nasser, Rubén O. Cimino
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:bf6c732f76ac4eb484c92d326065b2672021-11-22T04:19:55ZScope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms1413-867010.1016/j.bjid.2021.101649https://doaj.org/article/bf6c732f76ac4eb484c92d326065b2672021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1413867021001185https://doaj.org/toc/1413-8670ABSTRACT: Objectives: Describe the diagnostic characteristics of a conventional multiplex PCR for the diagnosis of S. stercoralis, N. americanus and Ancylostomas spp. Methods: Fecal samples were collected from a cross-sectional study in Orán department, Salta province, Argentina. The stool samples were analyzed using concentration-sedimentation, Harada Mori, McMaster, and Baermann techniques. DNA was extracted from 50 mg fecal sample using the FastPrep® Spin Kit for Soil. Three pairs of primers were used for the amplification of three products of 101, 330, and 577 base pairs (bp) for S. stercoralis, N. americanus and Ancylostoma spp, respectively. The sensitivity and analytical specificity of multiplex PCR were evaluated, as well as the sensitivity and diagnostic specificity, using a composite standard and Bayesian approach. Results and Conclusions: Multiplex PCR did not present cross-reaction with other intestinal parasites, and the detection limit for multiplex PCR was between 2 and 20 pg of genomic DNA. In addition it presented a diagnostic sensitivity of 97.4% for S. stercoralis and 90.3% for hookworms with a specificity of 100% and 87.6%, respectively. PCR identified a higher proportion (p <0.01) of coinfections (15.3%) than microscopic techniques (3.5%). Also, multiplex PCR showed that there was a positive association between S. stercoralis and hookworms (odds ratio = 2.12). However, this association was due to N. americanus (odds ratio= 3.22), since no association was observed between S. stercoralis and Ancylostoma spp. Neither was an association observed between the two species of hookworms.Pedro E. FleitasPaola A. VargasNicolás CaroM. Cristina AlmazanAdriana EchazúMarisa JuárezPamela CajalAlejandro J. KrolewieckiJulio R. NasserRubén O. CiminoElsevierarticleS. stercoralisHookwormPCRMultiplexInfectious and parasitic diseasesRC109-216MicrobiologyQR1-502ENBrazilian Journal of Infectious Diseases, Vol 25, Iss 6, Pp 101649- (2021)
institution DOAJ
collection DOAJ
language EN
topic S. stercoralis
Hookworm
PCR
Multiplex
Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
spellingShingle S. stercoralis
Hookworm
PCR
Multiplex
Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
Pedro E. Fleitas
Paola A. Vargas
Nicolás Caro
M. Cristina Almazan
Adriana Echazú
Marisa Juárez
Pamela Cajal
Alejandro J. Krolewiecki
Julio R. Nasser
Rubén O. Cimino
Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
description ABSTRACT: Objectives: Describe the diagnostic characteristics of a conventional multiplex PCR for the diagnosis of S. stercoralis, N. americanus and Ancylostomas spp. Methods: Fecal samples were collected from a cross-sectional study in Orán department, Salta province, Argentina. The stool samples were analyzed using concentration-sedimentation, Harada Mori, McMaster, and Baermann techniques. DNA was extracted from 50 mg fecal sample using the FastPrep® Spin Kit for Soil. Three pairs of primers were used for the amplification of three products of 101, 330, and 577 base pairs (bp) for S. stercoralis, N. americanus and Ancylostoma spp, respectively. The sensitivity and analytical specificity of multiplex PCR were evaluated, as well as the sensitivity and diagnostic specificity, using a composite standard and Bayesian approach. Results and Conclusions: Multiplex PCR did not present cross-reaction with other intestinal parasites, and the detection limit for multiplex PCR was between 2 and 20 pg of genomic DNA. In addition it presented a diagnostic sensitivity of 97.4% for S. stercoralis and 90.3% for hookworms with a specificity of 100% and 87.6%, respectively. PCR identified a higher proportion (p <0.01) of coinfections (15.3%) than microscopic techniques (3.5%). Also, multiplex PCR showed that there was a positive association between S. stercoralis and hookworms (odds ratio = 2.12). However, this association was due to N. americanus (odds ratio= 3.22), since no association was observed between S. stercoralis and Ancylostoma spp. Neither was an association observed between the two species of hookworms.
format article
author Pedro E. Fleitas
Paola A. Vargas
Nicolás Caro
M. Cristina Almazan
Adriana Echazú
Marisa Juárez
Pamela Cajal
Alejandro J. Krolewiecki
Julio R. Nasser
Rubén O. Cimino
author_facet Pedro E. Fleitas
Paola A. Vargas
Nicolás Caro
M. Cristina Almazan
Adriana Echazú
Marisa Juárez
Pamela Cajal
Alejandro J. Krolewiecki
Julio R. Nasser
Rubén O. Cimino
author_sort Pedro E. Fleitas
title Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
title_short Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
title_full Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
title_fullStr Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
title_full_unstemmed Scope and limitations of a multiplex conventional PCR for the diagnosis of S. stercoralis and hookworms
title_sort scope and limitations of a multiplex conventional pcr for the diagnosis of s. stercoralis and hookworms
publisher Elsevier
publishDate 2021
url https://doaj.org/article/bf6c732f76ac4eb484c92d326065b267
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