Immediate pools of malaria infections at diagnosis combined with targeted deep sequencing accurately quantifies frequency of drug resistance mutations

Antimalarial resistance surveillance in sub-Saharan Africa is often constrained by logistical and financial challenges limiting its breadth and frequency. At two sites in Ghana, we have piloted a streamlined sample pooling process created immediately by sequential addition of positive malaria cases...

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Autores principales: Ozkan Aydemir, Benedicta Mensah, Patrick W. Marsh, Benjamin Abuaku, James Leslie Myers-Hansen, Jeffrey A. Bailey, Anita Ghansah
Formato: article
Lenguaje:EN
Publicado: PeerJ Inc. 2021
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Acceso en línea:https://doaj.org/article/e20a1fa2d4284d5fa75b4791c9fbc788
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Sumario:Antimalarial resistance surveillance in sub-Saharan Africa is often constrained by logistical and financial challenges limiting its breadth and frequency. At two sites in Ghana, we have piloted a streamlined sample pooling process created immediately by sequential addition of positive malaria cases at the time of diagnostic testing. This streamlined process involving a single tube minimized clinical and laboratory work and provided accurate frequencies of all known drug resistance mutations after high-throughput targeted sequencing using molecular inversion probes. Our study validates this method as a cost-efficient, accurate and highly-scalable approach for drug resistance mutation monitoring that can potentially be applied to other infectious diseases such as tuberculosis.