Evaluation of real-time PCR assay to detect Schistosoma mansoni infections in a low endemic setting

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorESPIRITO-SANTO, Maria Cristina Carvalho
dc.contributor.authorALVARADO-MORA, Monica Viviana
dc.contributor.authorDIAS-NETO, Emmanuel
dc.contributor.authorBOTELHO-LIMA, Livia Souza
dc.contributor.authorMOREIRA, Joao Paulo
dc.contributor.authorAMORIM, Maria
dc.contributor.authorPINTO, Pedro Luiz Silva
dc.contributor.authorHEATH, Ashley R.
dc.contributor.authorCASTILHO, Vera Lucia Pagliusi
dc.contributor.authorGONCALVES, Elenice Messias do Nascimento
dc.contributor.authorLUNA, Expedito Jose de Albuquerque
dc.contributor.authorCARRILHO, Flair Jose
dc.contributor.authorPINHO, Joao Renato Rebello
dc.contributor.authorGRYSCHEK, Ronaldo Cesar Borges
dc.date.accessioned2015-02-06T20:12:05Z
dc.date.available2015-02-06T20:12:05Z
dc.date.issued2014
dc.description.abstractBackground: Schistosomiasis constitutes a major public health problem, and 200 million people are estimated to be infected with schistosomiasis worldwide. In Brazil, schistosomiasis has been reported in 19 states, showing areas of high and medium endemicity and a wide range of areas of low endemicity (ALE). Barra Mansa in Rio de Janeiro state has an estimated prevalence of 1%. ALE represent a new challenge for the helminth control because about 75% of infected individuals are asymptomatic and infections occur with a low parasite load (<100 eggs per gram of feces), causing a decrease in sensitivity of stool parasitological techniques, which are a reference for the laboratory diagnosis of this helminth. The objective of this study was to evaluate the performance of a TaqMan quantitative polymerase chain reaction (qPCR) technique in serum and feces DNA samples using the techniques of Kato-Katz (KK), Hoffman, Pons and Janer (HH) as references, during an epidemiological survey using fecal samples and sera from randomized residents from an ALE. Methods: A cross-sectional study conducted from April to December 2011 using a probabilistic sampling that collected 572 fecal and serum samples. The laboratory diagnostic techniques used were: KK, HH and qPCR ( feces and serum). Results: We obtained the following results using the different diagnostic techniques: KK and HH, 0.9% (n = 5); qPCR-feces, 9.6% (n = 55); and qPCR-serum, 1.4% (n = 8). The qPCR-feces presented the highest positivity, whereas the techniques of HH and KK were the least sensitive to detect infections (0.8%). Compared to HH and KK, qPCR-feces showed a statistically significant difference in positivity (p < 0.05), although with poor agreement. Conclusion: The positivity rate presented by the qPCR approach was far higher than that obtained by parasitological techniques. The lack of adequate surveillance in ALE of schistosomiasis indicates a high possibility of these areas being actually of medium and high endemicity. This study presents a control perspective, pointing to the possibility of using combined laboratory tools in the diagnosis of schistosomiasis in ALE.
dc.description.indexMEDLINE
dc.description.sponsorshipSao Paulo Research Foundation [07/53457-7, 08/50461-6, 10/52615-0]
dc.identifier.citationBMC INFECTIOUS DISEASES, v.14, article ID 558, 10p, 2014
dc.identifier.doi10.1186/s12879-014-0558-4
dc.identifier.issn1471-2334
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8845
dc.language.isoeng
dc.publisherBIOMED CENTRAL LTD
dc.relation.ispartofBMC Infectious Diseases
dc.rightsopenAccess
dc.rights.holderCopyright BIOMED CENTRAL LTD
dc.subjectSchistosomiasis mansoni
dc.subjectTaqMan (R) Real-Time PCR system
dc.subjectLaboratory diagnosis
dc.subjectLow endemicity areas
dc.subjectBrazil/epidemiology
dc.subject.otherpolymerase-chain-reaction
dc.subject.otherribosomal-rna genes
dc.subject.otherkato-katz
dc.subject.otherstool samples
dc.subject.otherlow transmission
dc.subject.otherdna
dc.subject.otherdiagnosis
dc.subject.otherintensity
dc.subject.otherareas
dc.subject.othersensitivity
dc.subject.wosInfectious Diseases
dc.titleEvaluation of real-time PCR assay to detect Schistosoma mansoni infections in a low endemic setting
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalALVARADO-MORA, Monica Viviana:Univ Sao Paulo, Sch Med, Dept Gastroenterol, Lab Trop Gastroenterol & Hepatol, Sao Paulo, Brazil
hcfmusp.author.externalAMORIM, Maria:AC Camargo Canc Ctr, Lab Med Genom, Sao Paulo, Brazil
hcfmusp.author.externalPINTO, Pedro Luiz Silva:Adolfo Lutz Inst, Parasitol & Mycol Serv, Dept Enteroparasites, Sao Paulo, Brazil
hcfmusp.author.externalHEATH, Ashley R.:Sigma Custom Prod, The Woodlands, TX 77380 USA
hcfmusp.citation.scopus34
hcfmusp.contributor.author-fmusphcMARIA CRISTINA CARVALHO DO ESPIRITO SANTO
hcfmusp.contributor.author-fmusphcEMMANUEL DIAS NETO
hcfmusp.contributor.author-fmusphcLIVIA DE SOUZA BOTELHO LIMA
hcfmusp.contributor.author-fmusphcJOAO PAULO MOREIRA
hcfmusp.contributor.author-fmusphcVERA LUCIA PAGLIUSI CASTILHO
hcfmusp.contributor.author-fmusphcELENICE MESSIAS DO NASCIMENTO GONCALVES
hcfmusp.contributor.author-fmusphcEXPEDITO JOSE DE ALBUQUERQUE LUNA
hcfmusp.contributor.author-fmusphcFLAIR JOSE CARRILHO
hcfmusp.contributor.author-fmusphcJOAO RENATO REBELLO PINHO
hcfmusp.contributor.author-fmusphcRONALDO CESAR BORGES GRYSCHEK
hcfmusp.description.articlenumber558
hcfmusp.description.volume14
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84929507684
hcfmusp.origem.wosWOS:000343831200001
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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