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J Parasit Dis. 2016 Dec;40(4):1470-1474. doi: 10.1007/s12639-015-0714-9. Epub 2015 Sep 18.

Molecular detection of giardiasis among children at Cairo University Pediatrics Hospitals.

Journal of parasitic diseases : official organ of the Indian Society for Parasitology

Marwa A Ghieth, Magd A Kotb, Enas Y Abu-Sarea, Ayman A El-Badry

Affiliations

  1. Department of Medical Parasitology, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
  2. Department of Pediatrics, Kasr Al-Ainy Faculty of Medicine, Cairo University, Giza, Egypt.
  3. Department of Medical Parasitology, Kasr Al-Ainy Faculty of Medicine, Cairo University, Giza, Egypt.

PMID: 27876969 PMCID: PMC5118340 DOI: 10.1007/s12639-015-0714-9

Abstract

Giardiasis is a prevailing intestinal disease in children. This study aimed to determine molecular prevalence of Giardia intestinalis in children attending Cairo University Pediatrics Hospitals, using copro-PCR assays, conventional methods and to evaluate diagnostic effectiveness of used tests. 229 fecal samples were collected from children suffering from gastrointestinal symptoms and examined for Giardia by microscopy, Immuno-chromatographic test (ICT), copro-DNA using two PCR assays targeting tpi [nested-PCR (nPCR)] and 18S [conventional-PCR (cPCR)] genes. Out of 229 samples assessed, Giardia was diagnosed in 13.9, 17, 17.9, 4.8 % of cases using microscopy, ICT, nPCR (tpi) and cPCR (18S), respectively. Nominating both PCR assays as composite reference standard, microscopy and ICT were of reliable specificity (100 and 96.9 %) and accuracy (95.6 and 93.6 %) but of limited sensitivity (78.6 and 76.2 %). Kappa agreement showed, there was substantial agreement of ICT (0.776) and almost perfect agreement of microscopy (0.839) with PCR assays.

Keywords: Copro-DNA; Giardia intestinalis; Molecular prevalence; PCR

Conflict of interest statement

The authors declare that they have no reported conflicts of interest. Author contribution All manuscript authors contributed to every activity of it; idea of paper, study design, collection of materia

References

  1. East Mediterr Health J. 2010 Apr;16(4):362-4 - PubMed
  2. Emerg Infect Dis. 2003 Nov;9(11):1444-52 - PubMed
  3. MMWR CDC Surveill Summ. 1998 Dec 11;47(5):1-34 - PubMed
  4. Stat Med. 1999 Nov 30;18(22):2987-3003 - PubMed
  5. Vet Parasitol. 2011 Nov 24;182(1):70-8 - PubMed
  6. Acta Trop. 2007 May;102(2):92-9 - PubMed
  7. Med J Malaysia. 2003 Jun;58(2):296-305; quiz 306 - PubMed
  8. J Clin Microbiol. 2002 Feb;40(2):446-52 - PubMed
  9. Eur J Clin Microbiol Infect Dis. 1997 Aug;16(8):615-9 - PubMed
  10. Eur J Clin Microbiol Infect Dis. 2012 Aug;31(8):2077-82 - PubMed
  11. Parasitol Int. 2009 Sep;58(3):258-62 - PubMed
  12. Am J Clin Nutr. 1986 Mar;43(3):395-405 - PubMed
  13. Parasitol Res. 2014 Jan;113(1):211-6 - PubMed
  14. Acta Trop. 2007 Apr;102(1):10-9 - PubMed
  15. J Parasitol. 2009 Aug;95(4):1000-4 - PubMed
  16. Parasitol Res. 2013 Apr;112(4):1641-6 - PubMed
  17. J Health Popul Nutr. 2007 Dec;25(4):387-91 - PubMed
  18. Southeast Asian J Trop Med Public Health. 2008 Nov;39(6):991-9 - PubMed
  19. Parasitol Today. 2000 May;16(5):210-3 - PubMed
  20. Mol Biol Evol. 1999 Sep;16(9):1135-44 - PubMed
  21. Clin Microbiol Infect. 2014 Oct;20(10):O783-5 - PubMed
  22. Korean J Parasitol. 2014 Jun;52(3):299-304 - PubMed
  23. Parasitol Res. 2008 Oct;103(5):1177-81 - PubMed
  24. J Egypt Public Health Assoc. 2004;79(1-2):13-29 - PubMed
  25. Trans R Soc Trop Med Hyg. 2009 Aug;103(8):834-8 - PubMed
  26. J Clin Microbiol. 2004 Mar;42(3):1220-3 - PubMed
  27. J Clin Microbiol. 2005 Dec;43(12):5940-4 - PubMed

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