Boni Sara Macente, Oyafuso Luiza Keiko, Soler Rita de Cassia, Lindoso José Angelo Lauletta
Centro Universitário Cesumar, Departamento de Biomedicina, Maringá, Paraná, Brazil.
Universidade de São Paulo, Faculdade de Medicina, Departamento de Moléstias Infecciosas, São Paulo, São Paulo, Brazil.
Rev Inst Med Trop Sao Paulo. 2017 Jun 1;59:e38. doi: 10.1590/S1678-9946201759038.
Traditional diagnostic methods used to detect American Tegumentary Leishmaniasis, such as histopathology using biopsy samples, culture techniques, and direct search for parasites, have low sensitivity and require invasive collection procedures. This study evaluates the efficiency of noninvasive sampling methods (swab) along with Polymerase Chain Reaction (PCR) for diagnosing American Tegumentary Leishmaniasis using skin and mucous samples from 25 patients who had tested positive for leishmaniasis. The outcome of the tests performance on swab samples was compatible with PCR results on biopsy samples. The findings have also shown that PCR-kDNA test is more efficient than PCR-HSP70 and qPCR tests (sensitivity of 92.3%, 40.7%, and 41%, respectively). Given the high sensitivity of the tests and the fact that the sampling method using swabs affords greater patient comfort and safety, it could be said that this method is a promising alternative to conventional biopsy-based methods for the molecular diagnosis of leishmaniasis.
用于检测美洲皮肤利什曼病的传统诊断方法,如使用活检样本的组织病理学、培养技术以及直接查找寄生虫,其灵敏度较低,且需要进行侵入性采集程序。本研究评估了非侵入性采样方法(拭子)与聚合酶链反应(PCR)相结合,利用25例利什曼病检测呈阳性患者的皮肤和黏膜样本诊断美洲皮肤利什曼病的效率。拭子样本的检测结果与活检样本的PCR结果相符。研究结果还表明,PCR-kDNA检测比PCR-HSP70和qPCR检测更有效(灵敏度分别为92.3%、40.7%和41%)。鉴于检测的高灵敏度以及使用拭子的采样方法能为患者带来更大的舒适度和安全性,可以说该方法是用于利什曼病分子诊断的传统活检方法的一种有前景的替代方法。