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健康墨西哥儿童中的患病率:两种非侵入性方法的比较

prevalence in healthy Mexican children: comparison between two non-invasive methods.

作者信息

Martínez-Santos Verónica I, Hernández Catalán Manuel, Ojeda Salazar Luis Octavio, Orozco Gómez Octavio Andrei, Lorenzo Sandra Ines, Santos Gómez Rayver, Romero-Castro Norma S, Reyes Ríos Roxana, Martinez Carrillo Dinorah Nashely, Fernández-Tilapa Gloria

机构信息

Cátedras CONACyT-Universidad Autónoma de Guerrero, Chilpancingo, Guerrero, México.

Laboratorio de Investigación Clínica, Facultad de Ciencias Químico-Biológicas, Universidad Autónoma de Guerrero, Chilpancingo, Guerrero, Mexico.

出版信息

PeerJ. 2021 Jun 28;9:e11546. doi: 10.7717/peerj.11546. eCollection 2021.

Abstract

BACKGROUND

detection in asymptomatic children with suspected infection or with symptoms that suggest gastric pathology is problematic, since most of the methods depend on the endoscopic study, an invasive and expensive method. Non-invasive methods can be a feasible alternative but must be validated. The purpose of this study was to evaluate the concordance between DNA detection in saliva and dental plaque by PCR, with antigen detection in stool by immunochromatography, among asymptomatic children in the state of Guerrero, Mexico.

METHODS

Dental plaque, saliva, and stool samples were obtained from 171 children between 6 and 12 years old. detection in saliva and dental plaque was performed by PCR using specific primers for the 16S rRNA gene, while the detection in stool samples was performed by immunochromatography using the CerTest kit.

RESULTS

We found an overall prevalence of 59.6% (102/171). Of the positive children 18% (20/111) were positive in saliva samples, 28.1% (34/121) in dental plaque samples, and 50.4% (71/141) in stool samples. A higher prevalence was found in girls (64.7%, = 0.002). Although some of the children declared some dyspeptic symptoms, these were no related to . In conclusion, we found a high prevalence of in asymptomatic children and the highest proportion was detected by stool antigen test, which was the most feasible method to detect infection.

摘要

背景

在疑似感染或有提示胃部病变症状的无症状儿童中进行检测存在问题,因为大多数方法依赖于内镜检查,这是一种侵入性且昂贵的方法。非侵入性方法可能是一种可行的替代方法,但必须经过验证。本研究的目的是评估墨西哥格雷罗州无症状儿童唾液和牙菌斑中通过聚合酶链反应(PCR)检测DNA与粪便中通过免疫层析法检测抗原之间的一致性。

方法

从171名6至12岁的儿童中获取牙菌斑、唾液和粪便样本。唾液和牙菌斑中的检测通过使用针对16S rRNA基因的特异性引物进行PCR,而粪便样本中的检测通过使用CerTest试剂盒进行免疫层析法。

结果

我们发现总体患病率为59.6%(102/171)。在阳性儿童中,18%(20/111)的唾液样本呈阳性,28.1%(34/121)的牙菌斑样本呈阳性,50.4%(71/141)的粪便样本呈阳性。在女孩中发现了更高的患病率(64.7%,P = 0.002)。尽管一些儿童宣称有一些消化不良症状,但这些与[具体病原体]无关。总之,我们发现无症状儿童中[具体病原体]的患病率很高,并且通过粪便抗原检测发现的比例最高,这是检测[具体病原体]感染最可行的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca16/8247697/cb3a8dcd480a/peerj-09-11546-g001.jpg

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