加纳沃尔特地区社区应用重组酶聚合酶扩增-侧流法与实时定量 PCR 检测皮肤利什曼原虫的初步研究。
A Preliminary Study to Compare Recombinase Polymerase Amplification-Lateral Flow and Quantitative PCR in the Detection of Cutaneous Leishmania in Communities from the Volta Region of Ghana.
机构信息
Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana.
U.S. Naval Medical Research Unit No.3, Ghana Detachment, Accra, Ghana.
出版信息
Vector Borne Zoonotic Dis. 2023 Feb;23(2):75-80. doi: 10.1089/vbz.2022.0043.
Leishmaniasis is a parasitic disease that mostly affects populations in tropical and subtropical countries. In Ghana, cutaneous leishmaniasis (CL) is the most common form of the disease affecting communities of the Volta Region. Conventional parasitological method (microscopy) is the commonly used test for CL diagnosis in many endemic countries, but has low sensitivity in chronic cases. Therefore, there is a clear need for a sensitive and easy-to-use point-of-care diagnostic method like an isothermal recombinase polymerase amplification-lateral flow (RPA-LF) test, suitable for use in austere and low-resource settings for the identification of CL cases. This study compared the efficacy of RPA-LF test with quantitative PCR (qPCR) in detecting in suspected CL cases from the Volta Region. Twenty-five participants between 5 and 14 years were enrolled in the study from whom a total of 26 samples were obtained. Lesion samples were collected using FTA filter papers applied to ulcerated lesions for molecular diagnosis. DNA isolated from filter papers was used for both the RPA-LF test and qPCR. Twenty-two participants (88%) presented with one or two ulcerated active lesions per individual, while the rest of them had plaques or dried lesions. Among the 26 samples, 19/26 (73%) had concordant results when comparing the two diagnostic methods. Data from this study suggest that the RPA-LF test can be used in addition to a conventional parasitological diagnostic test (microscopy) to detect CL cases in communities of the Volta Region.
利什曼病是一种寄生虫病,主要影响热带和亚热带国家的人群。在加纳,皮肤利什曼病(CL)是影响沃尔特地区社区的最常见形式。在许多流行国家,常规寄生虫学方法(显微镜检查)是 CL 诊断的常用检测方法,但在慢性病例中敏感性较低。因此,非常需要一种敏感且易于使用的即时诊断方法,例如等温重组酶聚合酶扩增-侧流(RPA-LF)检测,适用于识别 CL 病例的严峻和资源匮乏环境。本研究比较了 RPA-LF 检测与定量 PCR(qPCR)在检测沃尔特地区疑似 CL 病例中的功效。 研究共招募了 25 名 5 至 14 岁的参与者,从他们那里总共获得了 26 个样本。使用 FTA 滤纸采集病变样本,应用于溃疡性病变进行分子诊断。从滤纸中提取的 DNA 用于 RPA-LF 检测和 qPCR。 22 名参与者(88%)每人呈现一个或两个溃疡性活动性病变,其余人则有斑块或干燥病变。在 26 个样本中,两种诊断方法比较时,19/26(73%)的结果一致。 这项研究的数据表明,RPA-LF 检测可与常规寄生虫学诊断检测(显微镜检查)结合使用,以检测沃尔特地区社区的 CL 病例。