Department of Basic Medical Sciences, College of Medicine, University of Sulaimani, Sulaimaniyah, Iraq.
Pol J Microbiol. 2024 Mar 4;73(1):99-105. doi: 10.33073/pjm-2024-010. eCollection 2024 Mar 1.
infects the large intestine of humans, causing a spectrum of clinical appearances ranging from asymptomatic colonization to severe intestinal and extra-intestinal disease. The parasite is identical microscopically to commensal nonpathogenic amoeba. To detect the pathogenic and estimate the precise prevalence of the parasite among the symptomatic pediatric population using molecular techniques. 323 fecal samples were collected from symptomatic children admitted to Sulaimani Pediatric Teaching Hospital, Sulaimaniyah Province, Iraq, from June to October 2021. A structured, validated questionnaire was prepared and used to report participants' gender, residency, and drinking water source. Then, stool samples were microscopically examined, and the positive samples were submitted to molecular analysis by amplifying the 18s rRNA gene using nested PCR to differentiate from other nonpathogenic . Finally, gene sequences were done to confirm the species. Microscopically, 58 positive samples represented species infection rate of 18% among symptomatic patients. However, only 18 samples were positive for based on molecular methods, which accounts for 31% of the positive by microscopy and 5.6% among the 323 symptomatic populations. NCBI, available in their database, gives the gene sequence and accession number. Patients' sociodemographic data and water sources were directly related to the infection rate. Classical microscopic examination provides a misleading profile about the prevalence of in an endemic region that might lead to unnecessary treatments and a lack of appropriate management for patients.
感染人类的大肠,引起从无症状定植到严重肠道和肠道外疾病的一系列临床表现。寄生虫在显微镜下与共生的非致病性阿米巴相同。为了使用分子技术检测致病性,并估计寄生虫在有症状的儿科人群中的准确流行率。从 2021 年 6 月至 10 月,从伊拉克苏莱曼尼亚省苏莱曼尼亚儿科教学医院采集了 323 份有症状儿童的粪便样本。准备了一份结构化的、经过验证的问卷,用于报告参与者的性别、居住地和饮用水来源。然后,对粪便样本进行显微镜检查,将阳性样本提交给分子分析,使用巢式 PCR 扩增 18s rRNA 基因,以将与其他非致病性区分开来。最后,进行基因序列以确认物种。显微镜下,58 个阳性样本代表 18%的有症状患者存在 感染。然而,只有 18 个样本基于分子方法呈阳性,这占显微镜阳性的 31%和 323 个有症状人群的 5.6%。NCBI 可在其数据库中获得基因序列和登录号。患者的社会人口统计学数据和水源与感染率直接相关。经典的显微镜检查对流行地区的 流行率提供了误导性的概况,这可能导致不必要的治疗和对患者缺乏适当的管理。