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"asymptomatic human infection"

Original Article
An Improved PCR-RFLP Assay for Detection and Genotyping of Asymptomatic Giardia lamblia Infection in a Resource-Poor Setting
Yoursry Hawash, M. M. Ghonaim, S. S. Al-Shehri
Korean J Parasitol 2016;54(1):1-8.
Published online February 26, 2016
DOI: https://doi.org/10.3347/kjp.2016.54.1.1
Laboratory workers, in resource-poor countries, still consider PCR detection of Giardia lamblia more costly and more time-consuming than the classical parasitological techniques. Based on 2 published primers, an in-house one-round touchdown PCR-RFLP assay was developed. The assay was validated with an internal amplification control included in reactions. Performance of the assay was assessed with DNA samples of various purities, 91 control fecal samples with various parasite load, and 472 samples of unknown results. Two cysts per reaction were enough for PCR detection by the assay with exhibited specificity (Sp) and sensitivity (Se) of 100% and 93%, respectively. Taking a published small subunit rRNA reference PCR test results (6%; 29/472) as a nominated gold standard, G. lamblia was identified in 5.9% (28/472), 5.2%, (25/472), and 3.6% (17/472) by PCR assay, RIDA® Quick Giardia antigen detection test (R-Biopharm, Darmstadt, Germany), and iodine-stained smear microscopy, respectively. The percent agreements (kappa values) of 99.7% (0.745), 98.9% (0.900), and 97.7% (0.981) were exhibited between the assay results and that of the reference PCR, immunoassay, and microscopy, respectively. Restriction digestion of the 28 Giardia-positive samples revealed genotype A pattern in 12 and genotype B profile in 16 samples. The PCR assay with the described format and exhibited performance has a great potential to be adopted in basic clinical laboratories as a detection tool for G. lamblia especially in asymptomatic infections. This potential is increased more in particular situations where identification of the parasite genotype represents a major requirement as in epidemiological studies and infection outbreaks.

Citations

Citations to this article as recorded by  Crossref logo
  • A rapid economical multiplex PCR-RFLP method for molecular detection and genotyping of Giardia duodenalis clinical isolates
    Ajanta Ghosal, Sanjib K. Sardar, Tapas Haldar, Akash Prasad, Koushik Das, Seiki Kobayashi, Yumiko Saito-Nakano, Shanta Dutta, Tomoyoshi Nozaki, Sandipan Ganguly
    Diagnostic Microbiology and Infectious Disease.2024; 110(4): 116548.     CrossRef
  • Comparison of ELISA, nested PCR and sequencing and a novel qPCR for detection of Giardia isolates from Jordan
    Nawal Hijjawi, Rongchang Yang, Ma'mon Hatmal, Yasmeen Yassin, Taghrid Mharib, Rami Mukbel, Sameer Alhaj Mahmoud, Abdel-Ellah Al-Shudifat, Una Ryan
    Experimental Parasitology.2018; 185: 23.     CrossRef
  • Methods for the detection of Cryptosporidium and Giardia: From microscopy to nucleic acid based tools in clinical and environmental regimes
    Folasade Esther Adeyemo, Gulshan Singh, Poovendhree Reddy, Thor Axel Stenström
    Acta Tropica.2018; 184: 15.     CrossRef
  • High Frequency of Enteric Protozoan, Viral, and Bacterial Potential Pathogens in Community-Acquired Acute Diarrheal Episodes: Evidence Based on Results of Luminex Gastrointestinal Pathogen Panel Assay
    Yousry A. Hawash, Khadiga A. Ismail, Mazen Almehmadi
    The Korean Journal of Parasitology.2017; 55(5): 513.     CrossRef
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