Detection of Five Parasites in Renal Transplantation Patients by Molecular Methods / Renal Transplantasyon Hastalarında Beş Parazitin Moleküler Yöntemler ile Tespiti
Abstract
Objective: Intestinal parasitic infections are among the prominent public health concerns in
patients with suppressed immune function.
Material and methods: Here we examined stool specimens by microscopy and polymerase
chain reaction (PCR) to evaluate the infection of five principal protozoans (Cryptosporidium
spp., Giardia spp., Entamoeba histolytica, Blastocystis spp. and Dientamoeba spp.) among 90
renal transplant recipient patients (RTP) in comparison with 90 healthy individuals (HI) from
Turkey.
Results: The overall frequency of any parasites was 17.2% (31/180) with microscopy and
51.7% (93/180) with PCR. Because of its high sensitivity, PCR was compared with microscopy
in terms of the accuracy of detecting intestinal parasites, and the agreement was found to be
inadequate (κ= 0.217; p<0.001). Multiparasitism (90.9%), Cryptosporidium spp. (84.6%) and
Giardia spp. (74.1%) were the most frequent agents in RTP, respectively (p<0.001).
Conclusions: This is the first study performed in Turkish reporting the prevalence of five
intestinal parasites with PCR techniques among this group and seeks to provide a basis for
future studies
Keywords
References
- 1. Alum A, Rubino JR, Ijaz MK. The global war against intestinal parasites – should we use a holistic approach? Int J Infect Dis 2010;14:732–8
- 2. Fletcher SM, Stark D, Harkness J, Ellis J. Enteric protozoa in the developed world: a public health perspective. Clin Microbiol Rev 2012;25:420–49.
- 3. Marcos LA, Gotuzzo E. Intestinal protozoan infections in the immunocompromised host. Curr Opin Infect Dis 2013;26:295–301.
- 4. Stensvold CR, Nielsen HV. Comparison of microscopy and PCR for detection of intestinal parasites in Danish patients supports an incentive for molecular screening platforms. J Clin Microbiol 2012;50:540-1.
- 5. Akgül Ö, Kart Yaşar K, Sapmaz B, Kırkoyun Uysal H, Yıldırmak T, Şimşek F, et al. Detection of intestinal parasites with conventional and molecular methods in follow-up HIV/AIDS cases. Mikrobiyol Bul 2018;52:273-83.
- 6. IBM Corp. Released 2010 IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp 2010.
- 7. Uysal S, Tunalı V, Akdur Öztürk E, Ardeniz Ö, Işıkgöz Taşbakan M, Pullukçu H, et al. Incidence of Parasitic Diarrhea in Patients with Common Variable Immune Deficiency. Turkiye Parazitol Derg 2016;40:67-71.
- 8. Rasti S, Hassanzadeh M, Hooshyar H, Momen-Heravi M, Mousavi SGA, Abdoli A. Intestinal parasitic infections in different groups of immunocompromised patients in Kashan and Qom cities, central Iran. Scandinavian Journal of Gastroenterology 2017;52:738-41.
Details
Primary Language
English
Subjects
-
Journal Section
Research Article
Authors
Özer Akgül
*
This is me
Hayriye Kırkoyun Uysal
This is me
İlker Tosun
This is me
Burcu Sapmaz
This is me
Reyhan Çalışkan
This is me
A. Canan Yazıcı Güvercin
This is me
Sinem Öktem
This is me
Özgür Kurt
This is me
Y. Ali Öner
This is me
Publication Date
January 31, 2019
Submission Date
December 3, 2018
Acceptance Date
December 25, 2018
Published in Issue
Year 2019 Volume: 2 Number: 1