Intrafamilial Transmission of Parechovirus A and Enteroviruses in Neonates and Young Infants

2018 ◽  
Vol 8 (6) ◽  
pp. 501-506 ◽  
Author(s):  
Ryohei Izumita ◽  
Kazuki Deuchi ◽  
Yuta Aizawa ◽  
Rie Habuka ◽  
Kanako Watanabe ◽  
...  
Keyword(s):  
Asymptomatic Patient ◽  
Family Members ◽  
Chain Reaction ◽  
Young Infants ◽  
Positive Stool ◽  
Stool Samples ◽  
Polymerase Chain ◽  
Positive Stool Sample ◽  
Viral Diagnosis ◽  
Neonates And Infants

Abstract Background Parechovirus A (PeV-A) is an important cause of sepsis and meningoencephalitis in neonates and young infants. Thus, identifying the source of PeV-A is essential for prevention; however, little is known regarding the spread of PeV-A among family members of PeV-A–infected neonates and young infants. Methods In this prospective study, we evaluated stool samples from family members of PeV-A–infected neonates and infants younger than 4 months who presented with sepsis, meningoencephalitis, or both in Niigata, Japan, in 2016. Because of a simultaneous outbreak, enteroviruses (EVs) were also evaluated during this period. Real-time polymerase chain reaction followed by sequence analysis was used for viral diagnosis using serum and/or cerebrospinal fluid samples. Results Among 54 febrile patients, the stool samples of 14 (26%) and 12 (22%) patients tested positive for PeV-A and EV, respectively. Stool samples from 54 family members (38 adults and 16 children) of 12 PeV-A–infected patients were available. The rate of PeV-A positivity in these samples was higher among the children (88% [14 of 16]) than the adults (34% [13 of 38]). Among family members with a PeV-A–positive stool sample, 29% (4 of 14) of the children and 77% (10 of 13) of the adults were asymptomatic. Similarly, among 53 stool samples from family members (31 adults and 22 children) of 11 EV-infected patients, the rate of EV positivity in the stool samples was higher among the children (91% [20 of 22]) than among the adults (42% [13 of 31]). The asymptomatic-patient rates were 45% (9 of 20) among the children and 85% (11 of 13) among the adults in family members with EV-positive stool. Conclusions Similar to EVs, PeV-A was detected frequently in stool samples from family members of PeV-A–infected patients. Among family members with PeV-A–positive stool, adults were more likely than children to be asymptomatic and therefore could be an important source of PeV-A infection.

Use of a Perianal Swab Compared With a Stool Sample to Detect Symptomatic Clostridium difficile Infection

2017 ◽  
Vol 38 (06) ◽  
pp. 658-662 ◽  
Author(s):  
Marisa A. Montecalvo ◽  
Emnet Sisay ◽  
Donna McKenna ◽  
Guiqing Wang ◽  
Paul Visintainer ◽  
...  
Keyword(s):  
Stool Sample ◽  
Bacterial Load ◽  
Chain Reaction ◽  
Simple Method ◽  
Factors Affecting ◽  
Positive Stool ◽  
Skin Colonization ◽  
Stool Samples ◽  
Polymerase Chain ◽  
Positive Stool Sample

OBJECTIVE To evaluate the use of a perianal swab to detect CDI. METHODS A perianal swab was collected from each inpatient with a positive stool sample for C. difficile (by polymerase chain reaction [PCR] test) and was tested for C. difficile by PCR and by culture. The variables evaluated included demographics, CDI severity, bathing before perianal swab collection, hours between stool sample and perianal swab, cycle threshold (Ct) to PCR positivity, and doses of CDI treatment before stool sample and before perianal swab. RESULTS Of 83 perianal swabs, 59 (71.1%) tested positive for C. difficile by PCR when perianal swabs were collected an average of 21 hours after the stool sample. Compared with the respective stool sample, the perianal sample was less likely to grow C. difficile (P=.005) and had a higher PCR Ct (P<.001). A direct, significant but weak correlation was detected between the Ct for a positive perianal sample and the respective stool sample (r=0.36; P=.006). An inverse dose relationship was detected between PCR positivity and CDI treatment doses before perianal swab collection (P=.27). CONCLUSION Perianal swabs are a simple method to detect C. difficile tcdB gene by PCR, with a sensitivity of 71%. These data were limited because stool samples and perianal swabs were not collected simultaneously. Compared with stool samples, the perianal Ct values and culture results were consistent with a lower bacterial load on the perianal sample due to the receipt of more CDI treatment before collection or unknown factors affecting perianal skin colonization. Infect Control Hosp Epidemiol 2017;38:658–662

scholarly journals Distinct yearly change of serotype distribution of human rotavirus in Thailand as determined by ELISA and PCR

1993 ◽  
Vol 111 (2) ◽  
pp. 407-412 ◽  
Author(s):  
Y. Pongsuwanna ◽  
K. Taniguchi ◽  
F. Wakasugi ◽  
Y. Sutivijit ◽  
M. Chiwakul ◽  
...  
Keyword(s):  
Enzyme Linked Immunosorbent Assay ◽  
Serotype Distribution ◽  
Chain Reaction ◽  
Positive Stool ◽  
Human Rotavirus ◽  
Serotype 1 ◽  
Group A ◽  
Yearly Change ◽  
Stool Samples ◽  
Polymerase Chain

SummaryA total of 241 group A rotavirus-positive stool samples collected from diarrhoeic patients in Thailand between July 1988 and June 1991 were characterized for their serotypes by enzyme-linked immunosorbent assay (ELISA) using serotype-specific monoclonal antibodies and by a polymerase chain reaction (PCR). In July 1988–June 1989, serotype 1 was the most prevalent (63·4%), followed by serotype 4 (11·0%) and serotype 2 (8·5%). In July 1989–June 1990, 59·8% were serotype 1, 24·3% were serotype 2, and 6·1 % were serotype 3. In contrast, in July 1990–June 1991, serotype 3 was detected in the highest frequency (40·5%), 29·9% were serotype 1, and 27·3% were serotype 2. Thus, a distinct yearly change of serotype distribution of rotavirus in Thailand was observed in the three consecutive years. In particular, it was of note that the prevalence of serotype 3 greatly increased, in contrast to the previous studies in which almost no serotype 3 rotaviruses were detected in the years 1983–8 in Thailand.

scholarly journals A school outbreak of Norwalk-like virus: evidence for airborne transmission

2003 ◽  
Vol 131 (1) ◽  
pp. 727-736 ◽  
Author(s):  
P. J. MARKS ◽  
I. B. VIPOND ◽  
F. M. REGAN ◽  
K. WEDGWOOD ◽  
R. E. FEY ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Nucleotide Sequence Analysis ◽  
Chain Reaction ◽  
Epidemiological Features ◽  
Positive Stool ◽  
Viral Particles ◽  
Stool Samples ◽  
Polymerase Chain ◽  
The Times

An outbreak of gastroenteritis affected a school attended by children aged 4–11 years. Epidemiological features suggested this was due to Norwalk-like virus (NLV) and this was confirmed by polymerase chain reaction (PCR). Nucleotide sequence analysis of the PCR amplicons revealed identical strains in all five positive stool samples. Pupils were significantly more likely to become ill following an episode of vomiting within their classroom (adjusted odds ratio 4·1, 95% CI 1·8–9·3). The times from exposure to illness were consistent with direct infection from aerosolized viral particles where exposure to vomiting was high.Cleaning with quaternary ammonium preparations made no impact on the course of the outbreak. However, the outbreak stopped after the school closed for 4 days and was cleaned using chlorine-based agents. This study confirms the importance of vomiting in the transmission of NLV and provides evidence that direct infection with aerosolized viral particles occurs.

scholarly journals Seasonal Differences in Cyclospora cayetanensis Prevalence in Colombian Indigenous People

2021 ◽  
Vol 9 (3) ◽  
pp. 627
Author(s):  
Hagen Frickmann ◽  
Juliane Alker ◽  
Jessica Hansen ◽  
Juan Carlos Dib ◽  
Andrés Aristizabal ◽  
...  
Keyword(s):  
Indigenous People ◽  
Rainy Season ◽  
Gastrointestinal Symptoms ◽  
Dry Season ◽  
Seasonal Effects ◽  
Chain Reaction ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Stool Samples ◽  
Polymerase Chain

Fecal-orally transmitted cyclosporiasis is frequent in remote resource-limited settings in Central and South America with poor hygiene conditions. In this study, we aimed at assessing seasonal effects on the epidemiology of colonization or infection with C. cayetanensis in Colombian indigenous people living under very restricted conditions. In the rainy season between July and November and in the dry season between January and April, stool samples from indigenous people with and without gastrointestinal symptoms were collected and screened for C. cayetanensis applying in-house real-time polymerase chain reaction (PCR). In the rainy season and in the dry season, positive PCR results were observed for 11.8% (16/136) and 5.1% (15/292), respectively, with cycle threshold (Ct) values of 30.6 (±3.4) and 34.4 (±1.6), respectively. Despite higher parasite loads in the rainy season, fewer individuals (2/16, 12.5%) reported gastrointestinal symptoms compared to the dry season (6/15, 40%). In conclusion, considerable prevalence of C. cayetanensis in Colombian indigenous people persists in the dry season. Low proportions of gastrointestinal symptoms along with higher parasite loads make colonization likely rather than infection.

scholarly journals Diagnosis of Blastocystis sp., Cryptosporidium sp., and Giardia intestinalis by Multiplex PCR: An Optimization Study

2021 ◽  
Author(s):  
Ali Ahmet Kilimcioğlu ◽  
Nogay Girginkardeşler ◽  
Tuba Oyur ◽  
Selin Bölük Sabuncu ◽  
Didem Düzyol Azak ◽  
...  
Keyword(s):  
Multiplex Pcr ◽  
Dna Isolation ◽  
Giardia Intestinalis ◽  
Molecular Method ◽  
Chain Reaction ◽  
Optimization Study ◽  
Optimized Protocol ◽  
Blastocystis Sp ◽  
Stool Samples ◽  
Polymerase Chain

Objective: It was aimed to develop a new Multiplex Polymerase Chain Reaction (PCR) protocol with isolates obtained from local patients for the diagnosis of Blastocystis sp., Cryptosporidium sp. and Giardia intestinalis, which can cause severe gastrointestinal system complaints especially in immunocompromised patients and children. Method: DNA isolation was performed with a commercial kit from three stool samples of different patients whose microscopic examination showed dense amounts of Blastocystis sp., Cryptosporidium sp. and Giardia intestinalis. First, a special PCR protocol has been developed for each protozoon. Then, the multiplex PCR protocol, in which these three protozoa can be diagnosed together, was optimized. Results: In the multiplex PCR protocol performed after DNA isolation, bands of 95 bp., 227 bp. and 258 bp. were obtained for Cryptosporidium sp., Blastocystis sp. and G. intestinalis, respectively. Conclusion: Blastocystis sp., Cryptosporidium sp. and Giardia intestinalis were diagnosed by multiplex PCR with the original protocol developed. Due to the difficulties in using different methods in parasitological examination, by adding other protozoa important for public health to this optimized protocol, it will be possible to detect a large number of parasites with a single molecular method.

Real-time polymerase chain reaction for detection of Isospora belli in stool samples

2008 ◽  
Vol 61 (3) ◽  
pp. 280-283 ◽  
Author(s):  
Robert-Jan ten Hove ◽  
Lisette van Lieshout ◽  
Eric A.T. Brienen ◽  
M. Arantza Perez ◽  
Jaco J. Verweij
Keyword(s):  
Polymerase Chain Reaction ◽  
Real Time ◽  
Chain Reaction ◽  
Stool Samples ◽  
Polymerase Chain

Microsporidial infections due toEncephalitozoon intestinalisin non-HIV-infected patients with chronic diarrhoea

2011 ◽  
Vol 140 (10) ◽  
pp. 1773-1779 ◽  
Author(s):  
J. YAKOOB ◽  
Z. ABBAS ◽  
M. ASIM BEG ◽  
W. JAFRI ◽  
S. NAZ ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Stool Examination ◽  
Chronic Diarrhoea ◽  
Healthy Controls ◽  
Chain Reaction ◽  
Specific Primers ◽  
Specific Pcr ◽  
Stool Samples ◽  
Polymerase Chain ◽  
Species Specific

SUMMARYWe determined the prevalence of microsporidiaEnterocytozoon(Ent.)bieneusiandEncephalitozoon(E.)intestinalisinfection in patients with chronic diarrhoea and hepatocellular carcinoma (HCC). A total of 330 stool samples were examined from 171 (52%) patients with chronic diarrhoea, 18 (5%) with HCC while 141 (43%) were controls. Stool microscopy, polymerase chain reaction (PCR) with species-specific primers forEnt. bieneusiandE. intestinalisand sequencing were carried out. Microsporidia were found by trichrome staining in 11/330 (3%) andE. intestinalisby PCR in 13/330 (4%) whileEnt. bieneusiwas not detected. PCR forE. intestinaliswas positive in 8/171 (5%) stool samples from patients with chronic diarrhoea, 2/141 (1·4%) samples from healthy controls and in 3/18 (17%) samples from patients with HCC. In the chronic diarrhoea group,E. intestinaliswas positive in 4/171 (2·3%) (P=0·69) stool samples compared to 2/18 (11%) (P=0·06) in the HCC group and 2/141 (1·4%) from healthy controls.E. intestinalisinfection was significantly associated with chronic diarrhoea and HCC in these patients who were negative for HIV. Stool examination with trichrome or species-specific PCR for microsporidia may help establish the cause of chronic diarrhoea.

scholarly journals Detection and differentiation of Cryptosporidium by real-time polymerase chain reaction in stool samples from patients in Rio de Janeiro, Brazil

2012 ◽  
Vol 107 (4) ◽  
pp. 476-479 ◽  
Author(s):  
Roberta Flávia Ribeiro Rolando ◽  
Sidnei da Silva ◽  
Regina Helena Saramago Peralta ◽  
Alexandre Januário da Silva ◽  
Flavia de Souza Cunha ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Real Time ◽  
Rio De Janeiro ◽  
Chain Reaction ◽  
Stool Samples ◽  
Polymerase Chain
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