Detection of Blastocystis in Stool Isolates Using Different Diagnostic Methods
Abstract Background: Blastocystis is a parasite that inhabits human intestinalis. It is commonly identified in asymptomatic individuals, while its pathogenic role is underestimated. In Syria, studies on this parasite are very few, and it is not documented in the laboratory reports. The present study aimed to evaluate the sensitivity of three different diagnostic methods in the detection of Blastocystis among patients with no specific or clear symptoms. Methods: Stool samples were collected from 70 patients suffering from various gastrointestinal symptoms. All samples were examined microscopically using iodine staining smears, and after in vitro cultivation at 37°C for 48- 72 h using Jones' medium. Molecular detection of Blastocystis was determined by fragment amplification of the SSU rRNA gene using PCR. Results: Blastocystis was identified in: 49 cases (70%) by direct microscopic examination, in 60 isolate (85.7%) by in vitro culture and in 64 (91.4%) of cases using molecular detection. Comparative analysis revealed that the sensitivity of microscopic detection for Blastocystis was 73.4% while it was 90.6% for in vitro culture and 95.9 - 96.7% using PCR detection method. Blastocystis was found alone in 32 (65.3%) of cases, while co-infection was detected in 17 (34.7%) samples. Conclusions: Our findings highlighted the importance of considering Blastocystis in laboratory diagnosis. Molecular methods are recommended for screening clinical specimens for Blastocystis infection especially among individuals with no common particular symptoms. If not applicable, two different diagnostic techniques are required for accurate diagnose of this parasite.