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  • Evaluation of dried blood spot sampling for real-time PCR malaria diagnostics in a rural setting in Angola

    • Research
    • Open access
    • Published:
    • Alejandro Mediavilla,
    • Begoña Febrer-Sendra,
    • Aroa Silgado,
    • Patricia Martínez-Vallejo,
    • Beatriz Crego-Vicente,
    • Arlette Nindia,
    • Carles Rubio Maturana,
    • Lidia Goterris,
    • Joan Martínez-Campreciós,
    • Sandra Aixut,
    • Pedro Fernández-Soto,
    • María Luisa Aznar,
    • Antonio Muro,
    • Inés Oliveira-Souto,
    • Israel Molina &
    • Elena Sulleiro

    Parasites & Vectorsvolume 18, Article number: 44 () Cite this article

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    Abstract

    Background

    Malaria is the parasitic disease with the highest morbidity and mortality worldwide. Angola is one of the five sub-Saharan African countries with the highest malaria burden. Real-time PCR diagnosis in endemic areas has not been implemented due to its high cost and the need for adequate infrastructure. Dried blood spots (DBSs) are an alternative for collecting, preserving, and transporting blood samples to reference laboratories. The objective of the study was to assess the efficacy of DBS as a sampling method for malaria research studies employing real-time PCR.

    Methods

    The study was divided into two phases: (i) prospective study at the Hospital Universitario Vall d'Hebron (HUVH) to compare real-time PCR from whole blood or DBS, including 12 venous blood samples from patients with positive real-time PCR for Plasmodium spp. and 10 quality control samples (nine infected samples and one negative control). Samples were collected as DBSs (10, 20, 50 µl/circle). Samples from both phases of the study were analyzed by generic real-time PCR (Plasmodium spp.) and the subsequent positive samples underwent species-specific real-time PCR (Plasmodium species) and (ii) cross-sectional study conducted at the Hospital Nossa Senhora da Paz, Cubal (Angola), including

  • We report 2 cases from
  • Abstract

    The aim of this study was to determine whether self-collected pure saliva (SCPS) is comparable to nasopharyngeal (NP) swabs in the quantitative detection of SARS-CoV-2 by RT-PCR in asymptomatic, mild patients with confirmed COVID Thirty-one patients aged from 18 to 85 years were included between 9 June and 11 December A SCPS sample and a NP sample were taken for each patient. Quantitative PCR was performed to detect SARS-CoV-2 viral load. Results of SCPS vs. NP samples testing were compared. Statistical analyses were performed. Viral load was significantly correlated (r = ). The concordance probability was estimated at %. In symptomatic adults, SCPS performance was similar to that of NP swabs (Percent Agreement = %; p = ). Thus, the salivary test based on pure oral saliva samples easily obtained by noninvasive techniques has a fair agreement with the nasopharyngeal one in asymptomatic, mild patients with a confirmed diagnosis of COVID

    Keywords: saliva, viral load, COVID, nasopharyngeal, SARS-CoV-2

    1. Introduction

    SARS-CoV-2 is found in nasopharyngeal (NP) secretions, and its viral load is consistently high in the saliva mainly in the early stage of the disease [1]. Saliva is considered a readily available diagnostic source for SARS-CoV-2 screening; however, biologically, the diagnostic sensitivity appears to be lower [2,3]. The sampling techniques studied are mainly based on deep-throat saliva [4], oropharyngeal swabs, and saliva from sputum after stimulation. These saliva samples are considered to be “enhanced” [5].

    Certain regions of the world, such as Hong Kong, have already adopted a saliva testing outpatient program in their mass-screening protocols [6]. In February , the saliva test was authorized to screen populations in France on a massive scale. The test is based on self-collected, pure oral saliva followed by PCR analysis. However, little is known about differences in the performance of self-collected pure saliva (SCPS) versus NP sam

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    Abstract

    We report 2 cases from Spain of infectious proctitis caused by Neisseria meningitidis in HIV-positive men who have sex with men. Genetic characterization of the isolates showed that they are unusual strains not found in other more frequent meningococcal locations. This finding suggests an association between specific strains and anogenital tract colonization.

    Keywords: proctitis, Neisseria meningitidis, bacteria, men who have sex with men, HIV, HIV/AIDS and other retroviruses, sexually transmitted infections, molecular characterization


    Pathogens that cause proctitis include Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum, and herpes simplex virus (1). We report 2 cases from Spain of proctitis caused by Neisseria meningitidis, a pathogen less frequently detected.

    The first case-patient was a year-old HIV-positive man who had proctalgia and purulent anal and urethral discharges. He reported having unprotected sex with other men.

    The second case-patient was a year HIV-positive man who had a purulent discharge, pain, and anal tenesmus. He reported having unprotected anal sex with other men and having previously diagnosed sexually transmitted infections.

    Both patients were given a diagnosis of probable infectious proctitis. Rectal exudates samples were collected for detection of infectious agents. The first case-patient was given ceftriaxone (1 g, single intramuscular dose) and azithromycin ( g, single oral dose). The second case-patient was given ceftriaxone ( mg, single intramuscular dose). Both patients showed clinical improvement.

    Routine screening for Mycoplasma spp. and nucleic acid amplification for N. gonorrhoeae and C. trachomatis yielded negative results. We isolated gram-negative diplococci from both patients on modified Martin-Lewis agar (Becton Dickinson, Franklin Lakes, NJ, USA) and identified these diplococci as N. meningitidis serogroup B by using mass spectrometry (Biotyper System; Bruker, Bille