Serological and molecular diagnosis of human brucellosis in Najran, Southwestern Saudi Arabia

Autor: Ahmed Morad Asaad, Jobran M. Al-Qahtani
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
Polymerase Chain Reaction
law.invention
Serology
law
Direct agglutination test
Prevalence
Blood culture
Polymerase chain reaction
Human brucellosis
biology
medicine.diagnostic_test
lcsh:Public aspects of medicine
General Medicine
Middle Aged
Antibodies
Bacterial

Infectious Diseases
PCR
Blood
ELISA
Female
Antibody
Adult
DNA
Bacterial

medicine.medical_specialty
Adolescent
Saudi Arabia
Enzyme-Linked Immunosorbent Assay
Brucella
Sensitivity and Specificity
Brucellosis
lcsh:Infectious and parasitic diseases
Young Adult
Internal medicine
Agglutination Tests
medicine
Humans
lcsh:RC109-216
Bacteriological Techniques
business.industry
Public Health
Environmental and Occupational Health

lcsh:RA1-1270
biology.organism_classification
medicine.disease
Immunoglobulin M
Immunoglobulin G
Immunology
biology.protein
business
Zdroj: Journal of Infection and Public Health, Vol 5, Iss 2, Pp 189-194 (2012)
ISSN: 1876-0341
Popis: Summary: This study aimed to investigate the prevalence of human brucellosis in Najran, southwestern Saudi Arabia, and to assess the performances of ELISA and PCR as diagnostic tools for brucellosis with respect to conventional methods. The study included 340 patients with clinical characteristics of brucellosis. Blood samples from cases and controls were subjected to culture, standard tube agglutination test (SAT), ELISA for IgM and IgG, and brucella PCR. The diagnosis of brucellosis was confirmed in 54 (15.9%) of the 340 provisionally diagnosed brucellosis patients. Blood culture identified only 14 (25.9%) cases. The SAT was positive for 50 (92.6%) cases, whereas ELISA IgM, IgG and PCR were found positive in 46, 52 and 38 cases respectively. The sensitivities of ELISA IgM and IgG were 85.2% and 96.3% respectively and the specificity was 100% for each. For PCR, the sensitivity and specificity were 70.4% and 100% respectively. In conclusion, ELISA offers a significant advantage over conventional serological methods in the diagnosis of brucellosis in endemic areas. The PCR test results can be particularly important in patients with clinical signs and symptoms, and negative serological results, allowing the early and rapid confirmation of the brucellosis. Keywords: Human brucellosis, Prevalence, ELISA, PCR
Databáze: OpenAIRE