Leishmania detection in sand flies using a field-deployable real-time analytic system.

We describe here the development and evaluation of advanced vector surveillance analytic technologies for real-time leishmaniasis risk assessment. Leishmania genus and visceral leishmaniasis causative agent--specific dual fluorogenic-probe hydrolysis (TaqMan), thermally stable (freeze-dried) polymer...

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Published in:Military Medicine Vol. 177; no. 4; pp. 460 - 467
Main Authors: McAvin JC, Swanson KI, Chan AS, Quintana M, Coleman RE, McAvin, James C, Swanson, Katherine I, Chan, Adeline S T, Quintana, Miguel, Coleman, Russell E
Format: research Journal Article
Published: Oxford University Press / USA Apr2012
Online Access:View this record in EBSCOhost
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      dt: Apr2012
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      pub: Oxford University Press / USA
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        10.7205/milmed-d-11-00206
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        atl: Leishmania detection in sand flies using a field-deployable real-time analytic system.
      aug:
        au:
          McAvin JC
          Swanson KI
          Chan AS
          Quintana M
          Coleman RE
          McAvin, James C
          Swanson, Katherine I
          Chan, Adeline S T
          Quintana, Miguel
          Coleman, Russell E
        affil: Division of Entomology, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, USA
      sug:
        subj:
          Computer Systems
          Leishmania
          Leishmaniasis
          Insects
          Animals
          DNA
          Human
          Iraq
          Military Medicine
          Polymerase Chain Reaction
          Population Surveillance
          Predictive Value of Tests
          Risk Assessment
          Sensitivity and Specificity
      ab: We describe here the development and evaluation of advanced vector surveillance analytic technologies for real-time leishmaniasis risk assessment. Leishmania genus and visceral leishmaniasis causative agent--specific dual fluorogenic-probe hydrolysis (TaqMan), thermally stable (freeze-dried) polymerase chain reaction assays were developed using field-durable analytic instrumentation. In laboratory testing with a panel of diverse Leishmania species from culture and infected sand flies, the sensitivity and specificity of both assays were 100% concordant with DNA sequencing. In specificity testing with Leishmania genetic near neighbors, clinically significant organisms, and human genomic DNA, no detectable fluorescence above background was observed. Field evaluation was conducted in southern Iraq using wild sand flies. In field testing, Leishmania genus assay was 100% sensitive and 96% specific with a single false-positive result. The visceral leishmaniasis genotype assay was 100% sensitive and 100% specific compared to DNA sequencing. Thermally stable polymerase chain reaction assays vastly simplified transportation and storage. Assay preparation and analysis required less than 2 hours.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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