4.5 Article

Recombinase Polymerase Amplification-Based Assay to Diagnose Giardia in Stool Samples

Journal

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
Volume 92, Issue 3, Pages 583-587

Publisher

AMER SOC TROP MED & HYGIENE
DOI: 10.4269/ajtmh.14-0593

Keywords

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Funding

  1. National Institute of Allergy and Infectious Diseases of the National Institutes of Health [U54AI057156]
  2. Institute for Translational Sciences (ITS) at the University of Texas Medical Branch at Galveston
  3. National Center for Advancing Translational Sciences, National Institutes of Health [UL1TR000071]

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Giardia duodenalis is one of the most commonly identified parasites in stool samples. Although relatively easy to treat, giardiasis can be difficult to detect as it presents similar to other diarrheal diseases. Here, we present a recombinase polymerase amplification-based Giardia (RPAG) assay to detect the presence of Giardia in stool samples. The RPAG assay was characterized on the bench top using stool samples spiked with Giardia cysts where it showed a limit-of-detection nearly as low as the gold standard polymerase chain reaction assay. The RPAG assay was then tested in the highlands of Peru on 104 stool samples collected from the surrounding communities where it showed 73% sensitivity and 95% specificity against a polymerase chain reaction and microscopy composite gold standard. Further improvements in clinical sensitivity will be needed for the RPAG assay to have clinical relevance.

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