Improving specificity of Bordetella pertussis detection using a four target real-time PCR
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High-throughput Detection of Respiratory Pathogens in Animal Specimens by Nanoscale PCR
Published on: November 28, 2016
Helena Martini1, Liselot Detemmerman1, Oriane Soetens1
1Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Department of Microbiology and Infection Control and Belgian National Reference Centre for Bordetella Pertussis, Brussels, Belgium.
Abstract:
The incidence of whooping cough, a contagious respiratory disease caused by Bordetella pertussis, is on the rise despite existing vaccination programmes. Similar, though usually milder, respiratory symptoms may be caused by other members of the Bordetella genus: B. parapertussis, B. holmesii, and B. bronchiseptica. Pertussis diagnosis is mostly done using PCR, but the use of multiple targets is necessary in order to differentiate the different Bordetella spp. with sufficient sensitivity and specificity. In this study we evaluate a multiplex PCR assay for the differentiation of B. pertussis from other Bordetella spp., using the targets IS481, IS1001, IS1002, and recA. Moreover, we retrospectively explore the epidemiology of Bordetella spp. infections in Belgium, using the aforementioned assay over a three-year period, from 2013 until 2015.
Insights
Rising whooping cough (pertussis) cases necessitate accurate Bordetella species identification. This study validates a multiplex PCR assay for differentiating Bordetella pertussis from other Bordetella species, aiding in diagnosis and epidemiological tracking.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Diagnostics
Background:
- Whooping cough, caused by Bordetella pertussis, is increasing globally despite vaccination efforts.
- Other Bordetella species (B. parapertussis, B. holmesii, B. bronchiseptica) can cause similar respiratory symptoms.
- Accurate differentiation of Bordetella species is crucial for effective diagnosis and public health management.
Purpose of the Study:
- To evaluate a multiplex PCR assay for differentiating Bordetella pertussis from other Bordetella species.
- To investigate the epidemiology of Bordetella species infections in Belgium from 2013 to 2015.
Main Methods:
- Development and validation of a multiplex PCR assay targeting IS481, IS1001, IS1002, and recA genes.
- Retrospective analysis of Bordetella infections in Belgium using the validated multiplex PCR assay.
- Data collection over a three-year period (2013-2015).
Main Results:
- The multiplex PCR assay demonstrated capability in differentiating Bordetella pertussis from other Bordetella species.
- Epidemiological data on Bordetella infections in Belgium were gathered for the specified period.
- The assay's sensitivity and specificity for differentiating species were assessed.
Conclusions:
- The evaluated multiplex PCR assay is a valuable tool for accurate Bordetella species identification.
- This diagnostic method supports improved surveillance and understanding of whooping cough and related infections.
- Findings contribute to the epidemiological knowledge of Bordetella spp. in Belgium.

