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Isothermal amplification technology (IAT) for rapid diagnosis of Rickettsioses: scope, overview, existing evidence,
Rashi Dixit1, Natarajan Gopalan1, Sujit Kumar Behera1
1Department of Epidemiology and Public Health, School of Life Sciences, Central University of Tamil Nadu, Thiruvarur, Tamil Nadu, India.
Abstract:
Rickettsioses, a category of zoonosis primarily caused by Rickettsia and Orientia, is a huge cause of public health concern worldwide. Diseases like murine typhus, scrub typhus, Mediterranean spotted fever and rocky mountain spotted fever are major contributors of Rickettsioses globally, with peculiar distributions in south-east Asia, Africa, Arabia and the Americas. With the innovations in molecular diagnostics, Isothermal Amplification Technology is gaining popularity for its fidelity, rapidity and cost-effectiveness. Compared to commercial assays, they are easily adaptable for point-of-care (PoC) settings. Due to nonspecific presentation as an acute undifferentiated febrile illness, diagnosis of Rickettsioses poses a great challenge. Certain isothermal amplification assays have proven to be highly efficient in diagnosing vector borne diseases like dengue, malaria, and chikungunya. The purpose of this review is to provide readers the current advancements, scope, challenges, and future prospects of isothermal amplification technologies in the detection of zoonotic pathogens like Rickettsia and Orientia.
Insights
Rickettsioses, zoonotic diseases, present diagnostic challenges. Isothermal amplification technologies offer rapid, cost-effective, point-of-care detection for Rickettsia and Orientia pathogens.
Area of Science:
- Microbiology
- Infectious Diseases
- Molecular Diagnostics
Background:
- Rickettsioses are zoonotic diseases caused by Rickettsia and Orientia, posing significant global public health concerns.
- Diseases like typhus and spotted fevers have distinct geographical distributions, complicating diagnosis.
- Acute undifferentiated febrile illness presentation makes Rickettsioses diagnosis challenging.
Approach:
- This review explores advancements in isothermal amplification technologies for detecting Rickettsia and Orientia.
- Isothermal amplification offers fidelity, rapidity, and cost-effectiveness compared to traditional methods.
- These technologies are adaptable for point-of-care (PoC) diagnostics.
Key Points:
- Isothermal amplification assays show high efficiency in diagnosing vector-borne diseases.
- Successful application in detecting dengue, malaria, and chikungunya demonstrates potential.
- Focus on Rickettsia and Orientia detection highlights a critical diagnostic gap.
Conclusions:
- Isothermal amplification technologies present a promising avenue for Rickettsioses diagnosis.
- Future prospects include enhanced scope and overcoming current challenges in pathogen detection.
- The review provides insights into the current state and future directions of these diagnostic tools.
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