Multiplex PCR assays developed for neglected pathogen detection in undifferentiated acute febrile illness cases in

Leidi Carvajal Aristizabal1, Karl Ciuoderis1, Laura S Pérez-Restrepo1

  • 1Universidad Nacional de Colombia, Global Health Institute - One Health Colombia and One Health Genomic Laboratory, Medellín, Colombia.

PubMed
Abstract

Insights

New real-time multiplex PCR assays reliably detect six neglected tropical bacteria causing undifferentiated acute febrile illness (UAFI). These cost-effective methods improve diagnostics in resource-limited settings.

Area of Science:

  • Molecular diagnostics
  • Infectious disease research
  • Tropical medicine

Background:

  • Undifferentiated acute febrile illness (UAFI) presents diagnostic challenges due to similar symptoms across various pathogens.
  • Accurate pathogen identification is crucial for effective treatment and outbreak detection, especially in tropical regions.
  • UAFI in the tropics is often caused by diverse viral, bacterial, and parasitic infections, necessitating reliable laboratory confirmation.

Purpose of the Study:

  • To develop two real-time multiplex polymerase chain reaction (PCR) assays.
  • To enable simultaneous detection of six neglected pathogens: Leptospira spp., Rickettsia spp., Borrelia spp., Anaplasma spp., Brucella spp., and Bartonella spp.
  • To address UAFI diagnostics in tropical regions.

Main Methods:

  • Development and validation of two real-time multiplex PCR assays.
  • Assessment of assay parameters including linearity, efficiency, sensitivity, and reproducibility.
  • Evaluation in both singleplex and multiplex formats.

Main Results:

  • The developed multiplex PCR assays demonstrated reliability and high sensitivity.
  • Assays exhibited excellent performance with low intra- and inter-variability (< 10%).
  • Consistently high efficiencies (> 90%) were achieved for pathogen detection.

Conclusions:

  • The assays streamline laboratory workflows, reduce costs, and minimize sample volume.
  • Two dependable, user-friendly, rapid, and cost-effective methods for simultaneous detection of six neglected bacteria are presented.
  • These multiplex PCR assays serve as a significant laboratory tool for UAFI diagnostics in resource-limited tropical settings.