Title
Use of PCR to improve diagnostic yield in an outbreak of cyclosporiasis in Lima, Peru
Date Issued
01 July 2008
Access level
metadata only access
Resource Type
journal article
Author(s)
Mundaca C.C.
Torres-Slimming P.A.
MorĂ¡n M.
Bacon D.J.
Ortega Y.
Blazes D.L.
US Naval Medical Research Center Detachment
Johns Hopkins Bloomberg School of Public Health
Abstract
Protozoal diseases are increasingly recognized as the cause of diarrhoeal outbreaks in both developed and developing countries. Cyclospora cayetanensis has been responsible for several epidemics in the last decade. In March 2005, an outbreak of diarrhoea was identified in recruits at the Ancon Naval Base in Lima, Peru. A case-control study was carried out. The overall diarrhoea attack rate was 53% (45/85). Complete data from 52 recruits were available for the analysis; 37 met the criteria for case and 15 for control. The epidemic curve indicated a point source transmission, with cases occurring over 9 days with a peak on the fifth day. Cyclospora cayetanensis was found in 7/37(18.9%) cases and 1/15 (6.7%) controls via standard microscopic techniques. PCR for C. cayetanensis detected 20/35 (57.1%) cases and 3/15 (20%) controls, demonstrating the improved diagnostic yield of this technique. This is the second report to characterize an outbreak of diarrhoea due to C. cayetanensis in Peru among a local population. The epidemiology and clinical course were similar to other reported outbreaks in developed regions. PCR greatly increased the number of C. cayetanensis cases detected during this outbreak, allowing the correct identification of its aetiology.
Start page
712
End page
717
Volume
102
Issue
7
Language
English
OCDE Knowledge area
ParasitologĂa
Ciencias médicas, Ciencias de la salud
Scopus EID
2-s2.0-46549086546
PubMed ID
Source
Transactions of the Royal Society of Tropical Medicine and Hygiene
ISSN of the container
00359203
Sponsor(s)
This outbreak investigation was funded by the Department of Defense Global Emerging Infection and Surveillance System (DoD-GEIS). Dr. Ortega received funding from the Center for Food Safety, University of Georgia.
Sources of information:
Directorio de ProducciĂ³n CientĂfica
Scopus