Culture and culture-independent diagnostic tests in Campylobacter enteritis

  • Nida Özcan Dicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, Turkey https://orcid.org/0000-0001-6898-7516
  • Fatma Bacalan Diyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, Turkey
  • Fatih Çakır Diyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, Turkey
  • Alican Bilden Dicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, Turkey
  • Neslihan Genişel Dicle University Pharmacy Faculty, Diyarbakır, Turkey
  • Tuba Dal Yıldırım Beyazıt University Medicine Faculty, Ankara, Turkey
Keywords: Campylobacter, gastroenteritis, multiplex PCR, immunochromatography

Abstract

Introduction: Campylobacter infections are among the most common causes of bacterial enteritis. This study aims to determine the sensitivity, specificity and positive predictive values (PPV) of culture and culture-independent tests for the diagnosis of Campylobacter enteritis.

Methodology: A total of 400 stool samples were included in the study. BD MAX enteric bacterial panel (BD Diagnostics, Franklin Lakes, NJ, USA) and EntericBio Gastro Panel II (Serosep, Limerick, Ireland) were used as commercial molecular tests. RIDA®QUICK Campylobacter (R-Biopharm, Darmstadt,, Germany) and CerTest (Biotec, Zaragoza, Spain) were used to detect Campylobacter antigens. Samples were cultured in CCDA media and subjected to bacterial identification by mass spectrometry.

Results: Among the 400 specimens, 41 (10.2%) were evaluated as Campylobacter positive; 21 were culture-positive and 20 were detected as positive by both PCR methods. Of the 21 isolates grown in culture, 16 (76.2%) were identified as C. jejuni and 5 (23.8%) as C. coli. While all 21 culture-positive specimens were detected as positive by both molecular tests, 18 of the specimens were found positive by RidaQuick, and 16 by Certest ICA. Of the 20 culture-negative Campylobacter cases, 18 were positive by RidaQuick and 12 by Certest ICA. Sensitivities of culture, ICA-RidaQuick and ICA-CerTest were 51.2%, 87.8 and 68.3, respectively. The specificities of all tests were in the range of 90-100 %. PPV of molecular tests, ICA-RidaQuick and ICA-CerTest were > 95%, 72 % and 48.3 %, respectively.

Conclusions: Molecular tests were superior to culture and ICA in terms of sensitivity, specificity, and positive predictive value.

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Author Biographies

Nida Özcan, Dicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, Turkey

Department of Medical Microbiology, Faculty of Medicine

Fatma Bacalan, Diyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, Turkey

Laboratory of Microbiology

Fatih Çakır, Diyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, Turkey

Laboratory of Microbiology

Alican Bilden, Dicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, Turkey

Medical Microbiology Department

Published
2022-04-30
How to Cite
1.
Özcan N, Bacalan F, Çakır F, Bilden A, Genişel N, Dal T (2022) Culture and culture-independent diagnostic tests in Campylobacter enteritis. J Infect Dev Ctries 16:616-621. doi: 10.3855/jidc.14902
Section
Original Articles