A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".

Buruli ulcer is one of the 20 neglected tropical diseases in the world. This necrotizing hypodermitis is a chronic debilitating disease caused by an environmental Mycobacterium ulcerans. At least 33 countries with tropical, subtropical and temperate climates have reported Buruli ulcer in African cou...

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Main Authors: Estelle Marion, Numfor Hycenth, Sundeep Chaitanya Vedithi, Marie Robbe-Saule, Valérie Donkeng, Line-Marlène Ganlonon, Affolabi Dissou, Solange Kakou Ngazoa, Marie-Jose Kabedi, Arsène Mabika Mabika, Richard Phillips, Michael Frimpong, Dorothy Yeboah-Manu, Vera Yatta Walker, Olaoluwa Akinwale, Maman Issaka, Gisela Bretzel, Kingsley Asiedu, Sara Eyangoh
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-11-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0010908
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author Estelle Marion
Numfor Hycenth
Sundeep Chaitanya Vedithi
Marie Robbe-Saule
Valérie Donkeng
Line-Marlène Ganlonon
Affolabi Dissou
Solange Kakou Ngazoa
Marie-Jose Kabedi
Arsène Mabika Mabika
Richard Phillips
Michael Frimpong
Dorothy Yeboah-Manu
Vera Yatta Walker
Olaoluwa Akinwale
Maman Issaka
Gisela Bretzel
Kingsley Asiedu
Sara Eyangoh
author_facet Estelle Marion
Numfor Hycenth
Sundeep Chaitanya Vedithi
Marie Robbe-Saule
Valérie Donkeng
Line-Marlène Ganlonon
Affolabi Dissou
Solange Kakou Ngazoa
Marie-Jose Kabedi
Arsène Mabika Mabika
Richard Phillips
Michael Frimpong
Dorothy Yeboah-Manu
Vera Yatta Walker
Olaoluwa Akinwale
Maman Issaka
Gisela Bretzel
Kingsley Asiedu
Sara Eyangoh
author_sort Estelle Marion
collection DOAJ
description Buruli ulcer is one of the 20 neglected tropical diseases in the world. This necrotizing hypodermitis is a chronic debilitating disease caused by an environmental Mycobacterium ulcerans. At least 33 countries with tropical, subtropical and temperate climates have reported Buruli ulcer in African countries, South America and Western Pacific regions. Majority of cases are spread across West and Central Africa. The mode of transmission is unclear, hindering the implementation of adequate prevention for the population. Currently, early diagnosis and treatment are crucial to minimizing morbidity, costs and preventing long-term disability. Biological confirmation of clinical diagnosis of Buruli ulcer is essential before starting chemotherapy. Indeed, differential diagnosis are numerous and Buruli ulcer has varying clinical presentations. Up to now, the gold standard biological confirmation is the quantitative PCR, targeting the insertion sequence IS2404 of M. ulcerans performed on cutaneous samples. Due to the low PCR confirmation rate in endemic African countries (under 30% in 2018) for numerous identified reasons within this article, 11 laboratories decided to combine their efforts to create the network "BU-LABNET" in 2019. The first step of the network was to harmonize the procedures and ship specific reagents to each laboratory. With this system in place, implementation of these procedures for testing and follow-up was easy and the laboratories were able to carry out their first quality control with a very high success rate. It is now time to integrate other neglected tropical diseases to this platform, such as yaws or leprosy.
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spelling doaj.art-929f63fe7c044fe687ba7eb80d26f10a2022-12-22T04:22:05ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352022-11-011611e001090810.1371/journal.pntd.0010908A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".Estelle MarionNumfor HycenthSundeep Chaitanya VedithiMarie Robbe-SauleValérie DonkengLine-Marlène GanlononAffolabi DissouSolange Kakou NgazoaMarie-Jose KabediArsène Mabika MabikaRichard PhillipsMichael FrimpongDorothy Yeboah-ManuVera Yatta WalkerOlaoluwa AkinwaleMaman IssakaGisela BretzelKingsley AsieduSara EyangohBuruli ulcer is one of the 20 neglected tropical diseases in the world. This necrotizing hypodermitis is a chronic debilitating disease caused by an environmental Mycobacterium ulcerans. At least 33 countries with tropical, subtropical and temperate climates have reported Buruli ulcer in African countries, South America and Western Pacific regions. Majority of cases are spread across West and Central Africa. The mode of transmission is unclear, hindering the implementation of adequate prevention for the population. Currently, early diagnosis and treatment are crucial to minimizing morbidity, costs and preventing long-term disability. Biological confirmation of clinical diagnosis of Buruli ulcer is essential before starting chemotherapy. Indeed, differential diagnosis are numerous and Buruli ulcer has varying clinical presentations. Up to now, the gold standard biological confirmation is the quantitative PCR, targeting the insertion sequence IS2404 of M. ulcerans performed on cutaneous samples. Due to the low PCR confirmation rate in endemic African countries (under 30% in 2018) for numerous identified reasons within this article, 11 laboratories decided to combine their efforts to create the network "BU-LABNET" in 2019. The first step of the network was to harmonize the procedures and ship specific reagents to each laboratory. With this system in place, implementation of these procedures for testing and follow-up was easy and the laboratories were able to carry out their first quality control with a very high success rate. It is now time to integrate other neglected tropical diseases to this platform, such as yaws or leprosy.https://doi.org/10.1371/journal.pntd.0010908
spellingShingle Estelle Marion
Numfor Hycenth
Sundeep Chaitanya Vedithi
Marie Robbe-Saule
Valérie Donkeng
Line-Marlène Ganlonon
Affolabi Dissou
Solange Kakou Ngazoa
Marie-Jose Kabedi
Arsène Mabika Mabika
Richard Phillips
Michael Frimpong
Dorothy Yeboah-Manu
Vera Yatta Walker
Olaoluwa Akinwale
Maman Issaka
Gisela Bretzel
Kingsley Asiedu
Sara Eyangoh
A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
PLoS Neglected Tropical Diseases
title A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
title_full A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
title_fullStr A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
title_full_unstemmed A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
title_short A combined effort of 11 laboratories in the WHO African region to improve quality of Buruli ulcer PCR diagnosis: The "BU-LABNET".
title_sort combined effort of 11 laboratories in the who african region to improve quality of buruli ulcer pcr diagnosis the bu labnet
url https://doi.org/10.1371/journal.pntd.0010908
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