Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis

Laboratory tools for diagnosing taeniosis/cysticercosis in non-endemic countries are available; however, there is little data on their performance. To provide information on the sensitivity, specificity, and reproducibility of these tools, inter-laboratory studies were organized within the EU COST-A...

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Main Authors: María Ángeles Gómez-Morales, Patrizio Pezzotti, Alessandra Ludovisi, Belgees Boufana, Pierre Dorny, Titia Kortbeek, Joachim Blocher, Veronika Schmidt, Marco Amati, Sarah Gabriël, Edoardo Pozio, Andrea Sylvia Winkler, The Ring Trial Participants
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/9/6/1173
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author María Ángeles Gómez-Morales
Patrizio Pezzotti
Alessandra Ludovisi
Belgees Boufana
Pierre Dorny
Titia Kortbeek
Joachim Blocher
Veronika Schmidt
Marco Amati
Sarah Gabriël
Edoardo Pozio
Andrea Sylvia Winkler
The Ring Trial Participants
author_facet María Ángeles Gómez-Morales
Patrizio Pezzotti
Alessandra Ludovisi
Belgees Boufana
Pierre Dorny
Titia Kortbeek
Joachim Blocher
Veronika Schmidt
Marco Amati
Sarah Gabriël
Edoardo Pozio
Andrea Sylvia Winkler
The Ring Trial Participants
author_sort María Ángeles Gómez-Morales
collection DOAJ
description Laboratory tools for diagnosing taeniosis/cysticercosis in non-endemic countries are available; however, there is little data on their performance. To provide information on the sensitivity, specificity, and reproducibility of these tools, inter-laboratory studies were organized within the EU COST-Action CYSTINET (TD1302). Two serological and one coprological Ring Trials (RTs) were organized to test a panel of human-derived sera and stool samples using assays routinely conducted by the participating laboratories to detect <i>Taenia</i> spp. infections. Four Western blots (WBs) and five ELISAs were used by nine laboratories for cysticercosis diagnosis. In the first serological RT, the overall sensitivity was 67.6% (95% CI, 59.1–75.4), whereas specificity was 97% (95% CI, 89.8–99.6). WBs recorded the best accuracy. A second serological RT was organized, to assess the three tests most frequently used during the first RT. Two out of six laboratories performed all the three tests. The overall sensitivity and specificity were 52.8% (95% CI, 42.8–62.7) and 98.1% (95% CI, 93.2–99.7), respectively. Laboratory performance strongly affected test results. Twelve laboratories participated in the coprological RT using conventional microscopy and six laboratories used molecular assays. Traditional diagnosis by microscopy yielded better results than molecular diagnosis. This may have been influenced by the lack of standardization of molecular tests across participating laboratories.
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spelling doaj.art-a4d98f96bc1945338953f2eb5173b2392023-11-21T22:00:07ZengMDPI AGMicroorganisms2076-26072021-05-0196117310.3390/microorganisms9061173Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/CysticercosisMaría Ángeles Gómez-Morales0Patrizio Pezzotti1Alessandra Ludovisi2Belgees Boufana3Pierre Dorny4Titia Kortbeek5Joachim Blocher6Veronika Schmidt7Marco Amati8Sarah Gabriël9Edoardo Pozio10Andrea Sylvia Winkler11The Ring Trial ParticipantsDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyVeterinary Helminthology Unit, Department of Biomedical Sciences, Institute of Tropical Medicine, 2000 Antwerpen, BelgiumCenter IDS, National Institute of Public Health and the Environment, RIVM, 3720 Bilthoven, The NetherlandsInstitute of Acute Neurology, Academic Teaching Hospital Feldkirch, Carinagasse 47, 6800 Feldkirch, AustriaCenter for Global Health, Department of Neurology, Technical University of Munich, 81675 Munich, GermanyDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyDepartment of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, 9820 Merelbeke, BelgiumDepartment of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, ItalyCenter for Global Health, Department of Neurology, Technical University of Munich, 81675 Munich, GermanyLaboratory tools for diagnosing taeniosis/cysticercosis in non-endemic countries are available; however, there is little data on their performance. To provide information on the sensitivity, specificity, and reproducibility of these tools, inter-laboratory studies were organized within the EU COST-Action CYSTINET (TD1302). Two serological and one coprological Ring Trials (RTs) were organized to test a panel of human-derived sera and stool samples using assays routinely conducted by the participating laboratories to detect <i>Taenia</i> spp. infections. Four Western blots (WBs) and five ELISAs were used by nine laboratories for cysticercosis diagnosis. In the first serological RT, the overall sensitivity was 67.6% (95% CI, 59.1–75.4), whereas specificity was 97% (95% CI, 89.8–99.6). WBs recorded the best accuracy. A second serological RT was organized, to assess the three tests most frequently used during the first RT. Two out of six laboratories performed all the three tests. The overall sensitivity and specificity were 52.8% (95% CI, 42.8–62.7) and 98.1% (95% CI, 93.2–99.7), respectively. Laboratory performance strongly affected test results. Twelve laboratories participated in the coprological RT using conventional microscopy and six laboratories used molecular assays. Traditional diagnosis by microscopy yielded better results than molecular diagnosis. This may have been influenced by the lack of standardization of molecular tests across participating laboratories.https://www.mdpi.com/2076-2607/9/6/1173cysticercosisneurocysticercosis<i>Taenia</i> spp.diagnosistaeniosiscollaborative study
spellingShingle María Ángeles Gómez-Morales
Patrizio Pezzotti
Alessandra Ludovisi
Belgees Boufana
Pierre Dorny
Titia Kortbeek
Joachim Blocher
Veronika Schmidt
Marco Amati
Sarah Gabriël
Edoardo Pozio
Andrea Sylvia Winkler
The Ring Trial Participants
Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
Microorganisms
cysticercosis
neurocysticercosis
<i>Taenia</i> spp.
diagnosis
taeniosis
collaborative study
title Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
title_full Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
title_fullStr Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
title_full_unstemmed Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
title_short Collaborative Studies for the Detection of <em>Taenia</em> spp. Infections in Humans within CYSTINET, the European Network on Taeniosis/Cysticercosis
title_sort collaborative studies for the detection of em taenia em spp infections in humans within cystinet the european network on taeniosis cysticercosis
topic cysticercosis
neurocysticercosis
<i>Taenia</i> spp.
diagnosis
taeniosis
collaborative study
url https://www.mdpi.com/2076-2607/9/6/1173
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