Culture and culture-independent diagnostic tests in Campylobacter enteritis

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 tot...

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Main Authors: Nida Özcan, Fatma Bacalan, Fatih Çakır, Alican Bilden, Neslihan Genişel, Tuba Dal
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2022-04-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/14902
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author Nida Özcan
Fatma Bacalan
Fatih Çakır
Alican Bilden
Neslihan Genişel
Tuba Dal
author_facet Nida Özcan
Fatma Bacalan
Fatih Çakır
Alican Bilden
Neslihan Genişel
Tuba Dal
author_sort Nida Özcan
collection DOAJ
description 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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language English
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spelling doaj-art-71a6f8a5d4c2422c8c3f1a1df1b3726e2025-08-20T02:14:11ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802022-04-01160410.3855/jidc.14902Culture and culture-independent diagnostic tests in Campylobacter enteritisNida Özcan0Fatma Bacalan1Fatih Çakır2Alican Bilden3Neslihan Genişel4Tuba Dal5Dicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, TurkeyDiyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, TurkeyDiyarbakır Children’s Hospital, Laboratory of Microbiology, Diyarbakır, TurkeyDicle University Medicine Faculty, Medical Microbiology Department, Diyarbakır, TurkeyDicle University Pharmacy Faculty, Diyarbakır, TurkeyYıldırım Beyazıt University Medicine Faculty, Ankara, Turkey 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. https://jidc.org/index.php/journal/article/view/14902Campylobactergastroenteritismultiplex PCRimmunochromatography
spellingShingle Nida Özcan
Fatma Bacalan
Fatih Çakır
Alican Bilden
Neslihan Genişel
Tuba Dal
Culture and culture-independent diagnostic tests in Campylobacter enteritis
Journal of Infection in Developing Countries
Campylobacter
gastroenteritis
multiplex PCR
immunochromatography
title Culture and culture-independent diagnostic tests in Campylobacter enteritis
title_full Culture and culture-independent diagnostic tests in Campylobacter enteritis
title_fullStr Culture and culture-independent diagnostic tests in Campylobacter enteritis
title_full_unstemmed Culture and culture-independent diagnostic tests in Campylobacter enteritis
title_short Culture and culture-independent diagnostic tests in Campylobacter enteritis
title_sort culture and culture independent diagnostic tests in campylobacter enteritis
topic Campylobacter
gastroenteritis
multiplex PCR
immunochromatography
url https://jidc.org/index.php/journal/article/view/14902
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AT alicanbilden cultureandcultureindependentdiagnostictestsincampylobacterenteritis
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