Molecular epidemiology of Cryptosporidium spp. in North Lebanon

Cryptosporidium spp. are enteroparasites with worldwide distribution that infect the gastrointestinal tract of several vertebrates including humans. Human to human, zoonotic, foodborne and waterborne are reported as the main transmission routes of this parasite. Cryptosporidium spp. have been recog...

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Main Authors: Marwan Osman, Sadia Benamrouz, Karine Guyot, Dima El Safadi, Hassan Mallat, Fouad Dabboussi, Monzer Hamze, Eric Viscogliosi, Gabriela Certad
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2018-02-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/10014
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author Marwan Osman
Sadia Benamrouz
Karine Guyot
Dima El Safadi
Hassan Mallat
Fouad Dabboussi
Monzer Hamze
Eric Viscogliosi
Gabriela Certad
author_facet Marwan Osman
Sadia Benamrouz
Karine Guyot
Dima El Safadi
Hassan Mallat
Fouad Dabboussi
Monzer Hamze
Eric Viscogliosi
Gabriela Certad
author_sort Marwan Osman
collection DOAJ
description Cryptosporidium spp. are enteroparasites with worldwide distribution that infect the gastrointestinal tract of several vertebrates including humans. Human to human, zoonotic, foodborne and waterborne are reported as the main transmission routes of this parasite. Cryptosporidium spp. have been recognized as the predominant cause of waterborne and foodborne outbreaks. However, the epidemiological situation of cryptosporidiosis is not well known in Lebanon, a developing country with a population often affected by intestinal parasitic infections. This study was devoted to determine the prevalence and the genetic diversity of Cryptosporidium spp. in symptomatic hospitalized patients and in two children populations with different socio-economic level in North-Lebanon, as well as the risk factors associated with cryptosporidiosis. Fecal samples obtained from these populations were examined microscopically by modified Ziehl-Neelsen staining as well as nested PCR were done for the detection of Cryptosporidium oocysts. Out of 163 symptomatic hospitalized patients and 249 children, Cryptosporidium was present in 11% and 10.4% respectively according to microscopy examination and/or molecular tests. The genotyping showed the predominance of Cryptosporidium hominis in both populations. Subgenotype analysis of the isolates at the gp60 locus identified three subtypes IdA19, IbA10G2 and IaA18R3 for C. hominis and two subtypes IIaA15G1R1 and IIaA15G2R1 for C. parvum. Moreover, cryptosporidiosis was correlated with having meals outside home and presence of gastrointestinal symptoms especially diarrhea (p <0.05). This work constitutes the first molecular epidemiology study outlining risk factors associated with cryptosporidiosis in Lebanon. These findings support a need of a control program to prevent the circulation of this parasite.
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spelling doaj-art-ca9df12dd92c482c847703bd7c9051d72025-08-20T02:16:14ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802018-02-011202.110.3855/jidc.10014Molecular epidemiology of Cryptosporidium spp. in North LebanonMarwan Osman0Sadia Benamrouz1Karine Guyot2Dima El Safadi3Hassan Mallat4Fouad Dabboussi5Monzer Hamze6Eric Viscogliosi7Gabriela Certad8Ecole Doctorale des Sciences et de Technologie, Faculté de Santé Publique, Université Libanaise, Tripoli, LibanUniversité de Lille, CHU de Lille, Biologie et Diversité des Pathogènes Eucaryotes Emergents (BDPEE), Lille, FranceUniversité de Lille, CHU de Lille, Biologie et Diversité des Pathogènes Eucaryotes Emergents (BDPEE), Lille, FranceEcole Doctorale des Sciences et de Technologie, Faculté de Santé Publique, Université Libanaise, Tripoli, LibanEcole Doctorale des Sciences et de Technologie, Faculté de Santé Publique, Université Libanaise, Tripoli, LibanEcole Doctorale des Sciences et de Technologie, Faculté de Santé Publique, Université Libanaise, Tripoli, LibanEcole Doctorale des Sciences et de Technologie, Faculté de Santé Publique, Université Libanaise, Tripoli, LibanUniversité de Lille, CHU de Lille, Biologie et Diversité des Pathogènes Eucaryotes Emergents (BDPEE), Lille, FranceUniversité de Lille, CHU de Lille, Biologie et Diversité des Pathogènes Eucaryotes Emergents (BDPEE), Lille, France Cryptosporidium spp. are enteroparasites with worldwide distribution that infect the gastrointestinal tract of several vertebrates including humans. Human to human, zoonotic, foodborne and waterborne are reported as the main transmission routes of this parasite. Cryptosporidium spp. have been recognized as the predominant cause of waterborne and foodborne outbreaks. However, the epidemiological situation of cryptosporidiosis is not well known in Lebanon, a developing country with a population often affected by intestinal parasitic infections. This study was devoted to determine the prevalence and the genetic diversity of Cryptosporidium spp. in symptomatic hospitalized patients and in two children populations with different socio-economic level in North-Lebanon, as well as the risk factors associated with cryptosporidiosis. Fecal samples obtained from these populations were examined microscopically by modified Ziehl-Neelsen staining as well as nested PCR were done for the detection of Cryptosporidium oocysts. Out of 163 symptomatic hospitalized patients and 249 children, Cryptosporidium was present in 11% and 10.4% respectively according to microscopy examination and/or molecular tests. The genotyping showed the predominance of Cryptosporidium hominis in both populations. Subgenotype analysis of the isolates at the gp60 locus identified three subtypes IdA19, IbA10G2 and IaA18R3 for C. hominis and two subtypes IIaA15G1R1 and IIaA15G2R1 for C. parvum. Moreover, cryptosporidiosis was correlated with having meals outside home and presence of gastrointestinal symptoms especially diarrhea (p <0.05). This work constitutes the first molecular epidemiology study outlining risk factors associated with cryptosporidiosis in Lebanon. These findings support a need of a control program to prevent the circulation of this parasite. https://jidc.org/index.php/journal/article/view/10014Cryptosporidium spp.Molecular EpidemiologyGenotypingRisk factorsLebanon
spellingShingle Marwan Osman
Sadia Benamrouz
Karine Guyot
Dima El Safadi
Hassan Mallat
Fouad Dabboussi
Monzer Hamze
Eric Viscogliosi
Gabriela Certad
Molecular epidemiology of Cryptosporidium spp. in North Lebanon
Journal of Infection in Developing Countries
Cryptosporidium spp.
Molecular Epidemiology
Genotyping
Risk factors
Lebanon
title Molecular epidemiology of Cryptosporidium spp. in North Lebanon
title_full Molecular epidemiology of Cryptosporidium spp. in North Lebanon
title_fullStr Molecular epidemiology of Cryptosporidium spp. in North Lebanon
title_full_unstemmed Molecular epidemiology of Cryptosporidium spp. in North Lebanon
title_short Molecular epidemiology of Cryptosporidium spp. in North Lebanon
title_sort molecular epidemiology of cryptosporidium spp in north lebanon
topic Cryptosporidium spp.
Molecular Epidemiology
Genotyping
Risk factors
Lebanon
url https://jidc.org/index.php/journal/article/view/10014
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