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Review
. 2014 Apr;27(2):371-418.
doi: 10.1128/CMR.00122-13.

Molecular testing for clinical diagnosis and epidemiological investigations of intestinal parasitic infections

Affiliations
Review

Molecular testing for clinical diagnosis and epidemiological investigations of intestinal parasitic infections

Jaco J Verweij et al. Clin Microbiol Rev. 2014 Apr.

Abstract

Over the past few decades, nucleic acid-based methods have been developed for the diagnosis of intestinal parasitic infections. Advantages of nucleic acid-based methods are numerous; typically, these include increased sensitivity and specificity and simpler standardization of diagnostic procedures. DNA samples can also be stored and used for genetic characterization and molecular typing, providing a valuable tool for surveys and surveillance studies. A variety of technologies have been applied, and some specific and general pitfalls and limitations have been identified. This review provides an overview of the multitude of methods that have been reported for the detection of intestinal parasites and offers some guidance in applying these methods in the clinical laboratory and in epidemiological studies.

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Figures

FIG 1
FIG 1
Three examples of probe-based real-time PCR chemistry. (A) Hydrolysis or TaqMan probes; (B) fluorescence resonance energy transfer (FRET) probes; (C) scorpion probes.
FIG 2
FIG 2
Trichrome staining of an Entamoeba histolytica trophozoite with ingested red blood cells (A), Dientamoeba fragilis trophozoites (C), and the Blastocystis vacuolar stage (D). (B) Giemsa staining of Giardia lamblia trophozoites. (Parasite images courtesy of Marianne Lebbad; reprinted with permission.)
FIG 3
FIG 3
(A and D) Modified Ziehl-Neelsen acid-fast staining of Cryptosporidium parvum/C. hominis oocysts (A) and a Cystoisospora belli oocyst (D). (B and C) Unstained wet mounts for UV fluorescence microscopy showing autofluorescence of Cyclospora cayetanensis oocysts (B) and a Cystoisospora belli oocyst (C). (Parasite images courtesy of Marianne Lebbad; reprinted with permission.)
FIG 4
FIG 4
Wet mounts of a Trichuris trichiura egg (A), an Ascaris lumbricoides egg (B), a hookworm egg (C), and Strongyloides stercoralis larva (D). (Parasite images courtesy of Marianne Lebbad; reprinted with permission.)
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