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Comparison of Leishmania typing results obtained from 16 European clinical laboratories in 2014.

Abstract：

:Leishmaniasis is endemic in southern Europe, and in other European countries cases are diagnosed in travellers who have visited affected areas both within the continent and beyond. Prompt and accurate diagnosis poses a challenge in clinical practice in Europe. Different methods exist for identification of the infecting Leishmania species. Sixteen clinical laboratories in 10 European countries, plus Israel and Turkey, conducted a study to assess their genotyping performance. DNA from 21 promastigote cultures of 13 species was analysed blindly by the routinely used typing method. Five different molecular targets were used, which were analysed with PCR-based methods. Different levels of identification were achieved, and either the Leishmania subgenus, species complex, or actual species were reported. The overall error rate of strains placed in the wrong complex or species was 8.5%. Various reasons for incorrect typing were identified. The study shows there is considerable room for improvement and standardisation of Leishmania typing. The use of well validated standard operating procedures is recommended, covering testing, interpretation, and reporting guidelines. Application of the internal transcribed spacer 1 of the rDNA array should be restricted to Old World samples, while the heat-shock protein 70 gene and the mini-exon can be applied globally.

journal_name

Euro Surveill

journal_title

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin

authors

Van der Auwera G,Bart A,Chicharro C,Cortes S,Davidsson L,Di Muccio T,Dujardin JC,Felger I,Paglia MG,Grimm F,Harms G,Jaffe CL,Manser M,Ravel C,Robert-Gangneux F,Roelfsema J,Töz S,Verweij JJ,Chiodini PL

doi

10.2807/1560-7917.ES.2016.21.49.30418

subject

Has Abstract

pub_date

2016-12-08 00:00:00

issue

49

eissn

1025-496X

issn

1560-7917

pii

30418

journal_volume

21

pub_type

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