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Evaluation of Human Brucellosis Prevalence in the Studied Regions of Iran, in Patients with Clinical Symptoms Compatible with this Disease

Pedram H.Heidari, Mohamad Reza Razavi, Mitra Salehi, Abbas Akhavan Sepahi.




Abstract

Background: Brucellosis is an ecumenical problem and irresistible illness that can influence a sizably voluminous population in creating nations and common between creatures and people. There are many procedures for diagnosing and recognition of Brucella spp. such as microbiological, serological, and molecular assays. This consider looked for to identify Brucella disease in human serum by both serological and molecular methods. In the intense and sub-acute stages of the infections, to access a corroborate diagnosis, it is needed to the confinement of Brucella from clinical tests which is the foremost delicate assay. When the titers of the patient's antibody are lower than 160 or antibodies that cross-react with other bacteria have existed or the illness comes to chronic localized cases, nucleic acid amplification tests (NAATs) such as PCR are more sensitive and specific than serology methods.
Materials and Methods: For the determination of Brucella spp. the sensitivity and specificity of the B4-B5 primers and designed IS711 primers were assessed and contrasted with the outcome of the 2ME test within the clinical specimens of 49 suspected patients.
Results: The comes about uncovered that from 49 serum sample in 2ME test only 45(91.83%) samples were positive, the amplicon of BCSP31-PCR was 223 bp and all the 49 (100%) serum samples, and the amplicon of the designed IS711-PCR was 448 bp length and 46 of 49 (93.87%) serum specimens were positive. The outcomes showed that the slightest number of both Brucella melitensis and Brucella abortus 0.05 CFU/reaction could be recognized by the B4-B5 primers.
Conclusion: The sensitivity of the designed primers of IS711 is 94%, whereas the sensitivity of B4-B5 primers is 100%, and the specificity of the 2 primer pairs is 100%.

Key words: Human brucellosis, 2ME, PCR, Brucella melitensis, Blood and Serum samples.






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