Abstract
We aimed to compare the efficacy of modified agar plate fecal culture (mAPC) and standard agar plate culture (sAPC) for diagnosis of Strongyloides stercoralis infection in a community at Khon Kaen Province, Thailand. Fecal samples were collected from participants individually (n = 1076) and were tested using these two methods. Modified APC and sAPC detected 129 (11.99%) and 91 (8.46%) infected individuals, respectively. Thirty-eight participants were negative according to sAPC, but positive for mAPC. Moreover, in the participants who were positive for both methods, the number of worm developmental stages obtained was higher for mAPC than for sAPC. Our study suggests that mAPC is an effective and useful tool for S. stercoralis diagnosis and can be applied for mass-screening in community and/or control programs.
References
Anamnart W, Pattanawongsa A, Intapan PM, Maleewong W (2010) Factors affecting recovery of Strongyloides stercoralis larvae: an approach to a newly modified formalin-ether concentration technique for diagnosis of strongyloidiasis. J Clin Microbiol 48(1):97–100. https://doi.org/10.1128/JCM.01613-09
Assavapongpaiboon B, Bunkasem U, Sanprasert V, Nuchprayoon S (2018) A cross-sectional study on intestinal parasitic infections in children in suburban public primary schools, Saraburi, the central region of Thailand. Am J Trop Med Hyg 98(3):763–767. https://doi.org/10.4269/ajtmh.17-0240
Becker SL, Piraisoody N, Kramme S, Marti H, Silué KD, Panning M, Nickel B, Kern WV, Herrmann M, Hatz CF, N'Goran EK, Utzinger J, von Müller L (2015) Real-time PCR for detection of Strongyloides stercoralis in human stool samples from Cote d'Ivoire: diagnostic accuracy, inter-laboratory comparison and patterns of hookworm co-infection. Acta Trop 150:210–217. https://doi.org/10.1016/j.actatropica.2015.07.019
Becker SL et al (2011) Diagnosis, clinical features, and self-reported morbidity of Strongyloides stercoralis and hookworm infection in a co-endemic setting. PLoS Negl Trop Dis 5(8):e1292. https://doi.org/10.1371/journal.pntd.0001292
Bisoffi Z et al (2013) Strongyloides stercoralis: a plea for action. PLoS Negl Trop Dis 7(5):e2214. https://doi.org/10.1371/journal.pntd.0002214
Buonfrate D, Formenti F, Perandin F, Bisoffi Z (2015) Novel approaches to the diagnosis of Strongyloides stercoralis infection. Clin Microbiol Infect 21(6):543–552. https://doi.org/10.1016/j.cmi.2015.04.001
Buonfrate D, Gobbi F, Angheben A, Bisoffi Z (2018) Strongyloides stercoralis: the need for accurate information. Lancet 391(10137):2322–2323. https://doi.org/10.1016/S0140-6736(18)30864-X
Dacal E, Saugar JM, Soler T, Azcárate JM, Jiménez MS, Merino FJ, Rodríguez E (2018) Parasitological versus molecular diagnosis of strongyloidiasis in serial stool samples: how many? J Helminthol 92(1):12–16. https://doi.org/10.1017/S0022149X17000050
Formenti F, la Marca G, Perandin F, Pajola B, Romano M, Santucci B, Silva R, Giorli G, Bisoffi Z, Buonfrate D (2019) A diagnostic study comparing conventional and real-time PCR for Strongyloides stercoralis on urine and on faecal samples. Acta Trop 190:284–287. https://doi.org/10.1016/j.actatropica.2018.12.001
Hirata T, Nakamura H, Kinjo N, Hokama A, Kinjo F, Yamane N, Fujita J (2007) Increased detection rate of Strongyloides stercoralis by repeated stool examinations using the agar plate culture method. Am J Trop Med Hyg 77(4):683–684
Intapan PM, Maleewong W, Wongsaroj T, Singthong S, Morakote N (2005) Comparison of the quantitative formalin ethyl acetate concentration technique and agar plate culture for diagnosis of human strongyloidiasis. J Clin Microbiol 43(4):1932–1933. https://doi.org/10.1128/JCM.43.4.1932-1933.2005
Jongsuksuntigul P et al (2003) Prevalence of Strongyloides stercoralis infection in northeastern Thailand (agar plate culture detection). J Med Assoc Thail 86(8):737–741
Kaewrat W et al (2019) Improved agar plate culture conditions for diagnosis of Strongyloides stercoralis. Acta Trop:105291. https://doi.org/10.1016/j.actatropica.2019.105291
Ketzis JK (2017) Limitations to the adoption of a standardized Strongyloides stercoralis diagnostic method: case study in the Caribbean. Acta Trop 170:178–183. https://doi.org/10.1016/j.actatropica.2017.03.003
Khanna V, Tilak K, Prakash PY, Mukhopadhyay C (2015) Modified agar plate culture method for culture of Strongyloides stercoralis. Trop Parasitol 5(2):136–138. https://doi.org/10.4103/2229-5070.162535
Khieu V, Schär F, Marti H, Bless PJ, Char MC, Muth S, Odermatt P (2014) Prevalence and risk factors of Strongyloides stercoralis in Takeo Province, Cambodia. Parasit Vectors 7:221. https://doi.org/10.1186/1756-3305-7-221
Kristanti H, Meyanti F, Wijayanti MA, Mahendradhata Y, Polman K, Chappuis F, Utzinger J, Becker SL, Murhandarwati EEH (2018) Diagnostic comparison of Baermann funnel, Koga agar plate culture and polymerase chain reaction for detection of human Strongyloides stercoralis infection in Maluku, Indonesia. Parasitol Res 117(10):3229–3235. https://doi.org/10.1007/s00436-018-6021-5
Laoraksawong P, Sanpool O, Rodpai R, Thanchomnang T, Kanarkard W, Maleewong W, Kraiklang R, Intapan PM (2018) Current high prevalences of Strongyloides stercoralis and Opisthorchis viverrini infections in rural communities in northeast Thailand and associated risk factors. BMC Public Health 18(1):940. https://doi.org/10.1186/s12889-018-5871-1
Luvira V, Trakulhun K, Mungthin M, Naaglor T, Chantawat N, Pakdee W, Phiboonbanakit D, Dekumyoy P (2016) Comparative diagnosis of strongyloidiasis in immunocompromised patients. Am J Trop Med Hyg 95(2):401–404. https://doi.org/10.4269/ajtmh.16-0068
McDonald HH, Moore M (2017) Strongyloides stercoralis hyperinfection. N Engl J Med 376(24):2376. https://doi.org/10.1056/NEJMicm1612018
Pocaterra LA, Ferrara G, Peñaranda R, Rojas E, Pérez-Chacón G, Hernán A, Certad G, Goldstein C, Núñez L (2017) Improved detection of Strongyloides stercoralis in modified agar plate cultures. Am J Trop Med Hyg 96(4):863–865. https://doi.org/10.4269/ajtmh.16-0414
Prasongdee TK, Laoraksawong P, Kanarkard W, Kraiklang R, Sathapornworachai K, Naonongwai S, Laummaunwai P, Sanpool O, Intapan PM, Maleewong W (2017) An eleven-year retrospective hospital-based study of epidemiological data regarding human strongyloidiasis in northeast Thailand. BMC Infect Dis 17(1):627. https://doi.org/10.1186/s12879-017-2723-z
Ruantip S et al (2019) Accuracy of urine and serum assays for the diagnosis of strongyloidiasis by three enzyme-linked immunosorbent assay protocols. Am J Trop Med Hyg 100(1):127–129. https://doi.org/10.4269/ajtmh.18-0569
Siddiqui AA, Berk SL (2001) Diagnosis of Strongyloides stercoralis infection. Clin Infect Dis 33(7):1040–1047. https://doi.org/10.1086/322707
Sithithaworn P et al (2003) Epidemiology of Strongyloides stercoralis in north-east Thailand: application of the agar plate culture technique compared with the enzyme-linked immunosorbent assay. Trans R Soc Trop Med Hyg 97(4):398–402
Winnicki W, Eder M, Mazal P, Mayer FJ, Sengolge G, Wagner L (2018) Prevalence of Strongyloides stercoralis infection and hyperinfection syndrome among renal allograft recipients in Central Europe. Sci Rep 8(1):15406. https://doi.org/10.1038/s41598-018-33775-3
Acknowledgments
We would like to thank all of the participants and CKDNET members in this study. We also acknowledge Prof. David Blair for editing the manuscript via publication clinic, Khon Kaen University.
Funding
This study was granted by Faculty of Medicine, Khon Kaen University, Thailand (Grant Number IN62135), the project of CKDNET (grant no. CKDNET2559007), and the Postgraduate Scholarship to Mr. Chatchawan Sengthong, Faculty of Medicine, Khon Kaen University, Thailand. KI thanks the scholarship under the Post-Doctoral Training Program from Research Affairs and Graduate School, Khon Kaen University, Thailand (Grant No. 60163).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
This study was approved by the Human Ethical Review Committee of Khon Kaen University, Thailand (HE591437). This study is partially under the Chronic Kidney Disease Prevention in the Northeastern Thailand (CKDNET) program.
Conflict of interest
The authors declare that they have no competing interests.
Additional information
Section Editor: Dante Zarlenga
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(DOCX 15 kb)
Rights and permissions
About this article
Cite this article
Sengthong, C., Yingklang, M., Intuyod, K. et al. An optimized agar plate culture improves diagnostic efficiency for Strongyloides stercoralis infection in an endemic community. Parasitol Res 119, 1409–1413 (2020). https://doi.org/10.1007/s00436-020-06626-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00436-020-06626-2