Strongyloides infection screening in transplant candidates: What is the best strategy?

Author(s)

Gryschek, Ronaldo Cesar Borges ; Corral, Marcelo Andreetta ; Sitta, Renata Barnabe ; Gottardi, Maiara ; Pierrotti, Ligia Camera ; Costa, Silvia Figueiredo ; Abdala, Edson ; Chieffi, Pedro Paulo ; de Paula, Fabiana Martins

• Document type: Journal article
• Source: TRANSPLANT INFECTIOUS DISEASE; v. N/A, p. 8-pg., 2023-09-26.

Abstract

Background: The potential that Strongyloides stercoralis infection has to cause major morbidity and high mortality when the disseminated form occurs in transplant patients is of particular concern.Methods: In this study, the objective was to observe S. stercoralis infection in patients who are candidates for transplantation by using parasitological, serological, and molecular techniques and to propose an algorithm for the detection of that infection in transplant candidates.Results: By parasitological techniques, 10% of fecal samples were positive. Anti-Strongyloides antibodies immunoglobulin G were detected in 19.3% and 20.7% of patients by immunofluorescence assay and enzyme-linked immunosorbent assay, respectively. S. stercoralis DNA was observed in 17.3% of samples by conventional polymerase chain reaction and 32.7% of samples by quantitative polymerase chain reaction (qPCR).Conclusion: The set of results allows us to reinforce that a positive result by parasitological techniques and/or qPCR indicates that the specific treatment should be applied. However, the improvement of diagnostic techniques may suggest changes in the screening for strongyloidiasis in these patients. image (AU)

• FAPESP's process: 10/51110-2 - Investigation of diagnostic techniques for identification of infection S. stercoratis in patients with different forms of immunosuppression
• Grantee: Pedro Paulo Chieffi
• Support Opportunities: Regular Research Grants
• FAPESP's process: 13/04236-9 - Immunoproteomics applied to the diagnosis human strongyloidiasis used antigen Strongyloides venezuelensis
• Grantee: Ronaldo Cesar Borges Cryschek
• Support Opportunities: Regular Research Grants