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Microbiology Time – March 2023

Microbiology Time

This month, we traveled From Ethiopia to Canada to collect three exciting studies to share on our Microbiology Time:

  • A paper from our friend Prof Ayichew Seyoum investigating the prevalence of high-risk HPV infection and its association with cytological profiles in Ethiopia. In the country, cervical cancer is a disease with a high incidence, but data about it are scarce. The study enrolled almost 1000 women for a visual screening with a Pap test and a cervical swab sampling for molecular analysis of the HPV genotypes. 12% of women had abnormal Pap test results, and the overall prevalence of high-risk HPV infection was 13.1%. High-risk HPV prevalence – irrespective of genotypes – was highly correlated with cervical cell abnormalities, suggesting the importance of periodic HPV genotyping surveillance.
  • The second study describes a case of a lethal Cladosporium allicinum infection in a captive bullfrog. The researchers identified the mold by sequencing the TEF1 gene and the ITS region of rDNA and started the Climbazole antifungal treatment. Unfortunately, the bullfrog died one month after treatment. The corpse necropsy revealed diffuse granulomatous inflammation at cytological and histopathological examinations and a focally extensive granuloma with intralesional hyphae and muriform bodies effacing the architecture of numerous body districts.
  • The last paper suggests using leeches present on an aquatic crime scene for forensics purposes. These leeches could have ingested the victim or suspect’s blood and could help solve the case. In the lab, the researchers fed leeches with the blood of a human donor, euthanized them at different time points, and collected blood from their midguts with microFLOQ or 4N6 FLOQSwabs. With all three methods tested, the researchers concluded that the blood found in the midgut of these leeches can be used in revealing human identity. All three methods can be used to generate DNAprofiles from blood ingested by leeches when collected within a 24-hour period. The results indicate that blood ingested by anne­lids can serve as a valuable source of evidence in unique crime scene cases.

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Copan FecalSwab® receives the 510(k) FDA clearance for molecular use with the BD MAX™ Enteric & Extended Enteric Bacterial Panels

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Microbiology Time – February 2023

Microbiology Time

In this edition, we selected two Italian studies and a Canadian research paper. Self-collected vaginal samples for molecular assays, SARS-Cov-2 detection from rectal and nasal swabs, and buccal swabbing for BRCA testing: enjoy your reading, and see you in a Month!

  • The first Italian study evaluated the BD Onclarity™ HPV assay standard protocol on samples other than liquid-phase cytology samples: vaginal and first-void urine specimens. The researchers enrolled 64 women with cervical dysplasia and made them perform a vaginal self-collection and collect a first-void urine sample. By analyzing these samples with the BD Onclarity™ HPV assay and comparing the results with a cervical specimen collected during the clinician examination, the researchers showed a substantial agreement between both self-collected and clinician-collected samples, confirming the accuracy of available BD Onclarity™ HPV assay on self-collected samples.
  • A research brief by Adriana M. Airo and colleagues analyzed the performance of combined nasal/rectal swabs for SARS-CoV-2 detection. This sampling approach is already used to screen new hospital admissions for MRSA and could provide a low-impact SARS-CoV-2 screening method in these patients. Unfortunately, the results showed that combined nasal/rectal swabs can be used to detect SARS-CoV-2, but performed poorly compared with paired nasopharyngeal swabs. Second, a retrospective analysis did not demonstrate an association between a patient’s disease severity and the detection of SARSCoV-2 in the N/R swab. Concluding, nasal/rectal swabs lack sensitivity and are insufficient as the sole specimen for the diagnosis of SARS-CoV-2.
  • BRCA genetic testing allows patients with ovarian cancer to receive appropriate medical management and prevention strategies. The second Italian study assessed the suitability of buccal swabs as the DNA source alternative to blood collection for next-generation sequencing-based BRCA genotyping. Matched self-collected buccal swabs and blood samples were collected from high-grade serous ovarian cancer patients. BRCA genes were amplified and sequenced on the Illumina MiSeq platform. Comparable sequencing parameters and overall concordance of 100% in both polymorphisms and pathogenic variants between the two DNA sources were observed. Data from this study support this alternative, convenient, and non-invasive sampling method of BRCA testing, which facilitate access to care without compromising patient outcomes.

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