Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis

Introduction: <i>Coxiella burnetii</i> (<i>C. burnetii</i>)-infected livestock and wildlife have been epidemiologically linked to human Q fever outbreaks. Despite this growing zoonotic threat, knowledge of coxiellosis in wild animals remains limited, and studies to understand their epidemiologic rol...

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Main Authors: Kamau, M.W., Witte, C., Goosen, W., Mutinda, M., Villinger, J., Getange, D., Khogali, R., Fricken, M.E. von, Fèvre, Eric M., Zimmerman, D., Linton, Y.-M., Miller, M.
Format: Journal Article
Language:Inglés
Published: Frontiers Media 2024
Subjects:
Online Access:https://hdl.handle.net/10568/145331
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author Kamau, M.W.
Witte, C.
Goosen, W.
Mutinda, M.
Villinger, J.
Getange, D.
Khogali, R.
Fricken, M.E. von
Fèvre, Eric M.
Zimmerman, D.
Linton, Y.-M.
Miller, M.
author_browse Fricken, M.E. von
Fèvre, Eric M.
Getange, D.
Goosen, W.
Kamau, M.W.
Khogali, R.
Linton, Y.-M.
Miller, M.
Mutinda, M.
Villinger, J.
Witte, C.
Zimmerman, D.
author_facet Kamau, M.W.
Witte, C.
Goosen, W.
Mutinda, M.
Villinger, J.
Getange, D.
Khogali, R.
Fricken, M.E. von
Fèvre, Eric M.
Zimmerman, D.
Linton, Y.-M.
Miller, M.
author_sort Kamau, M.W.
collection Repository of Agricultural Research Outputs (CGSpace)
description Introduction: <i>Coxiella burnetii</i> (<i>C. burnetii</i>)-infected livestock and wildlife have been epidemiologically linked to human Q fever outbreaks. Despite this growing zoonotic threat, knowledge of coxiellosis in wild animals remains limited, and studies to understand their epidemiologic role are needed. In <i>C. burnetii</i>-endemic areas, ticks have been reported to harbor and spread <i>C. burnetii</i> and may serve as indicators of risk of infection in wild animal habitats. Therefore, the aim of this study was to compare molecular techniques for detecting <i>C. burnetii</i> DNA in ticks. Methods: In total, 169 ticks from wild animals and cattle in wildlife conservancies in northern Kenya were screened for <i>C. burnetii</i> DNA using a conventional PCR (cPCR) and two field-friendly techniques: Biomeme’s <i>C. burnetii</i> qPCR Go-strips (Biomeme) and a new <i>C. burnetii</i> PCR high-resolution melt (PCR-HRM) analysis assay. Results were evaluated, in the absence of a gold standard test, using Bayesian latent class analysis (BLCA) to characterize the proportion of <i>C. burnetii</i> positive ticks and estimate sensitivity (Se) and specificity (Sp) of the three tests. Results: The final BLCA model included main effects and estimated that PCR-HRM had the highest Se (86%; 95% credible interval: 56–99%), followed by the Biomeme (Se = 57%; 95% credible interval: 34–90%), with the estimated Se of the cPCR being the lowest (24%, 95% credible interval: 10–47%). Specificity estimates for all three assays ranged from 94 to 98%. Based on the model, an estimated 16% of ticks had <i>C. burnetii</i> DNA present. Discussion: These results reflect the endemicity of <i>C. burnetii</i> in northern Kenya and show the promise of the PCR-HRM assay for <i>C. burnetii</i> surveillance in ticks. Further studies using ticks and wild animal samples will enhance understanding of the epidemiological role of ticks in Q fever.
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spelling CGSpace1453312025-12-08T10:29:22Z Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis Kamau, M.W. Witte, C. Goosen, W. Mutinda, M. Villinger, J. Getange, D. Khogali, R. Fricken, M.E. von Fèvre, Eric M. Zimmerman, D. Linton, Y.-M. Miller, M. diagnosis zoonoses wildlife livestock Introduction: <i>Coxiella burnetii</i> (<i>C. burnetii</i>)-infected livestock and wildlife have been epidemiologically linked to human Q fever outbreaks. Despite this growing zoonotic threat, knowledge of coxiellosis in wild animals remains limited, and studies to understand their epidemiologic role are needed. In <i>C. burnetii</i>-endemic areas, ticks have been reported to harbor and spread <i>C. burnetii</i> and may serve as indicators of risk of infection in wild animal habitats. Therefore, the aim of this study was to compare molecular techniques for detecting <i>C. burnetii</i> DNA in ticks. Methods: In total, 169 ticks from wild animals and cattle in wildlife conservancies in northern Kenya were screened for <i>C. burnetii</i> DNA using a conventional PCR (cPCR) and two field-friendly techniques: Biomeme’s <i>C. burnetii</i> qPCR Go-strips (Biomeme) and a new <i>C. burnetii</i> PCR high-resolution melt (PCR-HRM) analysis assay. Results were evaluated, in the absence of a gold standard test, using Bayesian latent class analysis (BLCA) to characterize the proportion of <i>C. burnetii</i> positive ticks and estimate sensitivity (Se) and specificity (Sp) of the three tests. Results: The final BLCA model included main effects and estimated that PCR-HRM had the highest Se (86%; 95% credible interval: 56–99%), followed by the Biomeme (Se = 57%; 95% credible interval: 34–90%), with the estimated Se of the cPCR being the lowest (24%, 95% credible interval: 10–47%). Specificity estimates for all three assays ranged from 94 to 98%. Based on the model, an estimated 16% of ticks had <i>C. burnetii</i> DNA present. Discussion: These results reflect the endemicity of <i>C. burnetii</i> in northern Kenya and show the promise of the PCR-HRM assay for <i>C. burnetii</i> surveillance in ticks. Further studies using ticks and wild animal samples will enhance understanding of the epidemiological role of ticks in Q fever. 2024-06-19 2024-06-19T08:38:00Z 2024-06-19T08:38:00Z Journal Article https://hdl.handle.net/10568/145331 en Open Access Frontiers Media Kamau, M.W., Witte, C., Goosen, W., Mutinda, M., Villinger, J., Getange, D., Khogali, R., Fricken, M.E. von, Fèvre, E.M., Zimmerman, D., Linton, Y.-M. and Miller, M. 2024. Comparison of test performance of a conventional PCR and two field-friendly tests to detect <i>Coxiella burnetii</i> DNA in ticks using Bayesian latent class analysis. Frontiers in Veterinary Science 11: 1396714.
spellingShingle diagnosis
zoonoses
wildlife
livestock
Kamau, M.W.
Witte, C.
Goosen, W.
Mutinda, M.
Villinger, J.
Getange, D.
Khogali, R.
Fricken, M.E. von
Fèvre, Eric M.
Zimmerman, D.
Linton, Y.-M.
Miller, M.
Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title_full Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title_fullStr Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title_full_unstemmed Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title_short Comparison of test performance of a conventional PCR and two field-friendly tests to detect Coxiella burnetii DNA in ticks using Bayesian latent class analysis
title_sort comparison of test performance of a conventional pcr and two field friendly tests to detect coxiella burnetii dna in ticks using bayesian latent class analysis
topic diagnosis
zoonoses
wildlife
livestock
url https://hdl.handle.net/10568/145331
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