USING REAL-TIME PCR FOR URGENT DETECTION AND PROPHYLAXIS OF TICK-BORNE INFECTIONS
Abstract and keywords
Abstract (English):
The urgent detection of tick-borne pathogens in attached ticks or in human blood followed by the prophylaxis of infection with specific immunoglobulin and/or antibiotics is one of the most reliable measures to prevent human disease. The aim of this work was to evaluate the usability of real-time PCR (RT-PCR) assay in early detection of tick-borne infections. Using commercial RT-PCR assay (Amplisens, Russia) we studied 361 Ixodes persulcatus ticks, 33 Dermacentorsp. ticks and 448samples of human blood delivered by people attacked by ticks in Irkutsk region during 2013–2014 for presence of DNA/RNA of tick-borne encephalitis virus (TBEV), Borrelia burgdorferi sensu lato (B.b.s.l.), Anaplsma phagocytophilum and Ehrlichia chaffeensis/E.muris. The ELISA assay and direct microscopy were used to validate the detection of TBEV and B.b.s.l. respectively. The highest prevalence of tick-borne infections was observed for I.persulcatus ticks – 6,9; 23,8; 6,9; and 11,9% for TBEV, B.b.s.l., A.phagocytophillum and E.chaffeensis/E.muris respectively. The Dermacentorsp. ticks were less frequently infected with abovementioned pathogens – 3,0; 6,1; 3,0 and 9,1% respectively. The prevalence of infection in blood samples was lowest and comprised 2,5; 4,2; 2,2 and 4,5% respectively. Mixed infections were documented in 6,5% of ticks and 0,7% of human blood samples. The testing of blood samples in ELISA and testing of ticks in ELISA and direct microscopy corresponded to the results, obtained by RT-PCR. Thus, RT-PCR is valuable and reliable approach for urgent detection and prophylaxis of tick-borne infections.

Keywords:
ixodid ticks, tick-borne encephalitis, Lyme disease, human monocytic ehrlichiosis, human granulocytic anaplasmosis, diagnostics, preventive treatment, PCR
References

1. AfanasyevaMV, VorobyevaNN, KorenbergEI, FrizenVI, ManokinaTE (2006). Human granulocytic anaplasmosis: specificity of clinical presentations in Russia [Granulotsitarnyy anaplazmoz cheloveka: osobennosti klinicheskikh proyavleniy v Rossii]. Infektsionnye bolezni,4(2), 24-28.

2. BorisovVA, MalovIV, YutcshyukND (2002). Tick-borne encephalitis [Kleshchevoy entsefalit], 184.

3. DanchinovaGA, LyapunovAV, PetrovaIV,GlushenkovaTV, ChaporginaEA, ArbatskayaEV, PykovaEV,SavelkaevaMV, KhasnatinovMA, MironovaLV, DolgikhVV (2009). Information system “Patients who have undergone a tick bite, the results of laboratory studies of ticks and blood serum, and performed procedures for disease prevention” (ASC “Ticks”). [Informatsionno-spravochnaya sistema «Patsienty, podvergshiesya ukusu kleshcha, rezul’taty laboratornykh issledovaniy ikh kleshchey i syvorotok krovi, i mery profilaktiki» (ISS «Kleshchi»)]. Programmy dlya EVM. Bazy dannykh. Topologii integral’nykh mikroskhem, (1), 431-432.

4. DanchinovaGA, LyapunovAV, KhasnatinovMA,ArbatskayaEV, TunikTV, ManzarovaEL, PetrovaIV,SavelkaevaMV (2015). The information-analytical system “Register of the population attended the health care, laboratory results and prevention of tick-borne infections” (AIS “Register of infection”). [Informatsionno-analiticheskaya sistema «Registr obrashchaemosti naseleniya za meditsinskoy pomoshch’yu, rezul’taty laboratornykh issledovaniy i profilaktika infektsiy» (IAS «Registr-infektsii»)]. Programmy dlya EVM. Bazy dannykh. Topologii integral’nykh mikroskhem, (2).

5. DanchinovaGA, LyapunovАV, KhasnatinovMA, TchaporginaЕА, ArbatskayaЕV, PetrovaIV, SavelkaevaMV,GorbunovaEL, TunikTV (2012). Eco-geographic characteristics of appealability of people, suffered from tick bite in Irkutsk region and in other territories [Ekologo-geograficheskaya kharakteristika obrashchaemosti lyudey, postradavshikh ot ukusov kleshchey v Irkutskoy oblasti i za ee predelami]. Sibirskiy meditsinskiy zhurnal (Irkutsk),(4), 64-67

6. DanchinovaGA, KhasnatinovMA, SuntsovaOV, BaduevaLB, GorinaMO, ShulunovSS, DigasSE, KozlovaIV, VerkhozinaMM, ChernogorLI, ArbatskayaEV, ChaporginaEA, BelikovSI, BorisovVA, ZlobinVI,AbmedD, BataaZ, Bat-OchirD, CendN, NarantuyaaL (2004). Carriers and pathogens of inoculable tick-born infections in the South of Eastern Siberia and in the north of Mongolia [Perenoschiki i vozbuditeli transmissivnykh kleshchevykh infektsiy na yuge Vostochnoy Sibiri i severe Mongolii]. Bulleten’ Vostocno-Sibirskogo naucnogo centra, (1), 107-112.

7. KorenbergEI, NasonovVA (1991). Guidance on the epidemiology, diagnosis, clinical and prevention of Lyme disease [Metodicheskie ukazaniya po epidemiologii, diagnostike, klinike i profilaktike bolezni Layma], 61.

8. KorenbergEI, GorelovaNB, KovalevskiiYV (2002). Main features of natural focality of ixodid tick-borne borrelioses in Russia [Osnovnye cherty prirodnoy ochagovosti iksodovykh kleshchevykh borreliozov v Rossii]. Parazitologiya, (3), 177-191

9. KorenbergEI, PomelovaVG, OsinNS (2013).Infections with natural focality transmitted by ixodod ticks [Prirodnoochagovye infektsii, peredayushchiesya iksodovymi kleshchami], 464.

10. Prevention of infectious diseases. Blood infection. Prevention of tick-borne viral encephalitis. (2008). [Profilaktika infektsionnykh bolezney. Krovyanye infektsii. Profilaktika kleshchevogo virusnogo entsefalita]. Sanitarno-epidemiologicheskie pravila SP3.1.3.2352-08.

11. ReshetnikovAD, BarashkovaAI, ProkopevZS (2014).Ticks (Ixodidae: Ixodidae) of Yakutia. [Iksodovye kleshchi (Ixodida: Ixodidae) Yakutii] Teoreticheskie i prikladnye aspekty sovremennoy nauki. (5), 141-143.

12. The territory of the Irkutsk Region remains in adverse situation of ixodid infections [Territoriya Irkutskoy oblasti ostaetsya neblagopoluchnoy po zabolevaemosti naseleniya infektsiyami, peredavaemymi iksodovymi kleshchami]. Ofitsial’nyy sayt Upravleniya Rospotrebnadzora po Irkutskoy oblasti. Available at: http://38.rospotrebnadzor.ru/c/journal/view_article_content?groupId=10156&;articleId=328812&version=1.0 (date of access 22.09.2016)

13. KhasnatinovMA, LyapunovAV, DanchinovaGA,ChaporginaEA, ArbatskayaEV, TunikTV, PetrovaIV (2012).Tick-borne encephalitis: the incidence and prevention of preclinical infection among victims bitten by Ixodid ticks [Kleshchevoy entsefalit: vstrechaemost’ i profilaktika infektsii na doklinicheskoy stadii u lyudey, postradavshikh ot prisasyvaniya iksodovykh kleshchey]. Epidemiologiya i infektsionnye bolezni. Aktual’nye voprosy, (5), 19-24.

14. ShpynovSN, RudakovNV, FournierPE, RaoultD (2012). Molecular typing of rickettsiae, anaplasmae and ehrlichiae in ticks in the Russian Federation and the Republic of Kazakhstan [Molekulyarnoe tipirovanie rikketsiy, anaplazm i erlikhiy v iksodovykh kleshchakh v Rossiyskoy Federatsii i respublike Kazakhstan]. Zdorov’e naseleniya i sreda obitaniya, (1), 33-35.

15. Ethical principles for medical research involving human subjects (2000). [Eticheskie printsipy provedeniya nauchnykh meditsinskikh issledovaniy s uchastiem cheloveka]. Khel’sinskaya deklaratsiya vsemirnoy meditsinskoy assotsiatsii (v redaktsii 52-y sessii General’noy Assamblei VMA v Edinburge, Shotlandiya, oktyabr’ 2000 g.).

16. AlekseevAN, DubininaHV, VanDePolI,SchoulsLM (2001). Identification of Ehrlichia spp. and Borrelia burgdorferi in Ixodes ticks in the Baltic regions of Russia. J. Clin. Microbiol., 39(6), 2237-2242

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