A Pentaplex Real-Time Polymerase Chain Reaction Assay for Detection of Four Species of Soil-Transmitted Helminths

Madihah Basuni Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Jamail Muhi Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Nurulhasanah Othman Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Jaco J. Verweij Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Maimunah Ahmad Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Noorizan Miswan Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Anizah Rahumatullah Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Farhanah Abdul Aziz Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Nurul Shazalina Zainudin Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Rahmah Noordin Institute for Research in Molecular Medicine, Universiti Sains Malaysia (USM), Penang, Malaysia; Sarawak Health Department, Kuching, Sarawak, Malaysia; Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands

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Soil-transmitted helminth infections remain a major public health burden in low- and middle-income countries. The traditional diagnosis by microscopic examination of fecal samples is insensitive and time-consuming. In this study, a pentaplex real-time polymerase chain reaction (PCR) was evaluated for the simultaneous detection of Ancylostoma, Necator americanus, Ascaris lumbricoides, and Strongyloides stercoralis. The results were compared with those obtained by conventional parasitological diagnostic methods. Real-time PCR was positive in 48 of 77 samples (62.3%) and microscopic examination was positive in six samples (7.8%) only (P < 0.05). In conclusion, the real-time PCR assay described in this study provides a specific and sensitive diagnostic tool for the detection of these four helminth species in epidemiological studies and monitoring of treatment programs.

Author Notes

*Address correspondence to Rahmah Noordin, Institute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800, Penang, Malaysia. E-mail: rahmah8485@gmail.com

Financial support: This research was supported by European Union grant (COINFECT, INCO-CT-2006-031714.). The first, seventh, eighth, and ninth authors received financial support from the USM fellowship. The third author received financial aid from the university's Vice Chancellor Award.

Authors' addresses: Madihah Basuni, Nurulhasanah Othman, Maimunah Ahmad, Noorizan Miswan, Anizah Rahumatullah, Farhanah Abdul Aziz, Nurul Shazalina Zainudin, and Rahmah Noordin, Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia, E-mails: madihah_basuni@yahoo.com, nho80@yahoo.co.uk, maimunahahmad@yahoo.com.my, afrina_izan@yahoo.com, anirah82@gmail.com, farhanah.aziz@gmail.com, shazalina87@gmail.com, and rahmah8485@gmail.com. Jamail Muhi, Sarawak Health Department, Kuching, Sarawak, Malaysia, E-mail: jamail@srwk.moh.gov.my. Jaco J. Verweij, Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands, E-mail: J.J.Verweij@lumc.nl.

Reprint requests: Rahmah Noordin, Institute for Research in Molecular Medicine, Universiti Sains Malaysia, 11800, Penang, Malaysia, E-mail: rahmah8485@gmail.com.

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