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J Infect Dis


Title:Diagnosis of Human Echinococcosis via Exhaled Breath Analysis: A Promise for Rapid Diagnosis of Infectious Diseases Caused by Helminths
Author(s):Welearegay TG; Diouani MF; Osterlund L; Borys S; Khaled S; Smadhi H; Ionescu F; Bouchekoua M; Aloui D; Laouini D; Cindemir U; Ionescu R;
Address:"Department of Electronics, Electrical and Automatic Engineering, Rovira i Virgili University, Tarragona, Spain. Laboratory of Epidemiology and Veterinary Microbiology, Institut Pasteur de Tunis, University Tunis El Manar, Tunis-Belvedere, Tunisia. Molecular Fingerprint AB Sweden, Uppsala. Angstrom Laboratory, Division of Solid State Physics, Department of Engineering Sciences, Uppsala University, Sweden. University Centre of Maritime and Tropical Medicine, Gdynia-Redlowo, Poland. Parasitology-Mycology Laboratory, Charles Nicolle Hospital, Tunis. Ibn Nafis Pneumology Department, Abderrahman Mami Hospital, Ariana. Laboratory of Transmission, Control and Immunobiology of Infections. Institute of Macromolecular Chemistry 'Petru Poni', Iasi, Romania"
Journal Title:J Infect Dis
Year:2019
Volume:219
Issue:1
Page Number:101 - 109
DOI: 10.1093/infdis/jiy449
ISSN/ISBN:1537-6613 (Electronic) 0022-1899 (Linking)
Abstract:"BACKGROUND: Human echinococcosis is a neglected infectious disease affecting more than 1 million people globally. Its diagnosis is expensive and difficult because of lack of adequate resources in low-resource locations, where most cases occur. METHODS: A group of volunteers diagnosed with the 2 main types of echinococcosis and corresponding control groups were recruited from hospitals in Tunisia (32 patients with cystic echinococcosis and 43 controls) and Poland (16 patients with alveolar echinococcosis and 8 controls). Breath samples were collected from all patients and analyzed by gas chromatography coupled to mass spectrometry, and a specifically developed electronic nose system. RESULTS: The chemical analysis revealed statistically different concentrations of 2 compounds in the breath of patients with cystic echinococcosis compared to controls, and statistically different concentrations of 7 compounds in the breath of patients with alveolar echinococcosis compared to controls. The discrimination accuracy achieved by the electronic nose system was 100% for cystic echinococcosis and 92.9% for alveolar echinococcosis, while the discrimination accuracy between these 2 patient groups was 92.1%. CONCLUSION: Here we advocate a noninvasive, fast, easy-to-operate and nonexpensive diagnostic tool for the diagnosis of human echinococcosis disease through exhaled breath analysis, suitable for early diagnosis and population screening"
Keywords:Adolescent Adult Animals Biomarkers/analysis/chemistry Breath Tests/instrumentation/*methods Echinococcosis/*diagnosis Electrochemical Techniques/instrumentation/*methods Electronic Nose *Exhalation Female Helminthiasis/diagnosis Helminths/pathogenicity H;
Notes:"MedlineWelearegay, Tesfalem Geremariam Diouani, Mohamed Fethi Osterlund, Lars Borys, Sebastian Khaled, Samira Smadhi, Hanen Ionescu, Florina Bouchekoua, Meriam Aloui, Dorsaf Laouini, Dhafer Cindemir, Umut Ionescu, Radu eng Research Support, Non-U.S. Gov't 2018/07/18 J Infect Dis. 2019 Jan 1; 219(1):101-109. doi: 10.1093/infdis/jiy449"

 
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