Detection and identification of dermatophytes based on currently available methods – a comparative study

Aims Accurate identification of dermatophytes is essential for implementing appropriate antifungal treatment and epidemiological analysis. However, the limitations of conventional diagnostics are a frequently discussed topic, and new diagnostic techniques are constantly expanding. In this study, we...

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Veröffentlicht in:Journal of applied microbiology 2021-01, Vol.130 (1), p.278-291
Hauptverfasser: Gnat, S., Łagowski, D., Nowakiewicz, A., Dyląg, M., Osińska, M., Sawicki, M.
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container_end_page 291
container_issue 1
container_start_page 278
container_title Journal of applied microbiology
container_volume 130
creator Gnat, S.
Łagowski, D.
Nowakiewicz, A.
Dyląg, M.
Osińska, M.
Sawicki, M.
description Aims Accurate identification of dermatophytes is essential for implementing appropriate antifungal treatment and epidemiological analysis. However, the limitations of conventional diagnostics are a frequently discussed topic, and new diagnostic techniques are constantly expanding. In this study, we assess the suitability of conventional diagnostic techniques in comparison to the real‐time PCR assay and MALDI‐TOF MS in detection and identification of dermatophytes. Methods and Results Strains included in this study were obtained from human and animals with symptomatic, and asymptomatic infection. A direct examination revealed that 31·7 and 60·9% of samples from symptomatic patients, and 25·7 and 60% from asymptomatic animals were positive, as shown by light and fluorescence microscopy respectively. In turn, dermatophytes were isolated from 90·2 and 71·4% of these samples. The pan‐dermatophyte primers in real‐time PCR assay facilitated detection in 85·3 and 82·9% of the symptomatic and asymptomatic dermatophytoses respectively. Additionally, species‐specific PCR assays were positive in 70·7 and 37·1% of these samples. The MALDI‐TOF MS analysis yielded positive results consistent with conventional techniques in 97·2 and 72% of symptomatic and asymptomatic infections respectively. Conclusions Our study revealed that there is no universal diagnostic method that would be ideal in each of the cases considered. Nonetheless, conventional techniques are still the most effective and reliable tools for mycological diagnostics. Significance and Impact of the Study Dermatologists and veterinarians have difficulties in making a diagnosis of dermatophytoses based only on observed symptoms of fungal infections, as they mimic symptoms of other dermatoses. In this context, a comparative analysis of the results of diagnostics performed using conventional methods and new technologies are crucial for implementing these pioneer methods into routine laboratory practice.
doi_str_mv 10.1111/jam.14778
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However, the limitations of conventional diagnostics are a frequently discussed topic, and new diagnostic techniques are constantly expanding. In this study, we assess the suitability of conventional diagnostic techniques in comparison to the real‐time PCR assay and MALDI‐TOF MS in detection and identification of dermatophytes. Methods and Results Strains included in this study were obtained from human and animals with symptomatic, and asymptomatic infection. A direct examination revealed that 31·7 and 60·9% of samples from symptomatic patients, and 25·7 and 60% from asymptomatic animals were positive, as shown by light and fluorescence microscopy respectively. In turn, dermatophytes were isolated from 90·2 and 71·4% of these samples. The pan‐dermatophyte primers in real‐time PCR assay facilitated detection in 85·3 and 82·9% of the symptomatic and asymptomatic dermatophytoses respectively. Additionally, species‐specific PCR assays were positive in 70·7 and 37·1% of these samples. The MALDI‐TOF MS analysis yielded positive results consistent with conventional techniques in 97·2 and 72% of symptomatic and asymptomatic infections respectively. Conclusions Our study revealed that there is no universal diagnostic method that would be ideal in each of the cases considered. Nonetheless, conventional techniques are still the most effective and reliable tools for mycological diagnostics. Significance and Impact of the Study Dermatologists and veterinarians have difficulties in making a diagnosis of dermatophytoses based only on observed symptoms of fungal infections, as they mimic symptoms of other dermatoses. In this context, a comparative analysis of the results of diagnostics performed using conventional methods and new technologies are crucial for implementing these pioneer methods into routine laboratory practice.</description><identifier>ISSN: 1364-5072</identifier><identifier>EISSN: 1365-2672</identifier><identifier>DOI: 10.1111/jam.14778</identifier><identifier>PMID: 32650353</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Animals ; Arthrodermataceae - chemistry ; Arthrodermataceae - classification ; Arthrodermataceae - genetics ; Arthrodermataceae - isolation &amp; purification ; Assaying ; Asymptomatic ; Asymptomatic infection ; Comparative analysis ; Comparative studies ; Dermatomycoses - microbiology ; dermatophytes ; Diagnostic systems ; Diagnostic Tests, Routine ; Epidemiology ; Fluorescence ; Fluorescence microscopy ; Fungicides ; Humans ; identification ; MALDI‐TOF MS ; microscopy ; Mycological Typing Techniques - methods ; New technology ; Real-Time Polymerase Chain Reaction ; real‐time PCR ; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization ; Veterinary surgeons</subject><ispartof>Journal of applied microbiology, 2021-01, Vol.130 (1), p.278-291</ispartof><rights>2020 The Society for Applied Microbiology</rights><rights>2020 The Society for Applied Microbiology.</rights><rights>Copyright © 2020 The Society for Applied Microbiology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-4dd1068c08ec0b7368b8af4e89095651dcc257506cad0ef15a50b04bb7b417623</citedby><cites>FETCH-LOGICAL-c3538-4dd1068c08ec0b7368b8af4e89095651dcc257506cad0ef15a50b04bb7b417623</cites><orcidid>0000-0001-9872-0046 ; 0000-0002-7846-5444</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjam.14778$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjam.14778$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32650353$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gnat, S.</creatorcontrib><creatorcontrib>Łagowski, D.</creatorcontrib><creatorcontrib>Nowakiewicz, A.</creatorcontrib><creatorcontrib>Dyląg, M.</creatorcontrib><creatorcontrib>Osińska, M.</creatorcontrib><creatorcontrib>Sawicki, M.</creatorcontrib><title>Detection and identification of dermatophytes based on currently available methods – a comparative study</title><title>Journal of applied microbiology</title><addtitle>J Appl Microbiol</addtitle><description>Aims Accurate identification of dermatophytes is essential for implementing appropriate antifungal treatment and epidemiological analysis. However, the limitations of conventional diagnostics are a frequently discussed topic, and new diagnostic techniques are constantly expanding. In this study, we assess the suitability of conventional diagnostic techniques in comparison to the real‐time PCR assay and MALDI‐TOF MS in detection and identification of dermatophytes. Methods and Results Strains included in this study were obtained from human and animals with symptomatic, and asymptomatic infection. A direct examination revealed that 31·7 and 60·9% of samples from symptomatic patients, and 25·7 and 60% from asymptomatic animals were positive, as shown by light and fluorescence microscopy respectively. In turn, dermatophytes were isolated from 90·2 and 71·4% of these samples. The pan‐dermatophyte primers in real‐time PCR assay facilitated detection in 85·3 and 82·9% of the symptomatic and asymptomatic dermatophytoses respectively. Additionally, species‐specific PCR assays were positive in 70·7 and 37·1% of these samples. The MALDI‐TOF MS analysis yielded positive results consistent with conventional techniques in 97·2 and 72% of symptomatic and asymptomatic infections respectively. Conclusions Our study revealed that there is no universal diagnostic method that would be ideal in each of the cases considered. Nonetheless, conventional techniques are still the most effective and reliable tools for mycological diagnostics. Significance and Impact of the Study Dermatologists and veterinarians have difficulties in making a diagnosis of dermatophytoses based only on observed symptoms of fungal infections, as they mimic symptoms of other dermatoses. 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However, the limitations of conventional diagnostics are a frequently discussed topic, and new diagnostic techniques are constantly expanding. In this study, we assess the suitability of conventional diagnostic techniques in comparison to the real‐time PCR assay and MALDI‐TOF MS in detection and identification of dermatophytes. Methods and Results Strains included in this study were obtained from human and animals with symptomatic, and asymptomatic infection. A direct examination revealed that 31·7 and 60·9% of samples from symptomatic patients, and 25·7 and 60% from asymptomatic animals were positive, as shown by light and fluorescence microscopy respectively. In turn, dermatophytes were isolated from 90·2 and 71·4% of these samples. The pan‐dermatophyte primers in real‐time PCR assay facilitated detection in 85·3 and 82·9% of the symptomatic and asymptomatic dermatophytoses respectively. Additionally, species‐specific PCR assays were positive in 70·7 and 37·1% of these samples. The MALDI‐TOF MS analysis yielded positive results consistent with conventional techniques in 97·2 and 72% of symptomatic and asymptomatic infections respectively. Conclusions Our study revealed that there is no universal diagnostic method that would be ideal in each of the cases considered. Nonetheless, conventional techniques are still the most effective and reliable tools for mycological diagnostics. Significance and Impact of the Study Dermatologists and veterinarians have difficulties in making a diagnosis of dermatophytoses based only on observed symptoms of fungal infections, as they mimic symptoms of other dermatoses. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Arthrodermataceae - chemistry
Arthrodermataceae - classification
Arthrodermataceae - genetics
Arthrodermataceae - isolation & purification
Assaying
Asymptomatic
Asymptomatic infection
Comparative analysis
Comparative studies
Dermatomycoses - microbiology
dermatophytes
Diagnostic systems
Diagnostic Tests, Routine
Epidemiology
Fluorescence
Fluorescence microscopy
Fungicides
Humans
identification
MALDI‐TOF MS
microscopy
Mycological Typing Techniques - methods
New technology
Real-Time Polymerase Chain Reaction
real‐time PCR
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
Veterinary surgeons
title Detection and identification of dermatophytes based on currently available methods – a comparative study
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