Validate or falsify: Lessons learned from a microscopy method claimed to be useful for detecting Borrelia and Babesia organisms in human blood
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu časopisecké články, práce podpořená grantem
- Klíčová slova
- Babesia spp., Borrelia burgdorferi sensu lato, Lyme borreliosis, Lyme disease, PCR, babesiosis, microscopy,
- MeSH
- Babesia genetika izolace a purifikace MeSH
- babezióza krev diagnóza parazitologie MeSH
- Borrelia genetika izolace a purifikace MeSH
- dítě MeSH
- DNA bakterií analýza MeSH
- dospělí MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- lymeská nemoc krev diagnóza mikrobiologie MeSH
- mikroskopie metody normy MeSH
- mladiství MeSH
- mladý dospělý MeSH
- polymerázová řetězová reakce MeSH
- předškolní dítě MeSH
- protozoální DNA analýza MeSH
- senioři MeSH
- senzitivita a specificita MeSH
- zvířata MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- předškolní dítě MeSH
- senioři MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Názvy látek
- DNA bakterií MeSH
- protozoální DNA MeSH
BACKGROUND: A modified microscopy protocol (the LM-method) was used to demonstrate what was interpreted as Borrelia spirochetes and later also Babesia sp., in peripheral blood from patients. The method gained much publicity, but was not validated prior to publication, which became the purpose of this study using appropriate scientific methodology, including a control group. METHODS: Blood from 21 patients previously interpreted as positive for Borrelia and/or Babesia infection by the LM-method and 41 healthy controls without known history of tick bite were collected, blinded and analysed for these pathogens by microscopy in two laboratories by the LM-method and conventional method, respectively, by PCR methods in five laboratories and by serology in one laboratory. RESULTS: Microscopy by the LM-method identified structures claimed to be Borrelia- and/or Babesia in 66% of the blood samples of the patient group and in 85% in the healthy control group. Microscopy by the conventional method for Babesia only did not identify Babesia in any samples. PCR analysis detected Borrelia DNA in one sample of the patient group and in eight samples of the control group; whereas Babesia DNA was not detected in any of the blood samples using molecular methods. CONCLUSIONS: The structures interpreted as Borrelia and Babesia by the LM-method could not be verified by PCR. The method was, thus, falsified. This study underlines the importance of doing proper test validation before new or modified assays are introduced.
c Section for Virology Norwegian Veterinary Institute Oslo Norway ;
Department of Bacteriology and Immunology Norwegian Institute of Public Health Oslo Norway ;
Department of Medical Microbiology Sørlandet Hospital Health Enterprise Kristiansand Norway ;
f Department of Engineering and Science University of Agder Kristiansand Norway ;
g Research Unit Sørlandet Hospital Health Enterprise Kristiansand Norway ;
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