The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil

Introduction. Giardia duodenalis is an intestinal protozoan with a high prevalence in children of developing countries. Molecular studies revealed a great genetic diversity of G. duodenalis, with assemblages A and B found mainly in humans. Despite its importance, the information on the molecular epi...

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Main Authors: Figueiredo Pacheco , Flávia Thamiris, Novaes Rodrigues Silva , Renata Kelly, Souza de Carvalho , Silvia, Carvalho Rocha , Felipe, Trindade das Chagas , Gisele Maria, Chagas Gomes , Daisy, da Costa-Ribeiro Junior , Hugo, Medrado Ribeiro, Tereza Cristina, Peixoto de Mattos , Ângela, Kalabric Silva , Luciano, Matos Soares , Neci, Aquino Teixeira, Márcia Cristina
Format: Article in Journal/Newspaper
Language:English
Published: Instituto Nacional de Salud 2020
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Online Access:https://revistabiomedica.org/index.php/biomedica/article/view/5161
id ftjrbm:oai:oai.revistabiomedica.org:article/5161
record_format openpolar
institution Open Polar
collection Biomédica - Revista del Instituto Nacional de Salud, Bogotá
op_collection_id ftjrbm
language English
topic Giardiasis/epidemiology
child
daycare centers
Brazil
giardiasis/epidemiología
niño
guarderías
Brasil
spellingShingle Giardiasis/epidemiology
child
daycare centers
Brazil
giardiasis/epidemiología
niño
guarderías
Brasil
Figueiredo Pacheco , Flávia Thamiris
Novaes Rodrigues Silva , Renata Kelly
Souza de Carvalho , Silvia
Carvalho Rocha , Felipe
Trindade das Chagas , Gisele Maria
Chagas Gomes , Daisy
da Costa-Ribeiro Junior , Hugo
Medrado Ribeiro, Tereza Cristina
Peixoto de Mattos , Ângela
Kalabric Silva , Luciano
Matos Soares , Neci
Aquino Teixeira, Márcia Cristina
The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
topic_facet Giardiasis/epidemiology
child
daycare centers
Brazil
giardiasis/epidemiología
niño
guarderías
Brasil
description Introduction. Giardia duodenalis is an intestinal protozoan with a high prevalence in children of developing countries. Molecular studies revealed a great genetic diversity of G. duodenalis, with assemblages A and B found mainly in humans. Despite its importance, the information on the molecular epidemiology of human giardiasis is still limited in Brazil.Objective. To characterize G. duodenalis molecular isolates in children from Salvador, Bahia, Brazil.Materials and methods. Giardia duodenalis positive fecal samples were obtained from 71 children from two day care centers and 39 users of a clinical analysis laboratory. Samples were analyzed by PCR-RFLP of the glutamate dehydrogenase (gdh) and beta-giardin genes and by the sequencing of beta-giardin.Results. Of the 110 G. duodenalis samples, 80 (72.7%) amplified one or both target genes. Of these, 62 (77.5 %) were identified as assemblage A and 18 (22.5%) as assemblage B. The subassemblage AII was identified in 58.8% (n=47) of isolates followed by the sub-assemblage AI (18.8%, n=15), BIV (11.2%, n=9), and BIII (5.0%, n=4). The AII sub-assemblage was the most frequent in children of both day care centers whereas AI was found only in the group attended at the clinical laboratory. Sub-assemblage AII predominated in children under two years.Conclusions. The higher frequency of AII sub-assemblage suggests that anthroponotic transmission is more common in Salvador, but that zoonotic transmission pathways are also present and a change in susceptibility to different molecular patterns of Giardia may occur during child growth. Introducción. Giardia duodenalis es un protozoo intestinal de gran prevalencia en los niños de los países en desarrollo. En estudios moleculares se ha evidenciado la gran diversidad genética de G. duodenalis y se han identificado los conjuntos A y B, principalmente en humanos. A pesar de su importancia, el conocimiento de la epidemiología molecular de la giardiasis humana aún es limitado en Brasil.Objetivo. Caracterizar los aislamientos ...
format Article in Journal/Newspaper
author Figueiredo Pacheco , Flávia Thamiris
Novaes Rodrigues Silva , Renata Kelly
Souza de Carvalho , Silvia
Carvalho Rocha , Felipe
Trindade das Chagas , Gisele Maria
Chagas Gomes , Daisy
da Costa-Ribeiro Junior , Hugo
Medrado Ribeiro, Tereza Cristina
Peixoto de Mattos , Ângela
Kalabric Silva , Luciano
Matos Soares , Neci
Aquino Teixeira, Márcia Cristina
author_facet Figueiredo Pacheco , Flávia Thamiris
Novaes Rodrigues Silva , Renata Kelly
Souza de Carvalho , Silvia
Carvalho Rocha , Felipe
Trindade das Chagas , Gisele Maria
Chagas Gomes , Daisy
da Costa-Ribeiro Junior , Hugo
Medrado Ribeiro, Tereza Cristina
Peixoto de Mattos , Ângela
Kalabric Silva , Luciano
Matos Soares , Neci
Aquino Teixeira, Márcia Cristina
author_sort Figueiredo Pacheco , Flávia Thamiris
title The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
title_short The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
title_full The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
title_fullStr The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
title_full_unstemmed The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil
title_sort predominance of giardia duodenalis aii sub-assemblage in young children from salvador, bahia, brazil
publisher Instituto Nacional de Salud
publishDate 2020
url https://revistabiomedica.org/index.php/biomedica/article/view/5161
genre Circumpolar Health
genre_facet Circumpolar Health
op_source Biomedica; Vol. 40 No. 3 (2020); 557-568
Biomédica; Vol. 40 Núm. 3 (2020); 557-568
2590-7379
0120-4157
op_relation https://revistabiomedica.org/index.php/biomedica/article/view/5161/4578
https://revistabiomedica.org/index.php/biomedica/article/view/5161/4715
Nesti MM, Goldbaum M. Infectious diseases and daycare and preschool education. J Pediatr (Rio J). 2007;83:299-312. https://doi.org/10.4269/ajtmh.199 0.42.206
Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, et al. Childhood malnutrition and parasitic helminth interactions. Clin Infec Dis. 2014;59:234-43. https://doi.org/10.1093/cid/ciu211
Yones DA, Galal LA, Abdallah AM, Zaghlol KS. Effect of enteric parasitic infection on serum trace elements and nutritional status in upper Egyptian children. Trop Parasitol. 2015;5:29-35. https://doi.org/10.4103/2229-5070.145581
Thompson RCA. The zoonotic significance and molecular epidemiology of Giardia and giardiasis. Vet Parasitol. 2004;126:15-35. https://doi.org/10.1016/j.vetpar.2004.09.008
Ryan U, Hijjawi N, Feng Y, Xiao L. Giardia: An under-reported foodborne parasite. Int J Parasitol. 2019;49:1-11. https://doi.org/10.1016/j.ijpara.2018.07.003
Thompson RCA. Giardiasis as a re-emerging infectious disease and its zoonotic potential. Int J Parasitol. 2000;30:1259-67. https://doi.org/10.1016/S0020-7519(00)00127-2
Cacciò SM, De Giacomo M, Pozio E. Sequence analysis of the beta-giardin gene and development of a polymerase chain reaction-restriction fragment length polymorphism assay to genotype Giardia duodenalis cysts from human faecal samples. Int J Parasitol. 2002;32:1023-30. https://doi.org/10.1016/S0020-7519(02)00068-1
Feng Y, Xiao L. Zoonotic potential and molecular epidemiology of Giardia species and giardiasis. Clin Microbiol Rev. 2011;24:110-40. https://doi.org/10.1128/CMR.00033-10
Plutzer J, Ongerth J, Karanis P. Giardia taxonomy, phylogeny and epidemiology: Facts and open questions. Int J Hyg Environ Health. 2010;213:321-33. https://doi.org/10.1016/j.ijheh.2010.06.005
Thompson RCA, Ash A. Molecular epidemiology of Giardia and Cryptosporidium infections. Infect Genet Evol. 2016;40:315-23. https://doi.org/10.1016/j.meegid.2015.09.028
Monis PT, Andrews RH, Mayrhofer G, Ey PL. Genetic diversity within the morphological species Giardia intestinalis and its relationship to host origin. Infect Genet Evol. 2003;3:29-38. https://doi.org/10.1016/S1567-1348(02)00149-1
Ballweber LR, Xiao L, Bowman DD, Kahn G, Cama VA. Giardiasis in dogs and cats: Update on epidemiology and public health significance. Trends Parasitol. 2010;26:180-9. https://doi.org/10.1016/j.pt.2010.02.005
Sprong H, Cacciò SM, van der Giessen JWB, ZOOPNET network and partners. Identification of zoonotic genotypes of Giardia duodenalis. PLoS Negl Trop Dis. 2009;3:e558. https://doi.org/10.1371/journal.pntd.0000558
Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER. Giardia assemblage A infection and diarrhea in Bangladesh. J Infect Dis. 2005;192:2171-3. https://doi.org/10.1086/498169
Sousa MC, Morais JB, Machado JE , Poiares-da-Silva J. Genotyping of Giardia lamblia human isolates from Portugal by PCR-RFLP and sequencing. J Eukaryot Microbiol. 2006;53:174-6. https://doi.org/10.1111/j.1550-7408.2006.00221.x
Karanis P, Ey PL. Characterization of axenic isolates of Giardia intestinalis established from humans and animals in Germany. Parasitol Res. 1998;84:442-9. https://doi.org/10.1007/s004360050427
Johnston AR, Gillespie TR, Rwego IB, McLachlan TLT, Kent AD, Goldberg TL. Molecular epidemiology of cross-species Giardia duodenalis transmission in western Uganda. PLoS Negl Trop Dis. 2010;4:e683. https://doi.org/10.1371/journal.pntd.0000683
Skhal D, Aboualchamat G, Al Mariri A, Al Nahhas S. Prevalence of Giardia duodenalis assemblages and sub-assemblages in symptomatic patients from Damascus city and its suburbs. Infect Genet Evol. 2017;47:155-60. https://doi.org/10.1016/j.meegid.2016.11.030
Lee MF, Auer H, Lindo JF, Walochnik J. Multilocus sequence analysis of Giardia spp. isolated from patients with diarrhea in Austria. Parasitol Res. 2017;116:477-81. https://doi.org/10.1007/s00436-016-5306-9
Mbae C, Mulinge E, Guleid F, Wainaina J, Waruru A, Njiru ZK, et al. Molecular characterization of Giardia duodenalis in children in Kenya. BMC Infect Dis. 2016;16:135. https://doi.org/10.1186/s12879-016-1436-z
Osman M, El Safadi D, Cian A, Benamrouz S, Nourrisson C, Poirier P, et al. Prevalence and risk factors for intestinal protozoan infections with Cryptosporidium, Giardia, Blastocystis and Dientamoeba among schoolchildren in Tripoli, Lebanon. PLoS Negl Trop Dis. 2016;10:e0004496. https://doi.org/10.1371/journal.pntd.0004496
Iqbal A, Goldfarb DM, Slinger R, Dixon BR. Prevalence and molecular characterization of Cryptosporidium spp. and Giardia duodenalis in diarrhoeic patients in the Qikiqtani Region, Nunavut, Canada. Int J Circumpolar Health. 2015;74:27713. https://doi.org/10.3402/ijch.v74.27713
Fahmy HM, El-Serougi AO, El Deeb HK, Hussein HM, Abou-Seri HM, Klotz C, et al. Giardia duodenalis assemblages in Egyptian children with diarrhea. Eur J Clin Microbiol Infect Dis. 2015;34:1573-81. https://doi.org/10.1007/s10096-015-2389-7
Minvielle MC, Molina NB, Polverino D, Basualdo JA. First genotyping of Giardia lamblia from human and animal feces in Argentina, South America. Mem Inst Oswaldo Cruz. 2008;103:98-103. https://doi.org/10.1590/s0074-02762008000100015
Volotão AC, Costa-Macedo LM, Haddad FSM, Brandão A, Peralta JM, Fernandes O. Genotyping of Giardia duodenalis from human and animal samples from Brazil using betagiardin gene: A phylogenetic analysis. Acta Trop. 2007;102:10-9. https://doi.org/10.1016/j.actatropica.2007.02.010
Coradi ST, David EB, Oliveira-Sequeira TC, Ribolla PE, Carvalho TB, Guimarães S. Genotyping of Brazilian Giardia duodenalis human axenic isolates. J Venom Anim Toxins Incl Trop Dis. 2011;17:353-7. https://doi.org/10.1590/S1678-91992011000300016
Oliveira-Arbex AP, David EB, Oliveira-Sequeira TCG, Bittencourt GN, Guimarães S. Genotyping of Giardia duodenalis isolates in asymptomatic children attending daycare centre: Evidence of high risk for anthroponotic transmission. Epidemiol Infect. 2016;144:1418-28. https://doi.org/10.1017/S0950268815002514
Kohli A, Bushen OY, Pinkerton RC, Houpt E, Newman RD, Sears CL, et al. Giardia duodenalis assemblage, clinical presentation and markers of intestinal inflammation in Brazilian children. Trans R Soc Trop Med Hyg. 2008;102:718-25. https://doi.org/10.1016/j.trstmh.2008.03.002
Santos CK, Grama DF, Limongi JE, Costa FC, Couto TR, Soares RM, et al. Epidemiological, parasitological and molecular aspects of Giardia duodenalis infection in children attending public daycare centers in southeastern Brazil. Trans R Soc Trop Med Hyg. 2012;106:473-9. https://doi.org/10.1016/j.trstmh.2012.05.011
Faria CP, Zanini GM, Dias GS, da Silva S, Sousa MC. Molecular characterization of Giardia lamblia: First report of Assemblage B in human isolates from Rio de Janeiro (Brazil). PLOS ONE. 2016;11:e0160762. https://doi.org/10.1371/journal.pone.0160762
Pacheco FT, Silva RK, Martins AS, Oliveira RR, Alcântara-Neves NM, Silva MP, et al. Differences in the detection of Cryptosporidium and Isospora (Cystoisospora) oocysts according to the fecal concentration or staining method used in a clinical laboratory. J Parasitol. 2013;99:1002-8. https://doi.org/10.1645/12-33.1
Faust EC, Sawitz W, Tobie J, Odom V, Peres C, Lincicome DR. Comparative efficiency of various technics for the diagnosis of protozoa and helminths in feces. J Parasitol. 1938;25:241-62. https://doi.org/10.2307/3272508
Lalle M, Pozio E, Capelli G, Bruschi F, Crotti D, Cacciò SM. Genetic heterogeneity at the beta-giardin locus among human and animal isolates of Giardia duodenalis and identification of potentially zoonotic subgenotypes. Int J Parasitol. 2005;35:207-13. https://doi.org/10.1016/j.ijpara.2004.10.022
Read CM, Monis PT, Thompson RC. Discrimination of all genotypes of Giardia duodenalis at the glutamate dehydrogenase locus using PCR-RFLP. Infect Genet Evol. 2004;4:125-30. https://doi.org/10.1016/j.meegid.2004.02.001
Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0. Mol Biol Evol. 2013;30:2725-9. https://doi.org/10.1093/molbev/mst197
Ryan U, Cacciò SM. Zoonotic potential of Giardia. Int J Parasitol. 2013;43:943-56. https://doi.org/10.1016/j.ijpara.2013.06.001
Wang H, Zhao G, Chen G, Jian F, Zhang S, Feng C, et al. Multilocus genotyping of Giardia duodenalis in dairy cattle in Henan, China. PLOS ONE. 2014; 9:e100453. https://doi.org/10.1371/journal.pone.0100453
Broglia A, Weitzel T, Harms G, Cacció SM, Nöckler K. Molecular typing of Giardia duodenalis isolates from German travellers. Parasitol Res. 2013;112:3449-56. https://doi.org/10.1007/s00436-013-3524-y
Wilke H, Robertson LJ. Preservation of Giardia cysts in stool samples for subsequent PCR analysis. J Microbiol Methods. 2009;78:292-6. https://doi.org/10.1016/j.mimet.2009.06.018
Kuk S, Yazar S, Cetinkaya U. Stool sample storage conditions for the preservation of Giardia intestinalis DNA. Mem Inst Oswaldo Cruz. 2012;107:965-8. https://doi.org/10.1590/S0074-02762012000800001
Azcona-Gutiérrez JM, de Lucio A, Hernández-de-Mingo M, García-García C, Soria-Blanco LM, Morales L, et al. Molecular diversity and frequency of the diarrheagenic enteric protozoan Giardia duodenalis and Cryptosporidium spp. in a hospital setting in Northern Spain. PLOS ONE. 2017;12:e0178575. https://doi.org/10.1371/journal.pone.0178 575
Hussein AH, Rashed SM, El-Hayawan IA, Aly NSM, Abou Ouf EA, Ali AT. Intestinal parasite infections and accuracy of direct thin and thick smear, formol-ether sedimentation, centrifugal flotation, and mini-FLOTAC techniques among patients with gastrointestinal tract disorders from the Greater Cairo Region, Egypt. Am J Trop Med Hyg. 2017;96:589-94. https://doi.org/10.4269/ajtmh.16-0436
Lee MF, Cadogan P, Eytle S, Copeland S, Walochnik J, Lindo JF. Molecular epidemiology and multilocus sequence analysis of potentially zoonotic Giardia spp. from humans and dogs in Jamaica. Parasitol Res. 2017;116:409-14. https://doi.org/10.1007/s00436-016-5304-y
Kasaei R, Carmena D, Jelowdar A, Beiromvand M. Molecular genotyping of Giardia duodenalis in children from Behbahan, southwestern Iran. Parasitol Res. 2018;117:1425-31. https://doi.org/10.1007/s00436-018-5826-6
Ramírez JD, Heredia RD, Hernández C, León CM, Moncada LI, Reyes P, et al. Molecular diagnosis and genotype analysis of Giardia duodenalis in asymptomatic children from a rural area in central Colombia. Infect Genet Evol. 2015;32:208-13. https://doi.org/10.1016/j.meegid.2015.03. 015
García-Cervantes PC, Báez-Flores ME, Delgado-Vargas F, Ponce-Macotela, M, Nawa Y, De-la-Cruz-Otero MDC, et al. Giardia duodenalis genotypes among schoolchildren and their families and pets in urban and rural areas of Sinaloa, Mexico. J Infect Dev Ctries. 2017;11:180-7. https://doi.org/10.3855/jidc.8223
Torres-Romero JC, Euan-Canto AJ, Benito-González N, Padilla-Montaño N, Huchin-Chan C, Lara-Riegos J, et al. Intestinal parasites and genotyping of Giardia duodenalis in children: First report of genotype B in isolates from human clinical samples in Mexico. Mem Inst Oswaldo Cruz. 2014;109:388-90. https://doi.org/10.1590/0074-0276140507
Colli CM, Bezagio RC, Nishi L, Bignotto TS, Ferreira ÉC, Falavigna-Guilherme AL, et al. Identical assemblage of Giardia duodenalis in humans, animals and vegetables in an urban area in southern Brazil indicates a relationship among them. PLOS ONE. 2015;10:e0118065. https://doi.org/10.1371/journal.pone.0118065
op_rights Derechos de autor 2020 Biomédica
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spelling ftjrbm:oai:oai.revistabiomedica.org:article/5161 2023-06-06T11:52:50+02:00 The Predominance of Giardia duodenalis AII sub-assemblage in young children from Salvador, Bahia, Brazil Predominio del subconjunto AII de Giardia duodenalis en niños pequeños de Salvador, Bahía, Brasil Figueiredo Pacheco , Flávia Thamiris Novaes Rodrigues Silva , Renata Kelly Souza de Carvalho , Silvia Carvalho Rocha , Felipe Trindade das Chagas , Gisele Maria Chagas Gomes , Daisy da Costa-Ribeiro Junior , Hugo Medrado Ribeiro, Tereza Cristina Peixoto de Mattos , Ângela Kalabric Silva , Luciano Matos Soares , Neci Aquino Teixeira, Márcia Cristina 2020-09-01 application/pdf text/xml https://revistabiomedica.org/index.php/biomedica/article/view/5161 eng eng Instituto Nacional de Salud https://revistabiomedica.org/index.php/biomedica/article/view/5161/4578 https://revistabiomedica.org/index.php/biomedica/article/view/5161/4715 Nesti MM, Goldbaum M. Infectious diseases and daycare and preschool education. J Pediatr (Rio J). 2007;83:299-312. https://doi.org/10.4269/ajtmh.199 0.42.206 Papier K, Williams GM, Luceres-Catubig R, Ahmed F, Olveda RM, McManus DP, et al. Childhood malnutrition and parasitic helminth interactions. Clin Infec Dis. 2014;59:234-43. https://doi.org/10.1093/cid/ciu211 Yones DA, Galal LA, Abdallah AM, Zaghlol KS. Effect of enteric parasitic infection on serum trace elements and nutritional status in upper Egyptian children. Trop Parasitol. 2015;5:29-35. https://doi.org/10.4103/2229-5070.145581 Thompson RCA. The zoonotic significance and molecular epidemiology of Giardia and giardiasis. Vet Parasitol. 2004;126:15-35. https://doi.org/10.1016/j.vetpar.2004.09.008 Ryan U, Hijjawi N, Feng Y, Xiao L. Giardia: An under-reported foodborne parasite. Int J Parasitol. 2019;49:1-11. https://doi.org/10.1016/j.ijpara.2018.07.003 Thompson RCA. Giardiasis as a re-emerging infectious disease and its zoonotic potential. Int J Parasitol. 2000;30:1259-67. https://doi.org/10.1016/S0020-7519(00)00127-2 Cacciò SM, De Giacomo M, Pozio E. Sequence analysis of the beta-giardin gene and development of a polymerase chain reaction-restriction fragment length polymorphism assay to genotype Giardia duodenalis cysts from human faecal samples. Int J Parasitol. 2002;32:1023-30. https://doi.org/10.1016/S0020-7519(02)00068-1 Feng Y, Xiao L. Zoonotic potential and molecular epidemiology of Giardia species and giardiasis. Clin Microbiol Rev. 2011;24:110-40. https://doi.org/10.1128/CMR.00033-10 Plutzer J, Ongerth J, Karanis P. Giardia taxonomy, phylogeny and epidemiology: Facts and open questions. Int J Hyg Environ Health. 2010;213:321-33. https://doi.org/10.1016/j.ijheh.2010.06.005 Thompson RCA, Ash A. Molecular epidemiology of Giardia and Cryptosporidium infections. Infect Genet Evol. 2016;40:315-23. https://doi.org/10.1016/j.meegid.2015.09.028 Monis PT, Andrews RH, Mayrhofer G, Ey PL. Genetic diversity within the morphological species Giardia intestinalis and its relationship to host origin. Infect Genet Evol. 2003;3:29-38. https://doi.org/10.1016/S1567-1348(02)00149-1 Ballweber LR, Xiao L, Bowman DD, Kahn G, Cama VA. Giardiasis in dogs and cats: Update on epidemiology and public health significance. Trends Parasitol. 2010;26:180-9. https://doi.org/10.1016/j.pt.2010.02.005 Sprong H, Cacciò SM, van der Giessen JWB, ZOOPNET network and partners. Identification of zoonotic genotypes of Giardia duodenalis. PLoS Negl Trop Dis. 2009;3:e558. https://doi.org/10.1371/journal.pntd.0000558 Haque R, Roy S, Kabir M, Stroup SE, Mondal D, Houpt ER. Giardia assemblage A infection and diarrhea in Bangladesh. J Infect Dis. 2005;192:2171-3. https://doi.org/10.1086/498169 Sousa MC, Morais JB, Machado JE , Poiares-da-Silva J. Genotyping of Giardia lamblia human isolates from Portugal by PCR-RFLP and sequencing. J Eukaryot Microbiol. 2006;53:174-6. https://doi.org/10.1111/j.1550-7408.2006.00221.x Karanis P, Ey PL. Characterization of axenic isolates of Giardia intestinalis established from humans and animals in Germany. Parasitol Res. 1998;84:442-9. https://doi.org/10.1007/s004360050427 Johnston AR, Gillespie TR, Rwego IB, McLachlan TLT, Kent AD, Goldberg TL. Molecular epidemiology of cross-species Giardia duodenalis transmission in western Uganda. PLoS Negl Trop Dis. 2010;4:e683. https://doi.org/10.1371/journal.pntd.0000683 Skhal D, Aboualchamat G, Al Mariri A, Al Nahhas S. Prevalence of Giardia duodenalis assemblages and sub-assemblages in symptomatic patients from Damascus city and its suburbs. Infect Genet Evol. 2017;47:155-60. https://doi.org/10.1016/j.meegid.2016.11.030 Lee MF, Auer H, Lindo JF, Walochnik J. Multilocus sequence analysis of Giardia spp. isolated from patients with diarrhea in Austria. Parasitol Res. 2017;116:477-81. https://doi.org/10.1007/s00436-016-5306-9 Mbae C, Mulinge E, Guleid F, Wainaina J, Waruru A, Njiru ZK, et al. Molecular characterization of Giardia duodenalis in children in Kenya. BMC Infect Dis. 2016;16:135. https://doi.org/10.1186/s12879-016-1436-z Osman M, El Safadi D, Cian A, Benamrouz S, Nourrisson C, Poirier P, et al. Prevalence and risk factors for intestinal protozoan infections with Cryptosporidium, Giardia, Blastocystis and Dientamoeba among schoolchildren in Tripoli, Lebanon. PLoS Negl Trop Dis. 2016;10:e0004496. https://doi.org/10.1371/journal.pntd.0004496 Iqbal A, Goldfarb DM, Slinger R, Dixon BR. Prevalence and molecular characterization of Cryptosporidium spp. and Giardia duodenalis in diarrhoeic patients in the Qikiqtani Region, Nunavut, Canada. Int J Circumpolar Health. 2015;74:27713. https://doi.org/10.3402/ijch.v74.27713 Fahmy HM, El-Serougi AO, El Deeb HK, Hussein HM, Abou-Seri HM, Klotz C, et al. Giardia duodenalis assemblages in Egyptian children with diarrhea. Eur J Clin Microbiol Infect Dis. 2015;34:1573-81. https://doi.org/10.1007/s10096-015-2389-7 Minvielle MC, Molina NB, Polverino D, Basualdo JA. First genotyping of Giardia lamblia from human and animal feces in Argentina, South America. Mem Inst Oswaldo Cruz. 2008;103:98-103. https://doi.org/10.1590/s0074-02762008000100015 Volotão AC, Costa-Macedo LM, Haddad FSM, Brandão A, Peralta JM, Fernandes O. Genotyping of Giardia duodenalis from human and animal samples from Brazil using betagiardin gene: A phylogenetic analysis. Acta Trop. 2007;102:10-9. https://doi.org/10.1016/j.actatropica.2007.02.010 Coradi ST, David EB, Oliveira-Sequeira TC, Ribolla PE, Carvalho TB, Guimarães S. Genotyping of Brazilian Giardia duodenalis human axenic isolates. J Venom Anim Toxins Incl Trop Dis. 2011;17:353-7. https://doi.org/10.1590/S1678-91992011000300016 Oliveira-Arbex AP, David EB, Oliveira-Sequeira TCG, Bittencourt GN, Guimarães S. Genotyping of Giardia duodenalis isolates in asymptomatic children attending daycare centre: Evidence of high risk for anthroponotic transmission. Epidemiol Infect. 2016;144:1418-28. https://doi.org/10.1017/S0950268815002514 Kohli A, Bushen OY, Pinkerton RC, Houpt E, Newman RD, Sears CL, et al. Giardia duodenalis assemblage, clinical presentation and markers of intestinal inflammation in Brazilian children. Trans R Soc Trop Med Hyg. 2008;102:718-25. https://doi.org/10.1016/j.trstmh.2008.03.002 Santos CK, Grama DF, Limongi JE, Costa FC, Couto TR, Soares RM, et al. Epidemiological, parasitological and molecular aspects of Giardia duodenalis infection in children attending public daycare centers in southeastern Brazil. Trans R Soc Trop Med Hyg. 2012;106:473-9. https://doi.org/10.1016/j.trstmh.2012.05.011 Faria CP, Zanini GM, Dias GS, da Silva S, Sousa MC. Molecular characterization of Giardia lamblia: First report of Assemblage B in human isolates from Rio de Janeiro (Brazil). PLOS ONE. 2016;11:e0160762. https://doi.org/10.1371/journal.pone.0160762 Pacheco FT, Silva RK, Martins AS, Oliveira RR, Alcântara-Neves NM, Silva MP, et al. Differences in the detection of Cryptosporidium and Isospora (Cystoisospora) oocysts according to the fecal concentration or staining method used in a clinical laboratory. J Parasitol. 2013;99:1002-8. https://doi.org/10.1645/12-33.1 Faust EC, Sawitz W, Tobie J, Odom V, Peres C, Lincicome DR. Comparative efficiency of various technics for the diagnosis of protozoa and helminths in feces. J Parasitol. 1938;25:241-62. https://doi.org/10.2307/3272508 Lalle M, Pozio E, Capelli G, Bruschi F, Crotti D, Cacciò SM. Genetic heterogeneity at the beta-giardin locus among human and animal isolates of Giardia duodenalis and identification of potentially zoonotic subgenotypes. Int J Parasitol. 2005;35:207-13. https://doi.org/10.1016/j.ijpara.2004.10.022 Read CM, Monis PT, Thompson RC. Discrimination of all genotypes of Giardia duodenalis at the glutamate dehydrogenase locus using PCR-RFLP. Infect Genet Evol. 2004;4:125-30. https://doi.org/10.1016/j.meegid.2004.02.001 Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0. Mol Biol Evol. 2013;30:2725-9. https://doi.org/10.1093/molbev/mst197 Ryan U, Cacciò SM. Zoonotic potential of Giardia. Int J Parasitol. 2013;43:943-56. https://doi.org/10.1016/j.ijpara.2013.06.001 Wang H, Zhao G, Chen G, Jian F, Zhang S, Feng C, et al. Multilocus genotyping of Giardia duodenalis in dairy cattle in Henan, China. PLOS ONE. 2014; 9:e100453. https://doi.org/10.1371/journal.pone.0100453 Broglia A, Weitzel T, Harms G, Cacció SM, Nöckler K. Molecular typing of Giardia duodenalis isolates from German travellers. Parasitol Res. 2013;112:3449-56. https://doi.org/10.1007/s00436-013-3524-y Wilke H, Robertson LJ. Preservation of Giardia cysts in stool samples for subsequent PCR analysis. J Microbiol Methods. 2009;78:292-6. https://doi.org/10.1016/j.mimet.2009.06.018 Kuk S, Yazar S, Cetinkaya U. Stool sample storage conditions for the preservation of Giardia intestinalis DNA. Mem Inst Oswaldo Cruz. 2012;107:965-8. https://doi.org/10.1590/S0074-02762012000800001 Azcona-Gutiérrez JM, de Lucio A, Hernández-de-Mingo M, García-García C, Soria-Blanco LM, Morales L, et al. Molecular diversity and frequency of the diarrheagenic enteric protozoan Giardia duodenalis and Cryptosporidium spp. in a hospital setting in Northern Spain. PLOS ONE. 2017;12:e0178575. https://doi.org/10.1371/journal.pone.0178 575 Hussein AH, Rashed SM, El-Hayawan IA, Aly NSM, Abou Ouf EA, Ali AT. Intestinal parasite infections and accuracy of direct thin and thick smear, formol-ether sedimentation, centrifugal flotation, and mini-FLOTAC techniques among patients with gastrointestinal tract disorders from the Greater Cairo Region, Egypt. Am J Trop Med Hyg. 2017;96:589-94. https://doi.org/10.4269/ajtmh.16-0436 Lee MF, Cadogan P, Eytle S, Copeland S, Walochnik J, Lindo JF. Molecular epidemiology and multilocus sequence analysis of potentially zoonotic Giardia spp. from humans and dogs in Jamaica. Parasitol Res. 2017;116:409-14. https://doi.org/10.1007/s00436-016-5304-y Kasaei R, Carmena D, Jelowdar A, Beiromvand M. Molecular genotyping of Giardia duodenalis in children from Behbahan, southwestern Iran. Parasitol Res. 2018;117:1425-31. https://doi.org/10.1007/s00436-018-5826-6 Ramírez JD, Heredia RD, Hernández C, León CM, Moncada LI, Reyes P, et al. Molecular diagnosis and genotype analysis of Giardia duodenalis in asymptomatic children from a rural area in central Colombia. Infect Genet Evol. 2015;32:208-13. https://doi.org/10.1016/j.meegid.2015.03. 015 García-Cervantes PC, Báez-Flores ME, Delgado-Vargas F, Ponce-Macotela, M, Nawa Y, De-la-Cruz-Otero MDC, et al. Giardia duodenalis genotypes among schoolchildren and their families and pets in urban and rural areas of Sinaloa, Mexico. J Infect Dev Ctries. 2017;11:180-7. https://doi.org/10.3855/jidc.8223 Torres-Romero JC, Euan-Canto AJ, Benito-González N, Padilla-Montaño N, Huchin-Chan C, Lara-Riegos J, et al. Intestinal parasites and genotyping of Giardia duodenalis in children: First report of genotype B in isolates from human clinical samples in Mexico. Mem Inst Oswaldo Cruz. 2014;109:388-90. https://doi.org/10.1590/0074-0276140507 Colli CM, Bezagio RC, Nishi L, Bignotto TS, Ferreira ÉC, Falavigna-Guilherme AL, et al. Identical assemblage of Giardia duodenalis in humans, animals and vegetables in an urban area in southern Brazil indicates a relationship among them. PLOS ONE. 2015;10:e0118065. https://doi.org/10.1371/journal.pone.0118065 Derechos de autor 2020 Biomédica Biomedica; Vol. 40 No. 3 (2020); 557-568 Biomédica; Vol. 40 Núm. 3 (2020); 557-568 2590-7379 0120-4157 Giardiasis/epidemiology child daycare centers Brazil giardiasis/epidemiología niño guarderías Brasil info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2020 ftjrbm https://doi.org/10.4269/ajtmh.19910.1093/cid/ciu21110.4103/2229-5070.14558110.1016/j.vetpar.2004.09.00810.1016/j.ijpara.2018.07.00310.1016/S0020-7519(00)00127-210.1016/S0020-7519(02)00068-110.1128/CMR.00033-1010.1016/j.ijheh.2010.06.00510.1016/j.meegid.20 2023-04-14T07:46:22Z Introduction. Giardia duodenalis is an intestinal protozoan with a high prevalence in children of developing countries. Molecular studies revealed a great genetic diversity of G. duodenalis, with assemblages A and B found mainly in humans. Despite its importance, the information on the molecular epidemiology of human giardiasis is still limited in Brazil.Objective. To characterize G. duodenalis molecular isolates in children from Salvador, Bahia, Brazil.Materials and methods. Giardia duodenalis positive fecal samples were obtained from 71 children from two day care centers and 39 users of a clinical analysis laboratory. Samples were analyzed by PCR-RFLP of the glutamate dehydrogenase (gdh) and beta-giardin genes and by the sequencing of beta-giardin.Results. Of the 110 G. duodenalis samples, 80 (72.7%) amplified one or both target genes. Of these, 62 (77.5 %) were identified as assemblage A and 18 (22.5%) as assemblage B. The subassemblage AII was identified in 58.8% (n=47) of isolates followed by the sub-assemblage AI (18.8%, n=15), BIV (11.2%, n=9), and BIII (5.0%, n=4). The AII sub-assemblage was the most frequent in children of both day care centers whereas AI was found only in the group attended at the clinical laboratory. Sub-assemblage AII predominated in children under two years.Conclusions. The higher frequency of AII sub-assemblage suggests that anthroponotic transmission is more common in Salvador, but that zoonotic transmission pathways are also present and a change in susceptibility to different molecular patterns of Giardia may occur during child growth. Introducción. Giardia duodenalis es un protozoo intestinal de gran prevalencia en los niños de los países en desarrollo. En estudios moleculares se ha evidenciado la gran diversidad genética de G. duodenalis y se han identificado los conjuntos A y B, principalmente en humanos. A pesar de su importancia, el conocimiento de la epidemiología molecular de la giardiasis humana aún es limitado en Brasil.Objetivo. Caracterizar los aislamientos ... Article in Journal/Newspaper Circumpolar Health Biomédica - Revista del Instituto Nacional de Salud, Bogotá Biomédica 40 3 557 568