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Legionella Pneumophila Infections among Egyptian Patients :Updated Diagnostic Tests and Evaluation
Faculty
Medicine
Year:
2024
Type of Publication:
ZU Hosted
Pages:
Authors:
Haitham Kamal Ahmed Mahrous
Staff Zu Site
Abstract In Staff Site
Journal:
Afro-Egyptian Journal of infectious and and endemic diseases Tropical and endemic diseases department , Zagazig university
Volume:
Keywords :
Legionella Pneumophila Infections among Egyptian Patients
Abstract:
Background and study aims: Legionella Pneumophila Is a gram-negative bacterium, which is implicated in causing Legionnaires’ disease and Pontiac fever. This study aims at evaluating the different updated diagnostic tests of L. pneumophila infections among pneumonic patients through the detection of L. pneumophila urinary antigen testing (UAT), and quantitative Real Time PCR (RT PCR) in comparison to the gold standard test and to detect the prevalence of pneumonia caused by L. pneumophilia. Patients and Method: One hundred patients with features suggestive of pneumonia and confirmed by imaging were enrolled in this study. Serum, urine and lower respiratory specimens were obtained from patients admitted to Chest and Tropical Medicine Departments, Zagazig University Hospitals. Patients were subjected to urinary antigen test, lower respiratory specimens’ cultures and q Real Time (RT) PCR for detection of L. pneumophila mip gene Results: Prevalence of L. pneumophila in Zagazig university hospitals was 17% detected by L. pneumophila urinary antigen testing (LPUAT), 15% of samples were positive by q RT PCR based mip gene and 12 % positive by respiratory sample cultures. In comparison to respiratory sample culture, the gold standard, q RT PCR evaluation showed sensitivity 83.3%, specificity 94.3%, positive predictive value 66.7%, Negative predictive value 97.6% and accuracy of 93.0%. Conclusion: Molecular assays and UAT are promising methods that can be used in the rapid and early diagnosis of Legionella infections but they seem not to be sufficient to replace microbial cultures which must associate these techniques.
Author Related Publications
Haitham Kamal Ahmed Mahrous, "UPDATING IN DIAGNOSIS OF BLOOD STREAM INFECTION IN IMMUNOCOMPROMISED PATIENTS WITH HAEMATOLOGICAL MALIGNANCIES.", international journal of advanced research, 2016
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Haitham Kamal Ahmed Mahrous, "Association Between Proteinuria And Active Helicobacter Pylori Infection In Non-Diabetic Patients", Zagazig university, 2019
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Haitham Kamal Ahmed Mahrous, "Assessment of carbapenem resistant Klebsiella Pneumoniae in intensive care unit of Zagazig university Hospitals.", Microbiology department , Zagazig university, 2024
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Haitham Kamal Ahmed Mahrous, "Serum microRNA-223 as a potential biomarker for allergic rhinitis and its correlation to eosinophil-derived neurotoxin", Egyptian Society of immunology, 2024
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Haitham Kamal Ahmed Mahrous, "A Prospective Study of the Role of Antibiotic Prophylaxis in Compensated Cirrhotic Patients after the First Variceal Bleeding.", Tropical and endemic diseases department , Faculty of medicine , Zagazig university, 2024
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