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1.
J Econ Entomol ; 116(4): 1165-1170, 2023 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-37338591

RESUMO

The emerald ash borer (EAB), Agrilus planipennis Fairmaire (Coleoptera: Buprestidae), is an invasive woodboring pest of ash trees (Fraxinus sp.) in North America. Among the Asiatic parasitoids being released for the management of EAB in North America, Oobius agrili Zhang and Huang (Hymenoptera: Encyrtidae) is the only EAB egg parasitoid. To date, more than 2.5 million O. agrili have been released in North America; however, few studies have examined its success as a biological control agent of EAB. We conducted studies to assess O. agrili establishment, persistence, spread, and EAB egg parasitism rates in Michigan at the earliest release sites (2007-2010), as well as at more recent release sites (2015-2016) in 3 Northeastern United States (Connecticut, Massachusetts, New York). In both regions, we documented successful O. agrili establishment at all but one release site. In Michigan, O. agrili has persisted at release sites for over a decade and spread to all control sites located 0.6-3.8 km from release sites. Overall, EAB egg parasitism ranged from 1.5% to 51.2% (mean of 21.4%) during 2016-2020 in Michigan and from 2.6% to 29.2% (mean of 16.1%) during 2018-2020 in the Northeastern states. Future research efforts should focus on factors affecting the spatiotemporal variation in EAB egg parasitism rates by O. agrili, as well as its potential range in North America.


Assuntos
Besouros , Fraxinus , Himenópteros , Animais , Larva , Michigan , New England
2.
J Econ Entomol ; 116(3): 848-854, 2023 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-37084325

RESUMO

The emerald ash borer (EAB), Agrilus planipennis Fairmaire, is the most destructive invasive pest on ash (Fraxinus spp.) in the United States. We determined whether ash trees injected with emamectin benzoate (EB) could protect untreated neighboring ash trees. We also determined whether the selective treatment of ash trees with EB injections had adverse effects on the establishment of introduced larval parasitoids Tetrastichus planipennis Yang and Spathius galinae Belokobylskij & Strazenac. In experiment one, trees were treated with EB and then retreated 3 years later. Five years post initial treatment, we found that 90% of treated ash trees retained healthy crowns, significantly higher than those of untreated control ash trees (16%). For experiment two, trees only received one treatment of EB and after 2 years 100% of treated ash trees retained healthy crowns, significantly higher than those of untreated ash trees (50%). In both experiments, we found that distance from the central EB-treated tree was not a significant predictor for tree health or presence of EAB exit holes. Although distance from the EB-treated trees appeared to have a significant positive relationship with woodpecker feeding signs on neighboring trees, such relationships did not result in significant differences in the proportion of neighboring ash trees retaining healthy crowns between EB treatment and control plots. The introduced EAB parasitoids appeared to have established equally well between treatment and control plots. Findings are discussed in the context of integration of EB trunk injection with biological control for protection of North American ash against EAB.


Assuntos
Besouros , Fraxinus , Animais , Agentes de Controle Biológico , Larva , Árvores
3.
Insects ; 12(2)2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33572774

RESUMO

Trissolcus japonicus, an important egg parasitoid of Halyomorpha halys in Asia, was first detected in the USA in 2014. To evaluate the effect of habitat and the seasonality of T. japonicus detections in the USA, yellow sticky traps were placed in the canopy of Ailanthus altissima growing at the edge of isolated patches of trees, windbreaks, and woodlots in northern Virginia in 2018 and 2019. In both years, captures occurred from May to September, and peaked in July and August. While T. japonicus was detected in all habitats, there was not a consistent effect of habitat type on capture frequency. To evaluate tree species effects on T. japonicus captures, in 2017 and 2018, yellow sticky traps deployed in the canopy of A. altissima bordering apple orchards were paired with a nearby trap in one of several wild tree species along a common woods edge. In 2019, these traps were deployed in A. altissima, black walnut, and black locust growing in the same windbreaks. No consistent association between captures of T. japonicus or native parasitoids of H. halys and the tree species sampled was observed among years. Results are discussed in relation to the ecology and sampling optimization of T. japonicus.

4.
Ocul Immunol Inflamm ; 28(3): 379-383, 2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-30986129

RESUMO

Purpose: To demonstrate the therapeutic benefit of extended wear bandage contact lens (BCL) use in patients with epidermolysis bullosa (EB) suffering from recurrent, painful, and slow-to-heal corneal epithelial defects.Methods: Case reports of three patients.Results: We report ophthalmic treatment of three pediatric patients, two with recessive dystrophic EB (RDEB) and one with junctional EB (JEB), who suffered frequently recurrent corneal abrasions and were treated with 30-day extended-wear bandage contact lenses (BCLs), replaced every month for at least 1 year. Pain and frequency of corneal abrasions improved immediately, and the BCLs were well tolerated. Vision was maintained or improved in all cases. Corneal ulcers did not occur while on antibiotic prophylaxis.Conclusions: Continuous and prolonged BCL therapy in patients with EB can be an effective way to immediately alleviate pain, prevent recurrent abrasions, and improve patient quality of life.


Assuntos
Bandagens , Lentes de Contato de Uso Prolongado , Córnea/patologia , Doenças da Córnea/terapia , Epidermólise Bolhosa/terapia , Criança , Pré-Escolar , Doenças da Córnea/diagnóstico , Doenças da Córnea/etiologia , Epidermólise Bolhosa/complicações , Epidermólise Bolhosa/diagnóstico , Desenho de Equipamento , Seguimentos , Humanos , Lactente , Masculino , Privação Sensorial , Acuidade Visual
5.
Environ Entomol ; 48(1): 173-180, 2019 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-30566607

RESUMO

The brown marmorated stink bug, Halyomorpha halys (Stål) (Hemiptera: Pentatomidae), is an invasive agricultural and nuisance pest that has established across much of the United States and caused significant crop losses in the Mid-Atlantic region. While it has been monitored extensively using ground-deployed pheromone traps, the vertical distribution of its life stages in the canopy of wild tree hosts has not been examined. In Virginia, small pyramid traps baited with 'low-dose' H. halys pheromone lures were deployed via a pulley system at the lower, mid-, and upper canopy of female tree of heaven (Ailanthus altissima (Mill.) Swingle) in 2016 and 2017 and male A. altissima and hackberry (Celtis occidentalis L.) in 2017. Weekly captures of adults and nymphs were recorded throughout each season. Each year, additional female A. altissima trees were felled during the two main periods of H. halys oviposition. The number and relative locations of all pentatomid egg masses found on foliage were recorded and any parasitoids that emerged from them were identified. Halyomorpha halys adults and nymphs were captured in greatest numbers in upper canopy traps and in lowest numbers in traps near the tree base. More H. halys egg masses were collected from mid-canopy than from the lower or upper canopy. The adventive egg parasitoid, Trissolcus japonicus (Ashmead) (Hymenoptera: Scelionidae), emerged most frequently from egg masses found at mid-canopy and was not recovered from those in the lower canopy. Results are discussed in relation to the foraging ecology of H. halys and its natural enemies, including TT. japonicus.


Assuntos
Distribuição Animal , Heterópteros , Vespas , Ailanthus , Animais , Cadeia Alimentar , Heterópteros/crescimento & desenvolvimento , Heterópteros/parasitologia , Interações Hospedeiro-Parasita , Óvulo/parasitologia , Árvores , Vespas/fisiologia
6.
Environ Entomol ; 47(6): 1501-1508, 2018 12 07.
Artigo em Inglês | MEDLINE | ID: mdl-30165513

RESUMO

Brown marmorated stink bug, Halyomorpha halys (Stål) (Hemiptera: Pentatomidae), is a serious agricultural pest and can be a significant nuisance when it invades human dwellings during its fall dispersal to overwintering sites. Methods informed by behavioral data to exclude or reduce its entry into buildings are needed. The temporal and spatial distribution of adults on an invaded building was assessed over multiple years, revealing its seasonal dispersal pattern and that its numbers varied by wall aspect. Moreover, its density was higher in recessed doorways than on associated walls, raising questions about its behavioral response to dark, contrasting surfaces. This response was evaluated using black, framed panels of deltamethrin-incorporated netting, non-treated netting, and an open frame with no netting, deployed in pairs on the wall of a private residence. More dispersing adults landed on panels of non-treated netting than on open panels, but there was no difference between panels with treated and non-treated netting. Adults remained on treated panels for less time than on non-treated panels, and most walked rather than flew from both. Adult male and female H. halys collected during the dispersal period were exposed to panels of treated and non-treated netting in a laboratory, using durations derived from field recordings. Exposures to treated panels intoxicated but did not kill them over a 7-d assessment period. The deployment of insecticide-treated netting, guided by the behavior of adult H. halys alighting on buildings, is discussed in relation to potential options to mitigate homeowner issues from this serious annual problem.


Assuntos
Distribuição Animal , Heterópteros , Animais , Feminino , Controle de Insetos , Inseticidas/administração & dosagem , Masculino , Piretrinas/administração & dosagem
8.
Sex Transm Infect ; 90(6): 485-90, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24604333

RESUMO

BACKGROUND: Internet-based screening for vaginal sexually transmitted infections (STI) has been shown to reach high-risk populations. Published studies of internet-based screening for rectal STIs in women are needed. Our objectives were to describe the female users of a rectal internet-based screening intervention and assess what factors correlated with rectal positivity for STIs. METHODS: The website http://www.iwantthekit.org offers free STI testing via home self-sampling kits. Women could order vaginal and rectal kits, both containing questionnaires. Rectal and vaginal swabs were tested for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis using nucleic acid amplification tests. Data were analysed from 205 rectal kits from January 2009 through February 2011. Self-reported characteristics of participants were examined, and correlates of rectal STI positivity were analysed. RESULTS: Of the 205 rectal samples returned and eligible for testing, 38 (18.5%) were positive for at least one STI. The women were young (mean age 25.8 years), mostly African-American (50.0%), and only 14.0% always used condoms. After adjusting for age and race, Black race (AOR=3.06) and vaginal STI positivity (AOR=40.6) were significantly correlated with rectal STI positivity. Of women testing positive for rectal STIs who also submitted vaginal swabs, 29.4% were negative in the vaginal sample. CONCLUSIONS: Internet-based rectal screening can reach populations that appear to be at high risk for rectal STIs (18.5% prevalence) and led to the diagnosis of STIs in women who would not have been diagnosed vaginally. Black race and vaginal STI positivity were highly correlated with rectal STI positivity.


Assuntos
Infecções por Chlamydia/diagnóstico , Preservativos/estatística & dados numéricos , Gonorreia/diagnóstico , Internet , Doenças Retais/diagnóstico , Comportamento Sexual/estatística & dados numéricos , Tricomoníase/diagnóstico , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Infecções por Chlamydia/epidemiologia , Feminino , Gonorreia/epidemiologia , Humanos , Programas de Rastreamento , Doenças Retais/epidemiologia , Infecções Sexualmente Transmissíveis/diagnóstico , Infecções Sexualmente Transmissíveis/epidemiologia , Tricomoníase/epidemiologia , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricos , Adulto Jovem
9.
Sex Transm Infect ; 90(2): 150-4, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24259189

RESUMO

OBJECTIVE: Previous randomised trial data have demonstrated that male circumcision reduces Mycoplasma genitalium prevalence in men. We assessed whether male circumcision also reduces M genitalium infection in female partners of circumcised men. METHODS: HIV-negative men were enrolled and randomised to either male circumcision or control. Female partners of male trial participants from the intervention (n=437) and control (n=394) arms provided interview information and self-collected vaginal swabs that were tested for M genitalium by APTIMA transcription-mediated amplification-based assay. Prevalence risk ratios (PRR) and 95% CI of M genitalium prevalence in intervention versus control group were estimated using Poisson regression. Analysis was by intention-to-treat. An as-treated analysis was conducted to account for study-group crossovers. RESULTS: Male and female partner enrolment sociodemographic characteristics, sexual behaviours, and symptoms of sexually transmitted infections were similar between study arms. Female M genitalium prevalence at year 2 was 3.2% (14/437) in the intervention arm and 3.6% (14/394) in the control arm (PRR=0.90, 95% CI 0.43 to 1.89, p=0.78). In an as-treated analysis, the prevalence of M genitalium was 3.4% in female partners of circumcised men and 3.3% in female partners of uncircumcised men (PRR=1.01, 95% CI 0.48 to 2.12, p=0.97). CONCLUSIONS: Contrary to findings in men, male circumcision did not affect M genitalium infection in female partners.


Assuntos
Circuncisão Masculina , Infecções por HIV/epidemiologia , Infecções por Mycoplasma/epidemiologia , Mycoplasma genitalium/isolamento & purificação , Parceiros Sexuais , Vagina/microbiologia , Adolescente , Adulto , Feminino , Infecções por HIV/prevenção & controle , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Técnicas de Diagnóstico Molecular , Infecções por Mycoplasma/microbiologia , Infecções por Mycoplasma/prevenção & controle , Distribuição de Poisson , Fatores de Risco , Comportamento Sexual , Uganda/epidemiologia
10.
Int J STD AIDS ; 24(9): 736-44, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23970594

RESUMO

Professional organizations recommend rescreening chlamydia-infected women. The iwantthekit Internet-screening programme offered rescreening opportunities by using iwantthekit. Mailed, home-collected vaginal swabs were tested for chlamydia, gonorrhoea, and trichomoniasis by nucleic acid amplification tests. Demographics and risk behaviours of repeat users were determined from questionnaires. Predictors of repeat users were measured in a matched case-control study. Of 1747 women, 304 (17%), who used iwantthekit, indicated they had used the kit previously. Mean age was 24.7 ± 5.7 years and 69% were African-American. Repeat iwantthekit users were more likely to be aged ≥ 20 years (OR=2.10); were more likely to have been treated for a sexually transmitted infection (OR=2.32); less likely to drink alcohol before sex (OR=0.63); and to never use condoms (OR=0.43). Of repeat users, 84.2% had a negative prior test and 15.8% had a positive. At current test, 13.2% were infected. Previous trichomoniasis was associated with current trichomoniasis (p<0.05). The iwantthekit may offer rescreening opportunities for previously infected women.


Assuntos
Internet , Programas de Rastreamento/métodos , Infecções Sexualmente Transmissíveis/diagnóstico , Adolescente , Adulto , Infecções por Chlamydia/epidemiologia , Chlamydia trachomatis/isolamento & purificação , Feminino , Gonorreia/epidemiologia , Humanos , Neisseria gonorrhoeae/isolamento & purificação , Técnicas de Amplificação de Ácido Nucleico/métodos , Prevalência , Fatores de Risco , Comportamento Sexual , Infecções Sexualmente Transmissíveis/prevenção & controle , Fatores Socioeconômicos , Inquéritos e Questionários , Vaginite por Trichomonas/epidemiologia , Trichomonas vaginalis/isolamento & purificação , Estados Unidos/epidemiologia , Adulto Jovem
11.
J Clin Microbiol ; 51(9): 2913-20, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23804384

RESUMO

Accurate point-of-care (POC) diagnostic tests for Chlamydia trachomatis infection are urgently needed for the rapid treatment of patients. In a blind comparative study, we evaluated microwave-accelerated metal-enhanced fluorescence (MAMEF) assays for ultrafast and sensitive detection of C. trachomatis DNA from vaginal swabs. The results of two distinct MAMEF assays were compared to those of nucleic acid amplification tests (NAATs). The first assay targeted the C. trachomatis 16S rRNA gene, and the second assay targeted the C. trachomatis cryptic plasmid. Using pure C. trachomatis, the MAMEF assays detected as few as 10 inclusion-forming units/ml of C. trachomatis in less than 9 min, including DNA extraction and detection. A total of 257 dry vaginal swabs from 245 female adolescents aged 14 to 22 years were analyzed. Swabs were eluted with water, the solutions were lysed to release and to fragment genomic DNA, and MAMEF-based DNA detection was performed. The prevalence of C. trachomatis by NAATs was 17.5%. Of the 45 samples that were C. trachomatis positive and the 212 samples that were C. trachomatis negative by NAATs, 33/45 and 197/212 were correctly identified by the MAMEF assays if both assays were required to be positive (sensitivity, 73.3%; specificity, 92.9%). Using the plasmid-based assay alone, 37/45 C. trachomatis-positive and 197/212 C. trachomatis-negative samples were detected (sensitivity, 82.2%; specificity, 92.9%). Using the 16S rRNA assay alone, 34/45 C. trachomatis-positive and 197/212 C. trachomatis-negative samples were detected (sensitivity, 75.5%; specificity, 92.9%). The overall rates of agreement with NAAT results for the individual 16S rRNA and cryptic plasmid assays were 89.5% and 91.0%, respectively. Given the sensitivity, specificity, and rapid detection of the plasmid-based assay, the plasmid-based MAMEF assay appears to be suited for clinical POC testing.


Assuntos
Técnicas Bacteriológicas/métodos , Infecções por Chlamydia/diagnóstico , Chlamydia trachomatis/isolamento & purificação , Técnicas de Diagnóstico Molecular/métodos , Sistemas Automatizados de Assistência Junto ao Leito , Adolescente , Infecções por Chlamydia/microbiologia , DNA Bacteriano/genética , DNA Bacteriano/isolamento & purificação , Feminino , Fluorescência , Humanos , Metais , Micro-Ondas , Plasmídeos , RNA Ribossômico 16S/genética , Sensibilidade e Especificidade , Fatores de Tempo , Vagina/microbiologia , Adulto Jovem
12.
J Clin Microbiol ; 51(6): 1666-72, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23467600

RESUMO

Tests for Chlamydia trachomatis and Neisseria gonorrhoeae, which can provide results rapidly to guide therapeutic decision-making, offer patient care advantages over laboratory-based tests that require several days to provide results. We compared results from the Cepheid GeneXpert CT/NG (Xpert) assay to results from two currently approved nucleic acid amplification assays in 1,722 female and 1,387 male volunteers. Results for chlamydia in females demonstrated sensitivities for endocervical, vaginal, and urine samples of 97.4%, 98.7%, and 97.6%, respectively, and for urine samples from males, a sensitivity of 97.5%, with all specificity estimates being ≥ 99.4%. Results for gonorrhea in females demonstrated sensitivities for endocervical, vaginal, and urine samples of 100.0%, 100.0%, and 95.6%, respectively, and for urine samples from males, a sensitivity of 98.0%, with all estimates of specificity being ≥ 99.8%. These results indicate that this short-turnaround-time test can be used to accurately test patients and to possibly do so at the site of care, thus potentially improving chlamydia and gonorrhea control efforts.


Assuntos
Técnicas Bacteriológicas/métodos , Chlamydia trachomatis/isolamento & purificação , Gonorreia/diagnóstico , Linfogranuloma Venéreo/diagnóstico , Técnicas de Diagnóstico Molecular/métodos , Neisseria gonorrhoeae/isolamento & purificação , Reação em Cadeia da Polimerase/métodos , Chlamydia trachomatis/genética , Feminino , Humanos , Masculino , Neisseria gonorrhoeae/genética , Sistemas Automatizados de Assistência Junto ao Leito , Sensibilidade e Especificidade , Fatores de Tempo
13.
Sex Transm Infect ; 89(6): 504-8, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23354525

RESUMO

BACKGROUND: Submission of self-collected penile samples collected at home could remove barriers that men face in getting tested for sexually transmitted infections (STIs). METHODS: From December 2006 to July 2012, sexually active men aged ≥14 years were recruited by an educational internet program (http://www.iwantthekit.org) which offered free testing for Trichomonas vaginalis infection. Kits were ordered online and swabs were sent via US mail to the laboratory and tested by nucleic acid amplification tests. Demographics and sexual risk factors were accessed by questionnaires. Men called or were contacted to receive their results. Risk factors for trichomonas infection were determined by multivariate logistic regression RESULTS: Of 4398 men requesting kits, 1699 (38.6%) returned swabs by mail (55.4% returned in 2012). Forty-one percent of men were aged <25 years, 43% were black subjects and 45% were white. The overall prevalence for trichomonas in the 1699 men was 3.7%; the highest prevalence by age group was for men aged 40-49 years (5.2%) and, by year, 216 men screened in 2008 had the highest prevalence (12.5%). Risk factors for 919 men whose risk information was collected by questionnaire (prevalence 6.0%) indicated that 9.6% had a concurrent chlamydia infection. Significantly associated risks factors included: black race (adjusted OR 2.67), residence in Illinois (OR 12.02), age 30-39 years (OR 6.63) and age >40 years (OR 5.31). CONCLUSIONS: A fairly high prevalence of trichomonas and sexual risk factors were demonstrated from internet recruitment of men. This method of engaging men to get screened for trichomonas may augment screening in STI clinics.


Assuntos
Pênis/parasitologia , Autoadministração/métodos , Manejo de Espécimes/métodos , Tricomoníase/diagnóstico , Trichomonas vaginalis/isolamento & purificação , Adolescente , Adulto , Humanos , Illinois , Internet , Masculino , Pessoa de Meia-Idade , Técnicas de Diagnóstico Molecular/métodos , Parasitologia/métodos , Prevalência , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
14.
J Pediatr Adolesc Gynecol ; 26(1): 36-9, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23158750

RESUMO

STUDY OBJECTIVE: Mycoplasma genitalium (MG) is a sexually transmitted pathogen linked to female morbidity, but testing for MG is not standardized. We aimed to determine which point-of-care (POC) vaginal tests could predict MG infection. DESIGN, SETTING, PARTICIPANTS: A cross sectional study recruited sexually active adolescent women, aged 14-22 y (n = 217) from an urban medical center. INTERVENTIONS AND MAIN OUTCOME MEASURES: Vaginal swabs were POC tested for pH, amines, clue cells, sialidase, and Trichomonas vaginalis (TV). MG was detected by research-use-only transcription mediated amplification (TMA) assay. Presence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) were confirmed using TMA. Three criteria were required for diagnosis of clinical BV: pH > 4.5, presence of amines, and >20% clue cells. Associations were assessed using logistic regression (LR). RESULTS: TMA detected MG in 30 (14%), CT in 49 (23%), and NG in 21 (10%) of the samples tested. POC vaginal tests were positive for TV in 21%, amines in 52%, clue cells in 33%, sialidase in 22%, pH > 4.5 in 56%, and clinical BV in 19% of the samples tested. Using LR, pH > 4.5 was a predictor of MG (odds ratio 4.4, P < .05). Of 131 women without clinical BV or TV, 25% of those with pH > 4.5 had MG, compared to 9% of those with pH ≤ 4.5 (P = .02). CONCLUSIONS: Until standardized, approved testing for MG is available, pH may be a useful indicator to suspect MG, especially in the absence of BV and TV.


Assuntos
Infecções por Mycoplasma/diagnóstico , Mycoplasma genitalium/isolamento & purificação , Vagina/química , Vagina/microbiologia , Adolescente , Estudos Transversais , Feminino , Humanos , Concentração de Íons de Hidrogênio , Modelos Logísticos , Fatores de Risco , Esfregaço Vaginal , Adulto Jovem
15.
Sex Transm Infect ; 89(4): 305-7, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23093735

RESUMO

BACKGROUND: Self-obtained penile-meatal swabs and urine specimens have been used for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV) for outreach screening in men. OBJECTIVE: To compare the sensitivity of self-collected male penile-meatal swabs and urine for the detection of CT, NG and TV. METHODS: Matching penile-meatal swabs and urines were collected at home after recruitment to the study; via the internet programme, http://www.iwantthekit.org. The instructions directed the participant to place the tip of a Copan flocked swab at the meatal opening of the urethra to collect the penile-meatal sample. Two ml of urine was collected after the swab onto a Copan sponge-on-a-shaft collection device. Both swab and urine were placed into individual Aptima transport media tubes and mailed to the laboratory for testing. All specimens were tested for CT and NG using the GenProbe Aptima Combo2 Assay and for TV using GenProbe Aptima Analyte Specific Reagents with TV oligonucleotides. RESULTS: Of 634 men, 86 (13.6%) were positive for CT, 9 (1.4%) were positive for NG and 56 (9.3%) positive for TV. For CT, swab sensitivity was 81/86 (94.2%), and urine sensitivity was 66/86 (76.7%). For NG, swab sensitivity was 9/9 (100%) and urine sensitivity was 8/9 (88.9%). For TV, swab sensitivity was 45/56 (80.4%) and urine sensitivity was 22/56 (39.3%). CONCLUSIONS: Self-obtained penile-meatal swabs provided for the detection of more CT, NG and TV, than urine specimens.


Assuntos
Chlamydia trachomatis/metabolismo , Neisseria gonorrhoeae/metabolismo , Técnicas de Amplificação de Ácido Nucleico/métodos , Pênis , Manejo de Espécimes/métodos , Trichomonas vaginalis/metabolismo , Uretra/microbiologia , Uretra/parasitologia , Adulto , Instituições de Assistência Ambulatorial , Chlamydia trachomatis/genética , Humanos , Masculino , Neisseria gonorrhoeae/genética , Pênis/microbiologia , Pênis/parasitologia , Autocuidado , Sensibilidade e Especificidade , Trichomonas vaginalis/genética
16.
Diagn Microbiol Infect Dis ; 73(1): 16-20, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22578934

RESUMO

Dry-shipped and mailed vaginal swabs collected at home have been used in research studies for the detection of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (GC), and Trichomonas vaginalis (TV) by nucleic acid amplification tests (NAATs) in screening programs. A verification study was performed to compare the limit of detection of CT, GC, and TV on swabs that were dry-shipped to paired swabs that were wet-shipped in transport media through the US mail. The Centers for Disease Control and Prevention prepared inocula in sterile water to mock simulated urogenital swabs with high to low concentrations of CT and GC. Replicate swabs were inoculated with 100 µL of dilutions and were dry transported or placed into commercial transport media ("wet") for mailing for NAAT testing. The University of Alabama prepared replicate concentrations of TV, which were similarly shipped and tested by NAAT. All paired dry and wet swabs were detectable for CT. For GC, all paired dry and wet swabs were detectable for GC at concentrations ≥ 10(3). At 10(2) and 10 CFU/mL, the 10 replicate GC results were variably positive. For TV, wet and dry shipped concentrations >10(2) TV/mL tested positive, while results at 10 TV/mL were negative for dry swabs. Holding replicate dry swabs at 55 (○)C 5 days before testing did not affect results. NAATs were able to detect CT, GC, and TV on dry transported swabs. Using NAATs for testing home-collected, urogenital swabs mailed in a dry state to a laboratory may be useful for outreach screening programs.


Assuntos
Chlamydia trachomatis/isolamento & purificação , Dessecação , Neisseria gonorrhoeae/isolamento & purificação , Técnicas de Amplificação de Ácido Nucleico/métodos , Infecções Sexualmente Transmissíveis/diagnóstico , Manejo de Espécimes/métodos , Trichomonas vaginalis/isolamento & purificação , Chlamydia trachomatis/genética , Feminino , Humanos , Técnicas de Diagnóstico Molecular/métodos , Neisseria gonorrhoeae/genética , Projetos Piloto , Sensibilidade e Especificidade , Infecções Sexualmente Transmissíveis/microbiologia , Infecções Sexualmente Transmissíveis/parasitologia , Temperatura , Fatores de Tempo , Trichomonas vaginalis/genética , Estados Unidos , Adulto Jovem
17.
Sex Transm Dis ; 39(4): 276-80, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22421693

RESUMO

BACKGROUND: We determined the prevalence of urethral Mycoplasma genitalium (MG) infection and whether infection was associated with circumcision status among men enrolled in the randomized trial of medical male circumcision to prevent HIV acquisition in Kisumu, Kenya. METHODS: MG and Trichomonas vaginalis were detected in first void urine by APTIMA transcription-mediated amplification assay. first void urine and urethral swabs were assessed for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) by polymerase chain reaction assay. Herpes simplex virus type 2 antibodies were detected by IgG ELISA. Multivariable logistic regression identified factors associated with MG infection. RESULTS: Specimens were collected between July and September 2010, and 52 (9.9%; 95% confidence interval [CI]: 7.3%-12.4%) MG infections were detected among 526 men. N. gonorrhoeae and T. vaginalis were not associated with MG. CT coinfection was 5.8% in MG-infected men, and 0.8% among MG-uninfected men (P = 0.02). MG infection was predominantly asymptomatic (98%). The prevalence of MG was 13.4% in uncircumcised men versus 8.2% in circumcised men (P = 0.06). Being circumcised nearly halved the odds of MG (adjusted odds ratio [aQR] = 0.54; 95% CI: 0.29-0.99), adjusted for other variables significant at the P < 0.05 level: herpes simplex virus type 2 infection (aOR = 2.05; 95% CI: 1.05-4.00), CT infection (aOR = 2.69; 95% CI: 1.44-5.02), and washing the penis ≤1 hour after sex (aOR = 0.47; 95% CI: 0.24-0.95). CONCLUSIONS: MG infection was reduced among men who were circumcised, adding to the benefits of male circumcision in preventing several sexually transmitted infections.


Assuntos
Circuncisão Masculina , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/prevenção & controle , Mycoplasma genitalium , Uretrite/epidemiologia , Uretrite/prevenção & controle , Adolescente , Infecções por Chlamydia/epidemiologia , Infecções por Chlamydia/prevenção & controle , Coinfecção/epidemiologia , Coinfecção/prevenção & controle , Ensaio de Imunoadsorção Enzimática , Seguimentos , Soropositividade para HIV/epidemiologia , Herpes Genital/epidemiologia , Herpes Genital/prevenção & controle , Humanos , Quênia/epidemiologia , Modelos Logísticos , Masculino , Análise Multivariada , Infecções por Mycoplasma/microbiologia , Mycoplasma genitalium/isolamento & purificação , Reação em Cadeia da Polimerase , Uretrite/microbiologia , Adulto Jovem
18.
Sex Transm Dis ; 38(9): 828-32, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21844738

RESUMO

BACKGROUND: Submission of self-obtained vaginal samples (SOVs) collected at home could remove barriers that women face in getting tested for sexually transmitted infections (STIs). Internet recruitment of SOVs is highly acceptable. METHODS: Sexually active women ≥14 years were recruited by an educational Internet program, available at: www.iwantthekit.org (IWTK), which offered free testing for trichomonas as part of a panel, which also offered testing for chlamydia and gonorrhea. Kits were ordered online, SOVs were sent through US mail to the laboratory, and tested by nucleic acid amplification tests. Demographics and sexual risk factors were accessed by questionnaires. Women called or were contacted to receive their results. RESULTS: Of women requesting kits, 1525 (43%) returned swabs by mail. In all, 61% were <25 years, 52% were black, and 80% were single. Vaginal discharge was reported by 44%, prevalence for trichomonas was 10% (10% for chlamydia, 1% for gonorrhea), and 18% had at least one prevalent STI. Multivariate logistic regression demonstrated several significantly associated risks factors as follows: adjusted odds ratio for black race was 2.69; for residence of Illinois, 3.85; for not having health insurance, 1.57; for lack of a bachelor's degree, 5.53; for having 2 to 15 partners, 1.60; for having ≥16 partners in previous year, 3.51; for being bisexual, 2.0; for not always using condoms, 3.04; and for having a partner who had a previous STI, 1.71. Age was not associated with trichomonas infection. All infected women were treated. CONCLUSIONS: A high prevalence of trichomonas and high sexual risk factors were demonstrated. Internet recruitment was a useful method of screening women for trichomonas infection.


Assuntos
Internet , Programas de Rastreamento/economia , Vaginite por Trichomonas/diagnóstico , Trichomonas vaginalis/isolamento & purificação , Adolescente , Adulto , Análise Custo-Benefício , DNA Bacteriano/genética , Feminino , Humanos , Programas de Rastreamento/métodos , Valor Preditivo dos Testes , Prevalência , Fatores de Risco , Inquéritos e Questionários , Vaginite por Trichomonas/epidemiologia , Vaginite por Trichomonas/microbiologia , Trichomonas vaginalis/genética , Esfregaço Vaginal/economia , Adulto Jovem
19.
Physiol Genomics ; 43(18): 1056-64, 2011 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-21750231

RESUMO

Arctic charr thrive at high densities and can live in freshwater year round, making this species especially suitable for inland, closed containment aquaculture. However, it is a cold-water salmonid, which both limits where the species can be farmed and places wild populations at particular risk to climate change. Previously, we identified genes associated with tolerance and intolerance to acute, lethal temperature stress in Arctic charr. However, there remained a need to examine the genes involved in the stress response to more realistic temperatures that could be experienced during a summer heat wave in grow-out tanks that are not artificially cooled, or under natural conditions. Here, we exposed Arctic charr to sublethal heat stress of 15-18°C for 72 h, and gill tissues extracted before, during (i.e., at 72 h), immediately after cooling and after 72 h of recovery at ambient temperature (6°C) were used for gene expression profiling by microarray and qPCR analyses. The results revealed an expected pattern for heat shock protein expression, which was highest during heat exposure, with significantly reduced expression (approaching control levels) quickly thereafter. We also found that the expression of numerous ribosomal proteins was significantly elevated immediately and 72 h after cooling, suggesting that the gill tissues were undergoing ribosome biogenesis while recovering from damage caused by heat stress. We suggest that these are candidate gene targets for the future development of genetic markers for broodstock development or for monitoring temperature stress and recovery in wild or cultured conditions.


Assuntos
Animais Selvagens/genética , Aquicultura , Proteínas de Peixes/genética , Peixes/genética , Proteínas de Choque Térmico/genética , Resposta ao Choque Térmico/genética , Ribossomos/genética , Animais , Regiões Árticas , Biomarcadores/metabolismo , Tamanho Corporal/genética , Peso Corporal/genética , Perfilação da Expressão Gênica , Regulação da Expressão Gênica , Análise de Sequência com Séries de Oligonucleotídeos , Reação em Cadeia da Polimerase , Reprodutibilidade dos Testes , Temperatura
20.
Physiol Genomics ; 43(11): 685-96, 2011 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-21467159

RESUMO

Arctic charr is an especially attractive aquaculture species given that it features the desirable tissue traits of other salmonids and is bred and grown at inland freshwater tank farms year round. It is of interest to develop upper temperature tolerant (UTT) strains of Arctic charr to increase the robustness of the species in the face of climate change and to enable production in more southern regions. We used a genomics approach that takes advantage of the well-studied Atlantic salmon genome to identify genes that are associated with UTT in Arctic charr. Specifically, we conducted an acute temperature trial to identify temperature tolerant and intolerant Arctic charr individuals, which were subject to microarray and qPCR analysis to identify candidate UTT genes. These were compared with genes annotated in a quantitative trait locus (QTL) region that was previously identified as associated with UTT in rainbow trout and Arctic charr and that we sequenced in Atlantic salmon. Our results suggest that small heat shock proteins as well as HSP-90 genes are associated with UTT. Furthermore, hemoglobin expression was significantly downregulated in tolerant compared with intolerant fish. Finally, QTL analysis and expression profiling identified COUP-TFII as a candidate UTT gene, although its specific role is unclear given the identification of two transcripts, which appear to have different expression patterns. Our results highlight the importance of using more than one approach to identify candidate genes, particularly when examining a complicated trait such as UTT in a highly complex genome for which there is no reference genome.


Assuntos
Proteínas de Peixes/genética , Genoma , Temperatura Alta , Truta/genética , Animais , Regiões Árticas , Mapeamento Cromossômico , Perfilação da Expressão Gênica , Genômica , Hemoglobinas/genética , Regiões Promotoras Genéticas , Locos de Características Quantitativas , Estresse Fisiológico/genética , Truta/fisiologia
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