PMID- 33346906 OWN - NLM STAT- MEDLINE DCOM- 20210818 LR - 20210818 IS - 1896-1851 (Electronic) IS - 1230-2821 (Print) IS - 1230-2821 (Linking) VI - 66 IP - 2 DP - 2021 Jun TI - Rapid and Reliable Detection of Echinococcus multilocularis from Faeces Using Droplet Digital PCR. PG - 553-559 LID - 10.1007/s11686-020-00325-9 [doi] AB - PURPOSE: Alveolar echinococcosis is a severe helminthic disease in humans caused by larvae of the fox tapeworm Echinococcus multilocularis. Austria is considered an endemic area with hotspots having up to 45% prevalence (Bago et al. in Proceedings of the Zoo and Wildlife Health Conference 2019, Berlin, p. 91, 2019). At our facility, we have registered a notifiable increase of animals submitted for the diagnosis of E. multilocularis since 2016. Therefore, we investigated high throughput diagnostic methods to provide rapid and reliable results in comparison with our current method. METHODS: We have developed and compared a novel method of detection using droplet digital PCR (ddPCR) combined with previous target specific extraction according to Maas et al. (Vet Parasitol 230:20-24, 2016), with our current macroscopic method "Shaking in a Vessel Technique" (SVT) by Duscher et al. (Parasitol Res 95(1):40-42, 2005). We investigated 77 wild canids (72 red foxes, 5 golden jackals) using both methods. The data were analyzed using a non-Bayesian approach, applying bootstrapping to create confidentiality intervals. RESULTS: Sensitivity for droplet digital PCR was 90.51% with the 95% credibility interval ranging from 82.50 to 96.92%, whereas mean sensitivity for SVT was 92.04% with a 95% credibility interval ranging from 84.75% to 98.36%. Additionally, a non-linear regression similar to R(2) could be pointed out between the counted worms and the results gathered from ddPCR. CONCLUSION: Magnetic capture extraction followed by ddPCR shows strong potential as a high throughput method for diagnosing E. multilocularis prevalence in diverse canid populations as well as infection intensities of individual animals, giving valuable epidemiological insights of the distribution amongst wild canids as an alternative to conventional qPCR or macroscopic methods. FAU - Bago, Fabian AU - Bago F AUID- ORCID: 0000-0002-0566-0329 AD - Research Institute of Wildlife Ecology, Department for Interdisciplinary Life Sciences, Vetmeduni Vienna, Savoyenstrasse 1, 1160, Vienna, Austria. fabian.bago@vetmeduni.ac.at. FAU - Hoelzl, Franz AU - Hoelzl F AUID- ORCID: 0000-0001-9717-4338 AD - Konrad Lorenz Institute of Ethology, Department for Interdisciplinary Life Sciences, Vetmeduni Vienna, Savoyenstrasse 1, 1160, Vienna, Austria. FAU - Knauer, Felix AU - Knauer F AD - Conservation Medicine Unit, Research Institute of Wildlife Ecology, Department for Interdisciplinary Life Sciences, Vetmeduni Vienna, Savoyenstrasse 1, 1160, Vienna, Austria. FAU - Kubber-Heiss, Anna AU - Kubber-Heiss A AD - Research Institute of Wildlife Ecology, Department for Interdisciplinary Life Sciences, Vetmeduni Vienna, Savoyenstrasse 1, 1160, Vienna, Austria. FAU - Smith, Steve AU - Smith S AUID- ORCID: 0000-0002-1318-0018 AD - Konrad Lorenz Institute of Ethology, Department for Interdisciplinary Life Sciences, Vetmeduni Vienna, Savoyenstrasse 1, 1160, Vienna, Austria. LA - eng PT - Journal Article DEP - 20201221 PL - Switzerland TA - Acta Parasitol JT - Acta parasitologica JID - 9301947 SB - IM MH - Animals MH - *Echinococcosis/diagnosis/epidemiology/veterinary MH - *Echinococcus multilocularis/genetics MH - Feces MH - Foxes MH - Humans MH - Real-Time Polymerase Chain Reaction PMC - PMC8166707 OTO - NOTNLM OT - Droplet digital PCR OT - Echinococcus multilocularis OT - Foxes OT - Golden jackals OT - Magnetic capture extraction COIS- On behalf of all authors, the corresponding author states that there is no conflict of interest. EDAT- 2020/12/22 06:00 MHDA- 2021/08/19 06:00 PMCR- 2020/12/21 CRDT- 2020/12/21 12:10 PHST- 2020/10/01 00:00 [received] PHST- 2020/12/02 00:00 [accepted] PHST- 2020/12/22 06:00 [pubmed] PHST- 2021/08/19 06:00 [medline] PHST- 2020/12/21 12:10 [entrez] PHST- 2020/12/21 00:00 [pmc-release] AID - 10.1007/s11686-020-00325-9 [pii] AID - 325 [pii] AID - 10.1007/s11686-020-00325-9 [doi] PST - ppublish SO - Acta Parasitol. 2021 Jun;66(2):553-559. doi: 10.1007/s11686-020-00325-9. Epub 2020 Dec 21.