Laboratory and Basic Science Research Commons^™

Assessment Of Dual Schistosome Infection Prevalence From Urine In An Endemic Community Of Ghana By Molecular Diagnostic Approach, William K. Anyan, Brittany R. Pulkkila, Clare E. Dyra, Miriam Price, Jean M. Naples, Joseph Quartey, Abraham K. Anang, Nilanjan Lodh

Clinical Lab Sciences Faculty Research and Publications

Schistosomiasis is an important Neglected Tropical Disease caused by blood parasites called schistosomes. In sub-Saharan Africa, two major human schistosomes, namely Schistosoma mansoni and S. haematobium, often occur sympatrically and is responsible for almost 90% of the affected 290 million people worldwide. We have utilized a highly sensitive and specific assay by amplifying species-specific cell-free repeat DNA fragments by polymerase chain reaction to detect either single or dual schistosome infection from a single urine sample from a broad age group. In this study, we have tested filtered urine samples collected from 163 individuals aged 3–63 years, mostly children (median …

Staphylococcus Aureus Resistance Patterns In Wisconsin: 2018 Surveillance Of Wisconsin Organisms For Trends In Antimicrobial Resistance And Epidemiology (Swotare) Program Report, Rebecca H. Schulte, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

Objective: Surveillance of antimicrobial resistance patterns on a local level can reveal paradigms not obvious on a regional or national scale. Data collection from this perspective may potentially impact local prescribing patterns and empiric treatment guidelines. The objective of this study was to establish a baseline Staphylococcus aureus antibiogram for the state of Wisconsin and to elucidate potential geographic and demographic factors associated with antimicrobial resistance.

Design: Multi-center laboratory surveillance, with testing at a single site utilizing standardized media and susceptibility testing protocols.

Methods: 309 isolates of clinically-significant S. aureus were collected from hospital microbiology laboratories across Wisconsin in 2018, …

Whither Extensive Genomic-Based Microbial Taxonomic Revision?, Erik Munson, Karen C. Carroll

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

The Photo Quiz: A Look Back And A Look Forward, Erik Munson, Alexander J. Mcadam

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Testing The Infection Prevalence Of Schistosoma Mansoni After Mass Drug Administration By Comparing Sensitivity And Specificity Of Species- Specific Repeat Fragment Amplification By Pcr And Loop-Mediated Isothermal Amplification, Miriam Price, Austin Cyrs, Chummy Sikasunge, James C. L. Mwansa, Nilanjan Lodh

Clinical Lab Sciences Faculty Research and Publications

Schistosomiasis is a blood parasitic disease caused by trematode parasites of the

genus Schistosoma. Schistosoma mansoni is one of the main contributors of the disease and 90% of the global burden of schistosomiasis is in Africa. Mass drug administration (MDA) has been implemented to reduce the disease burden in endemic areas. Because of MDA, the diagnostic sensitivity and specificity for classical diagnostic tests are reduced. In any disease situation, diagnosis is vital in determining asymptomatic, concurrent, current, new, and reinfection cases to evaluate the efficacy of any control program. We have evaluated the positive infection for S. mansoni from …

Strengthening Public Health In Wisconsin Through The Wisconsin Clinical Laboratory Network, Allen C. Bateman, Erin J. Bowles, Erik Munson, Raymond P. Podzorski, Eric T. Beck, Richard Dern, Alana K. Sterkel, David M. Warshauer, Peter A. Shult

Clinical Lab Sciences Faculty Research and Publications

The Wisconsin Clinical Laboratory Network (WCLN) at the University of Wisconsin–Madison is a partnership of 138 clinical and public health laboratories (as of February 2019) coordinated by the Wisconsin State Laboratory of Hygiene. This article describes the WCLN, its current activities, and lessons learned through this partnership. A laboratory technical advisory group, which consists of representatives from clinical laboratories, provides clinical laboratory perspective to the WCLN and fosters communication among laboratories. Activities and resources available through the WCLN include annual regional meetings, annual technical workshops, webinars, an email listserv, laboratory informational messages, in-person visits by a WCLN coordinator to clinical …

Determination Of Mic And Disk Diffusion Quality Control Guidelines For Meropenem–Vaborbactam, A Novel Carbapenem/Boronic Acid Β-Lactamase Inhibitor Combination, Erik Munson, Michael D. Huband, Mariana Castanheira, Kelley A. Fedler, Robert K. Flamm

Clinical Lab Sciences Faculty Research and Publications

Meropenem–vaborbactam is a carbapenem/cyclic boronic acid β-lactamase inhibitor combination primarily active against Gram-negative bacilli, including those harboring class A serine carbapenemases such as Klebsiella pneumoniae carbapenemase (KPC). A Clinical and Laboratory Standards Institute M23-A4 (Tier 2) quality control study established broth microdilution and disk diffusion ranges for reference strains. Two KPC-producing K. pneumoniae ATCC strains are recommended for quality control testing.

Biographical Feature: Richard B. (Tom) Thomson, Jr., Ph.D., D(Abmm), F(Aam), Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Laboratory Focus On Improving The Culture Of Biosafety: Statewide Risk Assessment Of Clinical Laboratories That Process Specimens For Microbiologic Analysis, Erik Munson, Erin J. Bowles, Richard Dern, Eric Beck, Raymond P. Podzorski, Allen C. Batemman, Timothy K. Block, Joshua L. Kropp, Tyler Radke, Karen Siebers, Brian Simmons, Mary A. Smith, Frances Spray-Larson, David M. Warshauer

Clinical Lab Sciences Faculty Research and Publications

The Wisconsin State Laboratory of Hygiene challenged Wisconsin laboratories to examine their biosafety practices and improve their culture of biosafety. One hundred three clinical and public health laboratories completed a questionnaire-based, microbiology-focused biosafety risk assessment. Greater than 96% of the respondents performed activities related to specimen processing, direct microscopic examination, and rapid nonmolecular testing, while approximately 60% performed culture interpretation. Although they are important to the assessment of risk, data specific to patient occupation, symptoms, and travel history were often unavailable to the laboratory and, therefore, less contributory to a microbiology-focused biosafety risk assessment than information on the specimen source …

A Retrospective Analysis Of Treatment And Clinical Outcomes Among Patients With Methicillin-Susceptible Staphlococcus Aureus Bloodstream Isolates Possessing Detecable Meca By A Commercial Pcr Assay Compared To Patients With Methicillin-Resistant Staphylococcus Aureus Bloodstream Isolates, Dylan Jones, Ramy Elshaboury, Erik Munson, Thomas J. Dilworth

Clinical Lab Sciences Faculty Research and Publications

mecA-positive Staphylococcus aureus isolates phenotypically susceptible to cefoxitin (mecA-methicillin-sensitive S. aureus[MSSA]) have been identified. We describe the treatment and outcomes among patients with mecA-MSSA bloodstream infections (BSI) and MRSA BSI matched 1:1 for age, BSI origin, and BSI type (n = 17 per group). Compared to MRSA BSI patients, mecA-MSSA BSI patients more often experienced clinical failure (58.8% and 11.8%, P = 0.010), driven largely by persistent bacteremia (35.3% and 11.8%). mecA-MSSA BSI patients may be at higher risk for poor clinical outcomes.

A Preliminary Investigation Of Acculturative Stress And Diurnal Cortisol Among Latina Women, Lucas Torres, Felicia Mata-Greve, April L. Harkins

Clinical Lab Sciences Faculty Research and Publications

The interplay between biological and cultural factors has remained understudied among ethnic minority groups, including Latinos. To the best of our knowledge, minimal to no research has examined the relationship between acculturative stressors and diurnal cortisol among Latina women. This initial exploratory study sought to examine the relationship between cortisol and acculturative stress. Among a small sample of adult Latina women, salivary cortisol was collected at 3 time points (waking, 30 min postwaking, and bedtime) to assess the cortisol awakening response (CAR) and diurnal cortisol response. Information regarding acculturative stress and acculturation was also collected. The major results showed that …

Detection Of Duo-Schistosome Infection From Filtered Urine Samples From School Children In Zambia After Mda, Megan J. Hessler, Austin Cyrs, Steven C. Krenzke, El Shaimaa Mahmoud, Chummy Sikasunge, James C. L. Mwansa, Nilanjan Lodh

Clinical Lab Sciences Faculty Research and Publications

Schistosomiasis is one of the major Neglected Tropical Diseases (NTDs) in sub-Saharan Africa. In sub-Saharan Africa, two major human schistosome species namely Schistosoma mansoniand S. haematobium often occur sympatrically largely affecting children. Recognizing the public health impact of Schistosomiasis, the World Health Organization (WHO) is urging member states to regularly treat at least 75% and up to 100%, of all school-aged children at risk of morbidity. For control strategies based on targeted mass drug administration (MDA) to succeed it is essential to have a simple and sensitive test for monitoring the success of these interventions. Current available diagnostic …

Surveillance Of Wisconsin Organisms For Trends In Antimicrobial Resistance And Epidemiology (Swotare): Epidemiologic Correlates For 2016 Surveillance Isolates, Erik Munson, Heather Zeman, Erin Hueppchen

Clinical Lab Sciences Faculty Research and Publications

Background: The Centers for Disease Control and Prevention advocate data collection and monitoring as one facet of a comprehensive approach to combat antimicrobial resistance in the United States. However, a paucity of such data exists at the local/state level for common disease-causing organisms.

Methods: To begin to characterize epidemiologic correlates of antibacterial resistance in Wisconsin, data analyses were performed with respect to isolates in the Surveillance of Wisconsin Organisms for Trends in Antimicrobial Resistance and Epidemiology (SWOTARE) 2016 collection. In addition to submitting isolates of Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa, and Streptococcus pneumoniae, participating laboratories were also requested to …

Photo Quiz: A 69-Year-Old Immunosuppressed Male With Chest Pain And Shortness Of Breath, Robin Olson, Kimber L. Munson, Maureen Napierala, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Answer To November Photo Quiz: Campylobacter Jejuni Pleuritis, Robin Olson, Kimber L. Munson, Maureen Napierala, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Molecular Diagnostics Update For The Emerging (If Not Already Widespread) Sexually Transmitted Infection Agent Mycoplasma Genitalium: Just About Ready For Prime Time, Munson Erik

Clinical Lab Sciences Faculty Research and Publications

Mycoplasma genitalium is an important and emerging agent of sexually transmitted infection in females and males, carrying the potential for postinfection genital tract sequelae. Past efforts to identify this organism on a routine basis, which were problematic due to the fastidious nature of the bacterium and its antigenic intricacies, have recently become supplemented by molecular diagnostics. A number of these assays are available commercially. This minireview describes the format and performance indices of a number of M. genitalium DNA- and RNA-based amplification assays; many of these assays have contributed to an improved clinical and epidemiologic understanding of this organism.

Point Of Care Diagnosis Of Multiple Schistosome Parasites: Species-Specific Dna Detection In Urine By Loop-Mediated Isothermal Amplification (Lamp), Nilanjan Lodh, Kei Mikita, Kwabena M. Bosompem, William K. Anyan, Joseph K. Quartey, Joseph Otchere, Clive J. Shiff

Clinical Lab Sciences Faculty Research and Publications

Schistosomes are easily transmitted and high chance of repeat infection, so if control strategies based on targeted mass drug administration (MDA) are to succeed it is essential to have a test that is sensitive, accurate and simple to use. It is known and regularly demonstrated that praziquantel does not always eliminate an infection so in spite of the successes of control programs a residual of the reservoir survives to re-infect snails. The issue of diagnostic sensitivity becomes more critical in the assessment of program effectiveness. While serology, such as antigen capture tests might improve sensitivity, it has been shown that …

Results Of A Local Combination Therapy Antibiogram For Pseudomonas Aeruginosa Isolates: Is Double Worth The Trouble?, Matthew Song, Thomas J. Dilworth, Erik Munson, Jim Davis, Ramy Elshaboury

Clinical Lab Sciences Faculty Research and Publications

Purpose:

To determine the frequency at which fluoroquinolones and aminoglycosides demonstrate in vitro activity against non-urinary, non-skin/skin structure Pseudomonas aeruginosa isolates exhibiting decreased susceptibilities to one or more β-lactam agents.

Methods:

β-lactam-non-susceptible P. aeruginosa isolates recovered from blood, bone, lower respiratory tract, pleural fluid, cerebrospinal fluid, or peritoneal fluid cultures between October 2010 and October 2014 were reviewed from four community hospitals within a single health-system. Only the first isolate per patient was included for analysis. The likelihood that each isolate was susceptible to a non-β-lactam antimicrobial was then determined and summarized within a combination antibiogram.

Results:

In total, 179 …

Biographical Feature: Thomas F. Smith, Ph.D., Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Correction For Munson And Carroll, “What’S In A Name? New Bacterial Species And Changes To Taxonomic Status From 2012 Through 2015”, Erik Munson, Karen C. Carroll

Clinical Lab Sciences Faculty Research and Publications

Author Correction.

Diagnosis Of Strongyloides Stercoralis: Detection Of Parasite-Derived Dna In Urine, Nilanjan Lodh, Reynaldo Caro, Shterna Sofer, Alan Scott, Alejandro Krolewiecki, Clive J. Shiff

Clinical Lab Sciences Faculty Research and Publications

Detecting infections of Strongyloides stercoralis is arduous and has low sensitivity. Clinically this is a major problem because chronic infections may disseminate in the host and lead to a life threatening condition. Epidemiologically, S. stercoralis is often missed in surveys as it is difficult to identify by standard stool examination procedures. We present, for the first time, evidence that the infection can be detected in filtered urine samples collected and processed in the field and subsequently assayed for the presence of parasite DNA. Urine specimens (∼40 mL) were collected from 125 test and control individuals living in rural and peri-urban …

Update On Laboratory Diagnosis And Epidemiology Of Trichomonas Vaginalis: You Can Teach An “Old” Dog “New” Trichs, Erik Munson, Maureen Napierala, Kimber L. Munson

Clinical Lab Sciences Faculty Research and Publications

Past viewpoints on Trichomonas vaginalis infection have characterized the associated clinical disease as a “nuisance” condition, with affected demographics largely being older African American females residing in urban centers. The advent of commercial molecular assays specific for T. vaginalis has offered a new outlook on trichomoniasis. Within high-prevalence sexually transmitted infection populations, parasite distribution is not localized to specific population centers, and T. vaginalis prevalence is elevated among both younger and older age groups. Adaptation of these molecular assays can additionally facilitate male screening and subsequent epidemiologic characterization. These findings, combined with associations between T. vaginalis infection and human immunodeficiency …

Arthritis Is Developed In Borrelia-Primed And -Infected Mice Deficient Of Interleukin-17, Joseph Kuo, Thomas F. Warner, Erik Munson, Dean T. Nardelli, Ronald F. Schell

Clinical Lab Sciences Faculty Research and Publications

Interleukin-17 (IL-17) has been shown to participate in the development of Lyme arthritis in experimental mice. For example, neutralization of IL-17 with antibodies inhibits induction of arthritis in Borrelia-primed and -infected C57BL/6 wild-type mice. We hypothesized that mice lacking IL-17 would fail to develop Borrelia-induced arthritis. IL-17-deficient and wild-type C57BL/6 mice were primed with heat-inactivated Borrelia and then infected with viable spirochetes 3 weeks later. No swelling or major histopathological changes of the hind paws were detected in IL-17-deficient or wild-type mice that were primed with Borrelia or infected with viable spirochetes. By contrast, IL-17-deficient and wild-type mice …

Acute Respiratory Distress Syndrome Caused By Plasmodium Falciparum Infection, Erik Munson, Patricia G. Luedke, William D. Timm

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Application Of Alternative Nucleic Acid Extraction Protocols To Progastro Sscs Assay For Detection Of Bacterial Enteric Pathogens, Erik Munson, Maureen Napierala, Kimber L. Munson, Dorothy Bilbo, Michael A. Schulte

Clinical Lab Sciences Faculty Research and Publications

As an alternative to automated extraction, fecal specimens were processed by investigational lysis/heating (i.e., manual) and by chromatography/centrifugation (i.e., column) methods. ProGastro SSC and Shiga toxin-producing Escherichia coli (i.e., STEC) indeterminate rates for 101 specimens were 1.0% to 3.0% for automated, 11.9% for manual, and 24.8% to 37.6% for column methods. Following freeze-thaw of 247 specimens, indeterminate rates were 1.6% to 2.4% for manual and 0.8 to 5.3% for column methods. Mean processing times for manual and column methods were 30.5 and 69.2 min, respectively. Concordance of investigational methods with automated extraction was ≥98.8%.

Suboptimal Trichomonas Vaginalis Antigen Test Performance In A Low-Prevalence Sexually Transmitted Infection Community, Kimber L. Munson, Maureen Napierala, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Biographical Feature: Clyde Thornsberry, Ph.D., Erik Munson

Clinical Lab Sciences Faculty Research and Publications

No abstract provided.

Clinical Laboratory Assessment Of Mycoplasma Genitalium Transcription-Mediated Amplification Using Primary Female Urogenital Specimens, Erik Munson, Holly Bykowski, Kimber L. Munson, Maureen Napierala, Pamela J. Reiss, Ronald F. Schell, Jeanne E. Hryciuk

Clinical Lab Sciences Faculty Research and Publications

Following analysis of primary cervix, vagina, and first-void female urine specimens for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis via commercial transcription-mediated amplification (TMA), residual material was subjected to Mycoplasma genitalium research-use-only TMA. Representation within a 2,478-specimen retrospective study set was established by comparison to a 6-month audit of clinical C. trachomatis TMA (12,999 specimens) on the basis of the C. trachomatis detection rate, specimen source distribution, clinic location, and age. M. genitalium was detected in 282 (11.4%) patients. This rate was higher than those seen with T. vaginalis (9.0%; P _ 0.005), C. trachomatis (6.2%), and N. …

Suboptimal Trichomonas Vaginalis Antigen Test Performance In A Low-Prevalence Sexually Transmitted Infection Community, Kimber L. Munson, Maureen Napierala, Erik Munson

Clinical Lab Sciences Faculty Research and Publications

Trichomonas vaginalis is the most common nonviral etiology of sexually transmitted infection (STI) worldwide. The OSOM Trichomonas rapid test (OSOM; Sekisui Diagnostics, San Diego, CA) is a rapid surrogate to microscopic analysis in symptomatic patients, but its performance in low-prevalence STI populations has been assessed on a limited basis in the literature. OSOM has widespread usage, as accreditation data from the College of American Pathologists report that over 300 participant laboratories utilize this assay on an annual basis. We sought to characterize the analytical and clinical performance of OSOM in a low-prevalence STI population on the basis of a commercial …

Fabrication Of Multianalyte Ceo2 Nanograin Electrolyte–Insulator–Semiconductor Biosensors By Using Cf4 Plasma Treatment, Chyuan Haur Kao, Hsiang Chen, Fang Yao Stephen Hou, Shan Wei Chang, Che Wei Chang, Chao Sung Lai, Chin Pang Chen, Yun Yang He, Shang-Ren Lin, Kun Min Hsieh, Min Han Lin

Clinical Lab Sciences Faculty Research and Publications

Multianalyte CeO₂ biosensors have been demonstrated to detect pH, glucose, and urine concentrations. To enhance the multianalyte sensing capability of these biosensors, CF₄ plasma treatment was applied to create nanograin structures on the CeO₂ membrane surface and thereby increase the contact surface area. Multiple material analyses indicated that crystallization or grainization caused by the incorporation of flourine atoms during plasma treatment might be related to the formation of the nanograins. Because of the changes in surface morphology and crystalline structures, the multianalyte sensing performance was considerably enhanced. Multianalyte CeO₂ nanograin electrolyte–insulator–semiconductor biosensors exhibit potential for use …