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Department of Clinical Sciences

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These digital collections include theses, dissertations, student publications, faculty publications, and datasets from the Department of Clinical Sciences.

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Browsing Department of Clinical Sciences by Author "Ballweber, Lora, committee member"

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    Acurracy assessment of four diagnostic tests for the detection of Giardia and Cryptosporidium in the absence of gold standard: a Bayesian approach
    (Colorado State University. Libraries, 2014) Palomares Velosa, Jairo Enrique, author; Salman, Mo D., advisor; Ballweber, Lora, committee member; Lappin, Michael, committee member
    Giardia and Cryptosporidium are important parasites that cause gastrointestinal disease in numerous animal species including dogs and cats. The accurate diagnostic of this diseases is cucial for the aplication of preventive measures and precise treatment. Estimation of test accuraccy is not difficult when a reference test (gold standard) is available. However, when a gold standard test is not available the Bayesian Latent Class (BLC) Analysis is an effective analytical tool for the estimation of diagnostic accuracy. The aim of this study was to estimate the sensitivity (Se) and specificity (Sp) of four commercial diagnostic kits using BLC. The four diagnostic tests were (1) Merifluor®Direct Fluorecence Antigen (DFA; Giardia/Cryptosporidium; Meridian Diagnostics, Inc., Cincinnati, Ohio), (2) IVD®DFA (Giardia/Cryptosporidium; IDV Research Inc., Carlsbad, CA), (3) IVD Microwell ELISA® (Giardia ; IDV Research Inc., Carlsbad, CA), (4) and IDEXX SNAP® (Giardia ; IDEXX Laboratories Inc., Westbrook, ME). The results from 201 laboratory analysed samples, the prior distributions elicited from three experts, and the consistency of samples as splitting covariate were used as inputs for the BCL models. The estimated Se and Sp of the tests were 87.7% and 97.3% (Merifluor-Cryptosporidium), 68.0% and 99.1% (IVD-Cryptosporidium), 93.6% and 97.9% (Merifluor-Giardia), 96.1% and 97.9% (IVD-Giardia), 86.0% and 98.2% (ELISA-Giardia), and 84.8% and 98.0% (SNAP-Giardia) respectively. The prevalence for non-diarrheic versus diarrheic samples were 2.3% and 4.8% (Cryptosporidium), and 6.9% and 13.5% (Giardia) respectively. We were able to use BLC to assess the sensitivity and specificity of the four commercial diagnostic tests. We ran 36 models and used objective indicators of the performances of the models to choose the best model for estimation of parameters. The results of the study indicated that Merifluor, IVD, and ELISA are equally suitable as diagnostic tests for detection of Giardia. For detection of Cryptosporidium, Merifluor was more accurate than the IVD test.
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    Molecular epidemiology of Giardia and Cryptosporidium in dogs and cats in Chiang Mai, Thailand
    (Colorado State University. Libraries, 2013) Tangtrongsup, Sahatchai, author; Salman, Mo, advisor; Lappin, Michael, advisor; Ballweber, Lora, committee member; Reif, John, committee member
    Giardia duodenalis and Cryptosporidium spp. are the common causes of diarrhea in humans and animals, including domestic and wildlife, throughout the world. The species complex G. duodenalis and the genus Cryptosporidium consist of host-adapted and zoonotic genotypes/species. Companion animals, especially dogs and cats, can be infected by the host-adapted as well as the zoonotic genotype/species of these organisms. Therefore, these animals have been questioned regarding their potential to serve as reservoirs for human transmission. In this dissertation, an epidemiological study of Giardia and Cryptosporidium as well as the molecular characterization of these organisms in dogs and cats in Chiang Mai, Thailand was completed. A greater understanding of the prevalence and risk factors associated with Giardia and Cryptosporidium infection can aid veterinarians in the control and prevention of these important diseases. Furthermore, the potential for zoonotic transmission will be reduced. In Chapter 1, Giardia and Cryptosporidium and its epidemiology in dogs and cats are reviewed as well as an update on the situation regarding giardiasis and cryptosporidiosis in Thailand. In Chapter 2, a preliminary study to determine the prevalence of Giardia and Cryptosporidium infection in dogs and cats in Chiang Mai, Thailand is described. Fecal samples were collected for two months (July and August, 2008). The genotype/species of these two organisms were determined as well as the risks associated with infection such as age, sex, diarrhea status, housing type and the presence of co-infection of Cryptosporidium (for Giardia infection) or the presence of Giardia in the case of Cryptosporidium infection. It was shown that Giardia and Cryptosporidium infections were common in dogs in Chiang Mai and that dogs could be a potential reservoir for zoonotic transmission to humans. In Chapter 3, the larger cross-sectional study is described. Samples were collected a year later from August 2009 to February 2010. The objectives were to determine the effect of seasonality (wet months or rainy vs. dry months or winter), to determine the potential risk factors associated with Giardia and Cryptosporidium infections, as well as to determine the genotype/species of these organisms. The results suggested that Giardia infection in dogs was prevalent in the rainy season, whereas seasonality was not significantly associated with Cryptosporidium infection. Young dogs, dogs living in crowded settings, dogs having diarrhea or chronic diarrhea, and dogs shedding Cryptosporidium oocysts had a high risk for Giardia infection. Risk factors associated with Cryptosporidium infection in dogs were age less than one year and dogs having diarrhea. Giardia duodenalis assemblage A and C. parvum were identified in this study; however, the potential role in zoonotic transmission could not be determined. Chapter 4 presents a brief report on the comparison of sugar and sedimentation concentration techniques prior to immunofluorescent assay to detect Giardia cysts and Cryptosporidium oocysts. Concentration of fecal samples may enhance the detection of cysts and oocysts. However, in frozen samples the spherical structure of Giardia cysts or Cryptosporidium oocysts may be affected by the freeze-and-thaw process; therefore, the use of sugar concentration technique may not appropriate for frozen fecal samples. Chapter 5 compares the PCR assays using different target genes in detecting Giardia and Cryptosporidium in dogs and cats from Chiang Mai, Thailand. Three PCR assays for Giardia were compared, including the PCR targeting to glutamate dehydrogenase (gdh), triose phosphate isomerase (tpi), and β-giardin gene. Three PCR assays for Cryptosporidium, a heat shock protein targeting PCR and two PCR assays to detect SSU-rRNA (one step PCR vs nested PCR assays), were compared. Giardia gdh and Cryptosporidium one-step SSU-rRNA PCR assays had the highest amplification rates. Using a multilocus analysis approach, most of the Giardia isolates were dog genotypes, whereas 30%-40% of Cryptosporidium species were C. parvum. This finding may suggest a potential role of zoonotic transmission of Cryptosporidium from dogs and cats in this region of Thailand. The research described in this dissertation raises the knowledge in the field of canine and feline giardiasis and cryptosporidiosis. The results provide additional prevalence and risk analysis results for dogs and cats in Chiang Mai, Thailand. The molecular analyses suggest that the use of multilocus analysis is superior to using only one locus. In addition, the results also suggest that sugar flotation was not appropriate as a concentrating method for frozen fecal material and that sedimentation should be used when freezing of the sample is necessary.