Browsing by Author "Dadar, Maryam"

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Comparative Assessment of Brucellosis Detection in Dogs: In-House Elisa Versus Rose Bengal Plate Test Utilizing Rough and Smooth Antigens
(Elsevier Sci Ltd, 2025) Akar, Kadir; Yuecetepe, Ayfer Guellue; Ekin, Ismail Hakki; Dadar, Maryam; Guerbilek, Sevil Erdenlig
Brucella canis and smooth Brucella species infections have been reported in dogs globally. In endemic countries such as T & uuml;rkiye, dogs can be infected with both species. The exact incidence of canine brucellosis in T & uuml;rkiye is unknown. This study aims to investigate the seroprevalence of brucellosis in stray dogs undergoing sterilization in Van province, eastern T & uuml;rkiye. In this study, a comprehensive approach was used to ensure reliable incidence of Brucella spp in the dogs. We used the Rose Bengal Plate Test (RBPT) with both antigens from smooth Brucella abortus S99 (RBPT-S) and rough B. canis (RBPT-R) Brucella species to analyze 150 dog blood serum samples. For the in-house enzyme-linked immunosorbent assay (i-ELISA), we used a rough Lipopolysaccharide (LPS) antigen from the rough strain (i-ELISA-R) and an O-polysaccharide (O-PS) antigen (i-ELISA-S) from the smooth strain obtained from the OIE Reference Laboratory in Weybridge, UK. Each serum sample underwent analysis using a total of four serological tests, ensuring a thorough and reliable evaluation. Out of 150 serum samples analyzed, 32 (21.3 %) tested positive using the RBPT-S test and 12 (6.6 %) with the RBPT-R test. The i-ELISA-R identified 8 (5.3 %) positive samples, while the i-ELISA-S detected 27 (18 %) positive samples. The presence of B. canis and other Brucella spp. infections was detected in the dog in this region, revealing that canine brucellosis was primarily caused by smooth Brucella species. The test beased -smooth antigens identified a significantly higher number of positive samples compared to the test beased -rough antigens test, suggesting a potential difference in sensitivity or specificity between the two methods. This situation was considered an important risk for both dogs and humans, underscoring the urgent need for further research and the immediate implementation of public health measures to address this issue.
Human Brucellosis and Associated Risk Factors in the Middle East Region: a Comprehensive Systematic Review, Meta-Analysis, and Meta-Regression
(Cell Press, 2024) Dadar, Maryam; Al-Khaza'leh, Ja'far; Fakhri, Yadolah; Akar, Kadir; Ali, Shahzad; Shahali, Youcef
Introduction: Human brucellosis, caused by the bacteria Brucella, , is a significant infectious disease globally, also known as Mediterranean fever or Malta fever. Methods: This meta-analysis and systematic review focuses on the prevalence rate, risk factors, and diagnostic methods of human brucellosis in Middle Eastern countries, where the disease remains a significant public health issue. The analysis included 92 studies conducted between 1993 and 2024, following specified inclusion and exclusion criteria among symptomatic patients across these countries. The prevalence rate was calculated by dividing positive samples by total samples. The I2 index and Chi-squared test assessed study heterogeneity. Significant heterogeneity occurred when I2 exceeded 50 %. Results: The highest prevalence rate was observed in Oman, Lebanon, and Kuwait countries, emphasizing a notable burden of Brucella infection in these regions. Risk factors associated with human brucellosis were identified, with unpasteurized dairy consumption and close animal contact being predominant. Various professions such as farmers, dairy factory workers, and agriculture workers showed higher prevalence rate. Gender analysis indicated a prevalence rate of 18.02 % (95 % CI: 11.55-25.51 %) in males and 13.61 % (95 % CI: 10.8-16.68 %) in females, with no significant difference in hospitalization rates. The prevalence rate of Brucella spp. was varied across detection methods, with immunocapture agglutination assay (Brucellacapt) showing the highest estimated prevalence rate of (44.04 %, 95 % CI: 27.71-61.04), followed by PCR (39.84 %, 95 % CI: 20.14-61.39) and culture (29.22 %, 95 % CI: 17.89-42.03). Among Brucella species, Brucella melitensis (B. melitensis) and Brucella abortus (B. abortus) were the highest prevalence rate. Although statistically insignificant, the meta-analysis also revealed an upward trend in prevalence rate from 1993 to 2024, (P value = 0.277). Discussion: This comprehensive review emphasizes the need for tailored strategies to control brucellosis in the Middle East, highlighting the importance of timely diagnosis, public awareness, and effective treatment protocols. These findings provide valuable insights for policymakers and healthcare professionals working to mitigate the impact of this disease in the region.