In silico and in vitro validation of a duplex polymerase chain reaction assay for detecting Cronobacter sakazakii in powdered infant milk

African Journal of Laboratory Medicine

 
 
Field Value
 
Title In silico and in vitro validation of a duplex polymerase chain reaction assay for detecting Cronobacter sakazakii in powdered infant milk
 
Creator Martin, Danielle Chomba, Rispah Pelego, Tshegofatso Duze, Sanelisiwe T.
 
Subject — Cronobacter spp.; Cronobacter sakazakii; powdered infant formula; polymerase chain reaction; specificity; sensitivity
Description Background: Cronobacter sakazakii causes life-threatening infections in neonates, primarily transmitted through contaminated powdered infant formula (PIF). In low- and middle-income countries, limited surveillance and diagnostic capacity hinder accurate detection of C. sakazakii, highlighting the need for rapid and affordable testing methods.Objective: To validate a duplex polymerase chain reaction (PCR) assay for rapidly detecting Cronobacter spp. and C. sakazakii in PIF using both in silico and in vitro approaches.Methods: This study was conducted in South Africa between March and August 2022. Seven gene targets and their primers were selected from published literature. To assess sensitivity and specificity, in silico PCR was performed using genome sequences of Cronobacter and non-Cronobacter species from the National Center for Biotechnology Information database. The best-performing primers were selected for an in vitro analysis using bacterial isolates and PIF samples from the Infection Control Service Laboratory. The specificity of the assay was assessed using eight foodborne pathogens, and further evaluated using PIF samples artificially contaminated with Cronobacter spp., Bacillus cereus, and Salmonella Typhi.Results: The best-performing primers, lpfA_1, fimG, and fimp1, showed 100% sensitivity and specificity. Duplex PCR assay successfully detected both Cronobacter spp. and C. sakazakii with no cross-reactivity with non-Cronobacter pathogens, and remained effective in the presence of contaminants such as B. cereus and Salmonella Typhi.Conclusion: The validated duplex PCR assay offers a rapid, specific, and affordable assay for detecting Cronobacter spp. and C. sakazakii in PIF.What this study adds: This assay combined in silico and in vitro validation of a rapid and affordable PCR assay for PIF screening in resource-limited settings.
 
Publisher AOSIS
 
Contributor National Research Foundation
Date 2025-11-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajlm.v14i1.2902
 
Source African Journal of Laboratory Medicine; Vol 14, No 1 (2025); 8 pages 2225-2010 2225-2002
 
Language eng
 
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https://ajlmonline.org/index.php/ajlm/article/view/2902/3345 https://ajlmonline.org/index.php/ajlm/article/view/2902/3346 https://ajlmonline.org/index.php/ajlm/article/view/2902/3347 https://ajlmonline.org/index.php/ajlm/article/view/2902/3348
 
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Rights Copyright (c) 2025 Danielle Martin, Rispah Chomba, Tshegofatso Pelego, Sanelisiwe T. Duze https://creativecommons.org/licenses/by/4.0
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