Review Article

Clinical and Laboratory Diagnosis of Buruli Ulcer Disease: A Systematic Review

Table 1

Summary of types of specimen and transport media for BU diagnosis.

Materials for diagnosisTypesCountry of originReference

SpecimenSwabsGhana Yeboah-Manu et al. [26]; de Souza et al. [27]
Togo Bretzel et al. [28]
Punch biopsyGhanade Souza et al. [27]; Phillips et al. [29]
Australia O’Brien et al. [30]
TogoBretzel et al. [28]
Benin Ruf et al. [31]
BiopsyGhana Stienstra et al. [32]
Fine needle aspirateGhana Ablordey et al. [33]; Yeboah-Manu et al. [26]
TogoBretzel et al. [28]
Benin Eddyani et al. [19]
Whole bone or curetted bone samplesGhana Herbinger et al. [17]; Bretzel et al. [24]

Transport mediaModified Dubos medium (P5 medium)GhanaStienstra et al. [32]; Yeboah-Manu et al., [34]
Liquid Middlebrook 7H9 brothBeninEddyani et al. [19]; Dobos et al. [35];
10% OADC augmented with PANTAGhana Wansbrough-Jones and Phillips [9]
Solid transport media (STM)BeninEddyani et al. [19]
Liquid NitrogenGhana Rondini et al. [21]; Beissner et al. [36]

Decontamination methodsOxalic acidGhana Mensah-Quainoo et al. [37]; Yeboah-Manu et al. [34]
N-Acetyl-cysteine-NaOH techniqueGhana Schunk et al. [8]
Reversed Petroff techniqueGhana O’Brien et al. [30]
BeninEddyani et al. [19]

DNA extraction methodCommercialGhanade Souza et al. [27]
In-houseGhanaAblordey et al. [33]
Modified Boom DNA extraction procedureGhana Durnez et al. [38]; Affolabi et al. [39]
Commercial Maxwell 16 DNA extractionGhana Affolabi et al. [39]
One tube cell lysis (OT)GhanaDurnez et al. [38]
FastPrep procedureGhanaDurnez et al. [38]