{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T10:05:04Z","timestamp":1765879504178,"version":"3.48.0"},"reference-count":97,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["EuJMI"],"published-print":{"date-parts":[[2025,12,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The potential aetiological relevance of\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. and\n                      <jats:italic>Dientamoeba fragilis<\/jats:italic>\n                      in the human intestine, and their possible associations with\n                      <jats:italic>Campylobacter<\/jats:italic>\n                      spp. and\n                      <jats:italic>Giardia duodenalis<\/jats:italic>\n                      , remain unclear. By incorporating Bayesian priors to account for diagnostic test accuracy, we statistically analysed the interactions among these microorganisms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Diagnostic test accuracy data were derived from multiple PCR assays and incorporated as priors to adjust for non-differential misclassification. Bayesian odds ratios and relationships based on DNA quantity were assessed for a dataset of 1,065 stool samples containing at least one of the four target microorganisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Accounting for diagnostic test accuracy resulted in wide credibility intervals.\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. were negatively associated with\n                      <jats:italic>G. duodenalis<\/jats:italic>\n                      .\n                      <jats:italic>G.\u00a0duodenalis<\/jats:italic>\n                      was most often detected in the absence of\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. and\n                      <jats:italic>D. fragilis<\/jats:italic>\n                      , whereas detection of\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. was associated with lower\n                      <jats:italic>Campylobacter<\/jats:italic>\n                      spp. DNA abundance. A negative association between\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. and\n                      <jats:italic>Campylobacter<\/jats:italic>\n                      spp. was observed only in the absence of\n                      <jats:italic>D. fragilis<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The assumed variation in detection rates of\n                      <jats:italic>Campylobacter<\/jats:italic>\n                      spp. and\n                      <jats:italic>G. duodenalis<\/jats:italic>\n                      based on the presence of\n                      <jats:italic>Blastocystis<\/jats:italic>\n                      spp. and\/or\n                      <jats:italic>D. fragilis<\/jats:italic>\n                      was confirmed. Future epidemiological studies should explore interactions among multiple microorganisms using robust statistical approaches.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/1886.2025.00054","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T10:21:55Z","timestamp":1762424515000},"page":"210-221","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Associations between Blastocystis spp., Campylobacter spp., Giardia duodenalis and\u00a0Dientamoeba fragilis using Bayesian priors\u00a0to account for diagnostic test accuracy"],"prefix":"10.1556","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6166-8973","authenticated-orcid":true,"given":"Joy","family":"Backhaus","sequence":"first","affiliation":[{"name":"Institute of Microbiology, Infectious Diseases and Immunology, Gastrointestinal Microbiology Research Group, Charit\u00e9 \u2013 University Medicine Berlin, Corporate Member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin, and Berlin Institute of Health, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hagen","family":"Frickmann","sequence":"additional","affiliation":[{"name":"Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, Rostock, Germany"},{"name":"Department of Microbiology and Hospital Hygiene, Bundeswehr Hospital Hamburg, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Hahn","sequence":"additional","affiliation":[{"name":"Institute for Medical Microbiology, Virology and Hygiene, University Medicine Rostock, Rostock, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas E.","family":"Zautner","sequence":"additional","affiliation":[{"name":"Institute of Laboratory Medicine and Microbiology & Vaccination Centre, Klinikum W\u00fcrzburg Mitte, W\u00fcrzburg, Germany"},{"name":"Institute of Medical Microbiology and Hospital Hygiene, Medical Faculty, Otto von Guericke University Magdeburg, Magdeburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Kann","sequence":"additional","affiliation":[{"name":"Institute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Germany"},{"name":"Department of Microbiology and Hospital Hygiene, Bundeswehr Central Hospital Koblenz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Heimesaat","sequence":"additional","affiliation":[{"name":"Institute of Microbiology, Infectious Diseases and Immunology, Gastrointestinal Microbiology Research Group, Charit\u00e9 \u2013 University Medicine Berlin, Corporate Member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin, and Berlin Institute of Health, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Sci Rep","first-page":"1","article-title":"Dysbiosis of the microbiome in gastric carcinogenesis","volume":"7","author":"Casta\u00f1o-Rodr\u00edguez N","year":"2017","unstructured":"Casta\u00f1o-Rodr\u00edguez N, Goh KL, Fock KM, Mitchell HM, Kaakoush NO. 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