دورية أكاديمية
Diagnostic accuracy and feasibility of serological tests on filter paper samples for outbreak detection of T.b. gambiense human African trypanosomiasis.
العنوان: | Diagnostic accuracy and feasibility of serological tests on filter paper samples for outbreak detection of T.b. gambiense human African trypanosomiasis. |
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المؤلفون: | Hasker E; Institute of Tropical Medicine Antwerp, Belgium. ehasker@itg.be, Lutumba P, Mumba D, Lejon V, Büscher P, Kande V, Muyembe JJ, Menten J, Robays J, Boelaert M |
المصدر: | The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2010 Aug; Vol. 83 (2), pp. 374-9. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: American Society of Tropical Medicine and Hygiene Country of Publication: United States NLM ID: 0370507 Publication Model: Print Cited Medium: Internet ISSN: 1476-1645 (Electronic) Linking ISSN: 00029637 NLM ISO Abbreviation: Am J Trop Med Hyg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Northbrook, IL : American Society of Tropical Medicine and Hygiene Original Publication: Baltimore. |
مواضيع طبية MeSH: | Disease Outbreaks*, Agglutination Tests/*standards , Enzyme-Linked Immunosorbent Assay/*standards , Trypanosoma brucei gambiense/*immunology , Trypanosomiasis, African/*diagnosis, Antibodies, Protozoan/blood ; Blood Specimen Collection/instrumentation ; Blood Specimen Collection/methods ; Democratic Republic of the Congo/epidemiology ; Filtration/instrumentation ; Humans ; Latex Fixation Tests/standards ; Monte Carlo Method ; Paper ; ROC Curve ; Sensitivity and Specificity ; Specimen Handling ; Trypanosomiasis, African/epidemiology |
مستخلص: | Control of human African trypanosomiasis (HAT) in the Democratic Republic of Congo is based on mass population screening by mobile teams; a costly and labor-intensive approach. We hypothesized that blood samples collected on filter paper by village health workers and processed in a central laboratory might be a cost-effective alternative. We estimated sensitivity and specificity of micro-card agglutination test for trypanosomiasis (micro-CATT) and enzyme-linked immunosorbent assay (ELISA)/T.b. gambiense on filter paper samples compared with parasitology-based case classification and used the results in a Monte Carlo simulation of a lot quality assurance sampling (LQAS) approach. Micro-CATT and ELISA/T.b. gambiense showed acceptable sensitivity (92.7% [95% CI 87.4-98.0%] and 82.2% [95% CI 75.3-90.4%]) and very high specificity (99.4% [95% CI 99.0-99.9%] and 99.8% [95% CI 99.5-100%]), respectively. Conditional on high sample size per lot (> or = 60%), both tests could reliably distinguish a 2% from a zero prevalence at village level. Alternatively, these tests could be used to identify individual HAT suspects for subsequent confirmation. |
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المشرفين على المادة: | 0 (Antibodies, Protozoan) |
تواريخ الأحداث: | Date Created: 20100805 Date Completed: 20100908 Latest Revision: 20211020 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC2911188 |
DOI: | 10.4269/ajtmh.2010.09-0735 |
PMID: | 20682885 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-1645 |
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DOI: | 10.4269/ajtmh.2010.09-0735 |