دورية أكاديمية
Sensitivity, Specificity, and Public-Health Utility of Clinical Case Definitions Based on the Signs and Symptoms of Cholera in Africa.
| العنوان: | Sensitivity, Specificity, and Public-Health Utility of Clinical Case Definitions Based on the Signs and Symptoms of Cholera in Africa. |
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| المؤلفون: | Nadri J; Agence de Medecine Préventive, Paris, France., Sauvageot D; Agence de Medecine Préventive, Paris, France., Njanpop-Lafourcade BM; Agence de Medecine Préventive, Paris, France., Baltazar CS; Instituto Nacional de Saúde, Ministry of Health, Maputo, Mozambique., Banla Kere A; Ministry of Health, Lomé, Togo.; Institut National d'Hygiène, Lomé, Togo., Bwire G; Control of Diarrheal Diseases, Community Health Department, Ministry of Health, Kampala, Uganda., Coulibaly D; Institut National d'Hygiène Publique, Abidjan, Côte d'Ivoire., Kacou N'Douba A; Institut Pasteur de Côte d'Ivoire, Abidjan, Côte d'Ivoire., Kagirita A; Central Public Health Laboratory, Ministry of Health, Kampala, Uganda., Keita S; Division Prévention et Lutte contre la Maladie, Ministry of Health, Conakry, Guinea., Koivogui L; Institut National de Santé Publique, Conakry, Guinea., Landoh DE; Division de l'Epidémiologie, Ministry of Health, Lomé, Togo., Langa JP; Instituto Nacional de Saúde, Ministry of Health, Maputo, Mozambique., Miwanda BN; Institut National de Recherche Biomédicale, Kinshasa, Democratic Republic of Congo., Mutombo Ndongala G; Division Provinciale de la Santé du Nord Kivu, Goma, Democratic Republic of Congo., Mwakapeje ER; Epidemiology and Diseases Control Section, Preventive Department, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania., Mwambeta JL; Curative Department, National Health Laboratory Quality Assurance and Training Center, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania., Mengel MA; Agence de Medecine Préventive, Paris, France., Gessner BD; Agence de Medecine Préventive, Paris, France. |
| المصدر: | The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2018 Apr; Vol. 98 (4), pp. 1021-1030. Date of Electronic Publication: 2018 Feb 22. |
| 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-Electronic 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*, Cholera/*diagnosis , Diarrhea/*diagnosis , Vibrio cholerae/*isolation & purification, Adolescent ; Adult ; Africa/epidemiology ; Child ; Child, Preschool ; Cholera/epidemiology ; Cholera/microbiology ; Diarrhea/epidemiology ; Diarrhea/microbiology ; Epidemiological Monitoring ; Feces/microbiology ; Female ; Humans ; Infant ; Male ; Middle Aged ; Public Health ; Sensitivity and Specificity ; Symptom Assessment ; Young Adult |
| مستخلص: | During 2014, Africa reported more than half of the global suspected cholera cases. Based on the data collected from seven countries in the African Cholera Surveillance Network (Africhol), we assessed the sensitivity, specificity, and positive and negative predictive values of clinical cholera case definitions, including that recommended by the World Health Organization (WHO) using culture confirmation as the gold standard. The study was designed to assess results in real-world field situations in settings with recent cholera outbreaks or endemicity. From June 2011 to July 2015, a total of 5,084 persons with suspected cholera were tested for Vibrio cholerae in seven different countries of which 35.7% had culture confirmation. For all countries combined, the WHO case definition had a sensitivity = 92.7%, specificity = 8.1%, positive predictive value = 36.1%, and negative predictive value = 66.6%. Adding dehydration, vomiting, or rice water stools to the case definition could increase the specificity without a substantial decrease in sensitivity. Future studies could further refine our findings primarily by using more sensitive methods for cholera confirmation. |
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| تواريخ الأحداث: | Date Created: 20180301 Date Completed: 20190719 Latest Revision: 20240324 |
| رمز التحديث: | 20240324 |
| مُعرف محوري في PubMed: | PMC5928804 |
| DOI: | 10.4269/ajtmh.16-0523 |
| PMID: | 29488455 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1476-1645 |
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| DOI: | 10.4269/ajtmh.16-0523 |