Human african trypanosomiasis diagnosis in first-line health services of endemic countries, a systematic review
While the incidence of Human African Trypanosomiasis (HAT) is decreasing, the control approach is shifting from active population screening by mobile teams to passive case detection in primary care centers. We conducted a systematic review of the literature between 1970 and 2011 to assess which diag...
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Veröffentlicht in: | PLoS neglected tropical diseases 2012-11, Vol.6 (11), p.e1919-e1919 |
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description | While the incidence of Human African Trypanosomiasis (HAT) is decreasing, the control approach is shifting from active population screening by mobile teams to passive case detection in primary care centers. We conducted a systematic review of the literature between 1970 and 2011 to assess which diagnostic tools are most suitable for use in first-line health facilities in endemic countries. Our search retrieved 16 different screening and confirmation tests for HAT. The thermostable format of the Card Agglutination Test for Trypanosomiasis (CATT test) was the most appropriate screening test. Lateral flow antibody detection tests could become alternative screening tests in the near future. Confirmation of HAT diagnosis still depends on visualizing the parasite in direct microscopy. All other currently available confirmation tests are either technically too demanding and/or lack sensitivity and thus rather inappropriate for use at health center level. Novel applications of molecular tests may have potential for use at district hospital level. |
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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Mitashi P, Hasker E, Lejon V, Kande V, Muyembe J-J, et al. (2012) Human African Trypanosomiasis Diagnosis in First-Line Health Services of Endemic Countries, a Systematic Review. 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Novel applications of molecular tests may have potential for use at district hospital level.</description><subject>African trypanosomiasis</subject><subject>Blood</subject><subject>Care and treatment</subject><subject>Diagnosis</subject><subject>Diagnostic services</subject><subject>Diagnostic Tests, Routine - methods</subject><subject>Endemic Diseases</subject><subject>Forecasts and trends</subject><subject>Humans</subject><subject>Management</subject><subject>Medical examination</subject><subject>Medicine</subject><subject>Methods</subject><subject>Parasitology - methods</subject><subject>Polymerase chain reaction</subject><subject>Trypanosomiasis, African - diagnosis</subject><subject>Trypanosomiasis, African - epidemiology</subject><issn>1935-2735</issn><issn>1935-2727</issn><issn>1935-2735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1vEzEQhlcIREvgHyBYCQn1QILHH_txQaoqaCtV4gJna9Y7mzjatYO9G5R_j9OkVSJhH2yPn3k9M54sew9sAaKEr2s_BYf9YuPGdsEYgxrqF9kl1ELNeSnUy5P9RfYmxjVjqlYVvM4uuOCsrgp2mfm7aUCXYxesSesYdht0PvrBYrQxby0u0zHtrMs7G-I4762jfEXYj6s8UthaQzH3XU6upcGa3PjJjcFS_JJjHndxpAHHZA-0tfT3bfaqwz7Su-M6y37_-P7r5m7-8PP2_ub6YW5UXYxz3iBIYwgKYzqouaBKKtM1bYkgDAPGOKtYygKwQ94YyVssoCkZyspAy8Qs-3jQ3fQ-6mOtogZeVQASuEzE_YFoPa71JtgBw057tPrR4MNSY0iB96SLomwbUzeSdYUsJSApI0mKUkimZNkmrW_H16ZmoNZQqgD2Z6LnN86u9NJvtVAplZTeLLs6CgT_Z6I46sFGQ32Pjvy0jzsNwWVdJPTTAV1iCs26zidFs8f1tQCoFKi6TNTiP1Saj5_kHXU22c8cPp84HP43-n4arXfxHJQH0AQfY6DuOU1get-ZT9XW-87Ux85Mbh9OS_Ts9NSK4h8XH-HU</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Mitashi, Patrick</creator><creator>Hasker, Epco</creator><creator>Lejon, Veerle</creator><creator>Kande, Victor</creator><creator>Muyembe, Jean-Jacques</creator><creator>Lutumba, Pascal</creator><creator>Boelaert, Marleen</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20121101</creationdate><title>Human african trypanosomiasis diagnosis in first-line health services of endemic countries, a systematic review</title><author>Mitashi, Patrick ; 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subjects | African trypanosomiasis Blood Care and treatment Diagnosis Diagnostic services Diagnostic Tests, Routine - methods Endemic Diseases Forecasts and trends Humans Management Medical examination Medicine Methods Parasitology - methods Polymerase chain reaction Trypanosomiasis, African - diagnosis Trypanosomiasis, African - epidemiology |
title | Human african trypanosomiasis diagnosis in first-line health services of endemic countries, a systematic review |
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