Prevalence of hydrocele as a rapid diagnostic index for lymphatic filariasis

The real burden of lymphatic filariasis in most endemic areas remains unknown even though it is a major public health problem in many tropical countries, particularly in sub-saharan Africa. The nocturnal periodicity of the parasite requires parasitological examinations to be done at night. The aim o...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 1998, Vol.92 (1), p.40-43
Hauptverfasser: Gyapong, John O., Webber, Roger H., Morris, Jo, Bennett, Steve
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container_issue 1
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container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 92
creator Gyapong, John O.
Webber, Roger H.
Morris, Jo
Bennett, Steve
description The real burden of lymphatic filariasis in most endemic areas remains unknown even though it is a major public health problem in many tropical countries, particularly in sub-saharan Africa. The nocturnal periodicity of the parasite requires parasitological examinations to be done at night. The aim of this study was to develop and validate rapid epidemiological assessment tools for the community diagnosis of lymphatic filariasis, that may be used in the future to determine the distribution of the disease and identify high risk communities in Ghana. Twenty communities with varying endemicity of filariasis were sampled from 3 endemic districts. Community members were selected for the study using a modified Expanded Programme for Immunization (EPI) cluster sampling technique. The prevalence of hydrocele was high (range 4·5–40·75%, mean = 17·78%) and the community prevalence of microfilaraemia correlated well with that of hydrocele ( r = 0·84).The findings suggest that it is possible to obtain reliable and valid estimates of the community burden of lymphatic filariasis using the prevalence of hydrocele as a diagnostic index.
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Animals
Biological and medical sciences
Child
Child, Preschool
diagnostic index
Diseases caused by nematodes
Elephantiasis, Filarial - complications
Elephantiasis, Filarial - diagnosis
Elephantiasis, Filarial - epidemiology
Female
Filariases
filariasis
Ghana
Ghana - epidemiology
Helminthic diseases
Humans
hydrocele
Infant
Infant, Newborn
Infectious diseases
Lymphatic filariases
Male
Medical sciences
Microfilariae - isolation & purification
Middle Aged
Parasitic diseases
Prevalence
Testicular Hydrocele - complications
Testicular Hydrocele - epidemiology
Testicular Hydrocele - parasitology
Tropical medicine
Wuchereria bancrofti
Wuchereria bancrofti - isolation & purification
title Prevalence of hydrocele as a rapid diagnostic index for lymphatic filariasis
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