Circulating cathodic antigen cassette test versus haematuria strip test in diagnosis of urinary schistosomiasis

Urinary schistosomiasis caused by Schistosoma haematobium constitutes a major public health problem in many tropical and sub-tropical countries. This study was conducted to evaluate circulating cathodic antigen cassette test and haematuria strip test for detection of S. haematobium in urine samples...

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Veröffentlicht in:Journal of parasitic diseases 2016-12, Vol.40 (4), p.1193-1198
Hauptverfasser: El-Ghareeb, Azza S., Abd El Motaleb, Ghada S., Waked, Nevien Maher, Osman Hany Kamel, Nancy, Aly, Nagwa Shaban
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container_end_page 1198
container_issue 4
container_start_page 1193
container_title Journal of parasitic diseases
container_volume 40
creator El-Ghareeb, Azza S.
Abd El Motaleb, Ghada S.
Waked, Nevien Maher
Osman Hany Kamel, Nancy
Aly, Nagwa Shaban
description Urinary schistosomiasis caused by Schistosoma haematobium constitutes a major public health problem in many tropical and sub-tropical countries. This study was conducted to evaluate circulating cathodic antigen cassette test and haematuria strip test for detection of S. haematobium in urine samples and to evaluate their screening performance among the study population. Microscopy was used as a gold standard. A total of 600 urine samples were examined by microscopy for detection of S. haematobium eggs, screened for microhaematuria using Self-Stik reagent strips and screened for circulating cathodic antigen (CCA) using the urine-CCA cassette test. The specificity of CCA, microhaematuria and macrohaematuria was 96.4, 40.6 and 31.2 % respectively while the sensitivity was 88.2, 99.3 and 100 % respectively which was statistically significant (P 
doi_str_mv 10.1007/s12639-015-0648-2
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This study was conducted to evaluate circulating cathodic antigen cassette test and haematuria strip test for detection of S. haematobium in urine samples and to evaluate their screening performance among the study population. Microscopy was used as a gold standard. A total of 600 urine samples were examined by microscopy for detection of S. haematobium eggs, screened for microhaematuria using Self-Stik reagent strips and screened for circulating cathodic antigen (CCA) using the urine-CCA cassette test. The specificity of CCA, microhaematuria and macrohaematuria was 96.4, 40.6 and 31.2 % respectively while the sensitivity was 88.2, 99.3 and 100 % respectively which was statistically significant (P &lt; 0.001). These findings suggest that using of urine-CCA cassette test in diagnosis of urinary schistosomiasis is highly specific (96.4 %) compared with the highly sensitive haematuria strip test (100 %). The degree of agreement between microscopic examination and CCA detection was 99.3 % with highly statistically significant difference (P &lt; 0.001). The combination of two techniques could potentially use for screening and mapping of S. haematobium infection.</description><identifier>ISSN: 0971-7196</identifier><identifier>EISSN: 0975-0703</identifier><identifier>DOI: 10.1007/s12639-015-0648-2</identifier><identifier>PMID: 27876913</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Antigens ; Eggs ; Health Promotion and Disease Prevention ; Hematuria ; Infectious Diseases ; Mapping ; Medicine ; Medicine &amp; Public Health ; Microscopy ; Original ; Original Article ; Population studies ; Public health ; Schistosoma haematobium ; Schistosomiasis ; schistosomiasis haematobia ; screening ; Statistical analysis ; Urine</subject><ispartof>Journal of parasitic diseases, 2016-12, Vol.40 (4), p.1193-1198</ispartof><rights>Indian Society for Parasitology 2015</rights><rights>Copyright Springer Science &amp; Business Media 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4182-67ae75099c870d255e13b78774f56f235df093e72a08d4aece210a9f4708aecd3</citedby><cites>FETCH-LOGICAL-c4182-67ae75099c870d255e13b78774f56f235df093e72a08d4aece210a9f4708aecd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118274/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118274/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,41467,42536,51297,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27876913$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Ghareeb, Azza S.</creatorcontrib><creatorcontrib>Abd El Motaleb, Ghada S.</creatorcontrib><creatorcontrib>Waked, Nevien Maher</creatorcontrib><creatorcontrib>Osman Hany Kamel, Nancy</creatorcontrib><creatorcontrib>Aly, Nagwa Shaban</creatorcontrib><title>Circulating cathodic antigen cassette test versus haematuria strip test in diagnosis of urinary schistosomiasis</title><title>Journal of parasitic diseases</title><addtitle>J Parasit Dis</addtitle><addtitle>J Parasit Dis</addtitle><description>Urinary schistosomiasis caused by Schistosoma haematobium constitutes a major public health problem in many tropical and sub-tropical countries. This study was conducted to evaluate circulating cathodic antigen cassette test and haematuria strip test for detection of S. haematobium in urine samples and to evaluate their screening performance among the study population. Microscopy was used as a gold standard. A total of 600 urine samples were examined by microscopy for detection of S. haematobium eggs, screened for microhaematuria using Self-Stik reagent strips and screened for circulating cathodic antigen (CCA) using the urine-CCA cassette test. The specificity of CCA, microhaematuria and macrohaematuria was 96.4, 40.6 and 31.2 % respectively while the sensitivity was 88.2, 99.3 and 100 % respectively which was statistically significant (P &lt; 0.001). These findings suggest that using of urine-CCA cassette test in diagnosis of urinary schistosomiasis is highly specific (96.4 %) compared with the highly sensitive haematuria strip test (100 %). The degree of agreement between microscopic examination and CCA detection was 99.3 % with highly statistically significant difference (P &lt; 0.001). 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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature - Complete Springer Journals; PubMed Central
subjects Antigens
Eggs
Health Promotion and Disease Prevention
Hematuria
Infectious Diseases
Mapping
Medicine
Medicine & Public Health
Microscopy
Original
Original Article
Population studies
Public health
Schistosoma haematobium
Schistosomiasis
schistosomiasis haematobia
screening
Statistical analysis
Urine
title Circulating cathodic antigen cassette test versus haematuria strip test in diagnosis of urinary schistosomiasis
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