与印度卡纳塔克邦沿海农村地区的黄金标准相比，实地验证用于筛查育龄妇女贫血的RDT试剂盒

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-05-24 DOI:10.1016/j.cegh.2025.102077

K. Jayaprakash Shetty , S. Nanjesh Kumar , K. Shrisharath

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引用次数: 0

摘要

背景：育龄妇女的贫血仍然是全世界公共卫生的一个问题。根据NFHS-5数据，育龄年龄组的贫血率约为57%。贫血是营养不良和健康不良的表现。最常见的贫血是由营养因素引起的。目的验证快速诊断试验（RDT）在育龄妇女贫血筛查中的应用，并与金标准试验进行比较。方法在卡纳塔克邦沿海农村地区使用RDT试剂盒对育龄妇女进行以社区为基础的横断面研究。村庄选自卡纳塔克邦沿海的Udupi和Dakshina Kannada地区。结果与金标准法相比，共有1443名受试者同意使用RDT试剂盒进行贫血筛查。43%的个体通过两种方法被归类为贫血。灵敏度= 78.90%，特异性= 94.04%，阳性预测值(PPV) = 90.91%。阴性预测值（NPV）为85.51%，RDT试剂盒在95% CI下的准确率为87.53%（85.71%,89.19%）。特异性为94.04%，准确率为87.53%。结论现场使用RDT试剂盒可作为现场贫血筛查和监测的工具。RDT试剂盒可用于获得卫生保健设施的机会有限的地区，并在现场一级由基层卫生保健工作者进行血红蛋白估计。RDT试剂盒结果可靠。

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Validation of RDT kit for screening anaemia among women of reproductive age at the field level in comparison with the gold standard in rural areas of coastal Karnataka, India

Background

Anaemia in women of reproductive age is still a problem for public health worldwide. As per NFHS-5 data anaemia among reproductive age group is about 57 %. Anaemia is indicative of poor nutrition and health. The most common type of anaemia is due to nutritional factors.

Objective

To validate the Rapid Diagnostic Test (RDT) kit used for screening anaemia among women of child bearing age group at the field level in comparing with gold standard test.

Methodology

A community-based cross-sectional study done among women in reproductive age group using RDT kit in the rural area of Coastal Karnataka. Villages were selected from Udupi and Dakshina Kannada Districts of Coastal Karnataka.

Results

A total of 1443 subjects consented and were screened for anaemia using RDT kit in comparison with gold standard method. 43 % individuals were classified as anaemic by both methods. Sensitivity = 78.90 %, Specificity = 94.04 %, Positive predictive value (PPV) = 90.91 %. Negative predictive value (NPV) = 85.51 %, The accuracy of RDT kit at 95 % CI was 87.53 % (85.71 %, 89.19 %). With a specificity of 94.04 % and an accuracy of 87.53 %.

Conclusion

The use of RDT kit at the field level can be used as a tool for screening and monitoring of anaemia at the field level. The RDT kit can be used in areas where access to healthcare facilities is limited and at the field level for haemoglobin estimation by grassroots healthcare workers. The RDT kit results are reliable.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.