资源有限地区的登革热诊断。

IF 2.2 4区 医学 Q3 INFECTIOUS DISEASES
Zuleihat Eneyamire Baje, Nafiu Lawal, Muhammad Bashir Bello, Mustapha Umar Imam
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引用次数: 0

摘要

登革热是一种引起重大公共卫生关注的虫媒病毒感染,早期诊断是有效管理的关键因素。然而,发展中国家有限的诊断专业知识导致了登革热病例的少报。本综述比较了快速诊断试验(RDTs)和止血带试验(TT)在非实验室环境中诊断登革热(DF)的准确性。我们从PubMed、Scopus和ScienceDirect检索了关于使用RDTs和TT进行登革热诊断的相关原创文章。采用STARD和QUADAS-2工具评价纳入研究的方法学质量。搜索词包括“发烧”、“登革热”和“诊断”的组合。总共有23篇文章符合纳入条件。rdt的平均敏感性和特异性分别为76.2% (SD = 13.8)和91.5% (SD = 10.3), TT的平均敏感性和特异性分别为48.6% (SD = 24.9)和79.5% (SD = 14.9)。总的来说,与TT相比,rdt表现出更好的诊断性能。我们的研究结果表明,TT是一种不充分的登革热独立诊断工具。在资源有限的环境中,应优先采用RDTs进行登革热诊断。但是,在无法使用rdt的情况下,TT可以作为补充选项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dengue fever diagnosis in resource-limited settings.

Dengue is an arboviral infection that poses a substantial public health concern, with early diagnosis being a critical factor in effective management. However, limited diagnostic expertise in developing countries contributes to the under-reporting of dengue cases. This review compares the accuracy of rapid diagnostic tests (RDTs) and the tourniquet test (TT) in diagnosing dengue fever (DF) in non-laboratory-based settings. Relevant original articles on the use of RDTs and TT for dengue diagnosis were retrieved from PubMed, Scopus, and ScienceDirect. The STARD and QUADAS-2 tools were employed to evaluate the methodological quality of the included studies. Search terms included combinations of 'fever', 'dengue', and '"diagnosis'. In total, 23 articles were eligible for inclusion. The RDTs demonstrated mean sensitivities and specificities of 76.2% (SD = 13.8) and 91.5% (SD = 10.3), respectively, while the TT showed mean sensitivity and specificity values of 48.6% (SD = 24.9) and 79.5% (SD = 14.9), respectively. Overall, RDTs exhibited superior diagnostic performance compared to the TT. Our findings suggest that the TT is an inadequate stand-alone diagnostic tool for dengue. RDTs should be prioritized for dengue diagnosis in resource-limited settings. However, in situations where RDTs are unavailable, the TT may serve as a supplementary option.

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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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