Randrianasolo B S, Rabarijaona L P, Ravaoalimalala V A, Ravoniarimbinina P, Migliani R
Institut Pasteur de Madagascar BP 1274-101 Antananarivo-Madagascar.
Arch Inst Pasteur Madagascar. 2002;68(1-2):59-62.
Schistosomiasis is a major public health problem in Madagascar. The aim of the national control program is to reduce the morbidity in hyperendemic areas. A prospective study has been conducted in Morombe and Ampanihy to elaborate a simple method to identify Shistosoma haematobium hyperendemic communities. The study included 1,373 children from 5 to 15 years old in 17 primary schools. Moderate sensitivity and Negative Predictive Value, with high specificity and Positive Predictive Value of "blood in urine" and "Schistosomiasis" have been found. Those diagnosis values increase with age. The first symptom should be used in older children.
血吸虫病是马达加斯加的一个主要公共卫生问题。国家控制项目的目标是降低高度流行地区的发病率。在莫龙贝和安帕尼希开展了一项前瞻性研究，以制定一种简单方法来识别埃及血吸虫高度流行社区。该研究纳入了17所小学的1373名5至15岁的儿童。研究发现，“血尿”和“血吸虫病”具有中等敏感性和阴性预测值，同时具有高特异性和阳性预测值。这些诊断值随年龄增长而增加。对于年龄较大的儿童应采用首发症状。
