Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania.
Center for Disease Control and Prevention, Atlanta, Georgia and Dar es Salaam, Tanzania.
Am J Trop Med Hyg. 2018 Jun;98(6):1640-1642. doi: 10.4269/ajtmh.18-0071. Epub 2018 Mar 29.
We describe the deployment of a custom-designed molecular diagnostic TaqMan Array Card (TAC) to screen for 31 bacterial, protozoal, and viral etiologies in blood from outbreaks of acute febrile illness in Tanzania during 2015-2017. On outbreaks notified to the Tanzanian Ministry of Health, epidemiologists were dispatched and specimens were collected, transported to a central national laboratory, and tested by TAC within 2 days. This algorithm streamlined investigation, diagnosed a typhoid outbreak, and excluded dozens of other etiologies. This method is usable in-country and may be incorporated into algorithms for diagnosing outbreaks.
我们描述了一种定制设计的分子诊断 TaqMan 阵列卡(TAC)的部署,用于筛查 2015-2017 年坦桑尼亚急性发热疾病暴发中血液中的 31 种细菌、原生动物和病毒病因。在坦桑尼亚卫生部通报的暴发事件中,派遣了流行病学家收集标本,并在 2 天内将标本运送到中央国家实验室,用 TAC 进行检测。该算法简化了调查,诊断了伤寒暴发,并排除了数十种其他病因。这种方法在国内是可用的,并且可以纳入诊断暴发的算法中。