Emperador Devy M, Yimer Solomon A, Mazzola Laura T, Norheim Gunnstein, Kelly-Cirino Cassandra
Foundation for Innovative New Diagnostics (FIND), Emerging Threats Programme, Geneva, Switzerland.
Department of Vaccine Science, Coalition for Epidemic Preparedness Innovation (CEPI), Oslo, Norway.
BMJ Glob Health. 2019 Feb 7;4(Suppl 2):e001119. doi: 10.1136/bmjgh-2018-001119. eCollection 2019.
Lassa fever, caused by arenavirus Lassa virus (LASV), is an acute viral haemorrhagic disease that affects up to an estimated 300 000 individuals and causes up to 5000 deaths per year in West Africa. Currently available LASV diagnostic methods are difficult to operationalise in low-resource health centres and may be less sensitive to detecting all known or emerging LASV strains. To prioritise diagnostic development for LASV, we assessed the diagnostic applications for case detection, clinical management, surveillance, outbreak response, and therapeutic and vaccine development at various healthcare levels. Diagnostic development should prioritise point-of-care and near-patient diagnostics, especially those with the ability to detect all lineages of LASV, as they would allow for rapid detection in resource-limited health facilities closer to the patient.
拉沙热由沙粒病毒拉沙病毒(LASV)引起,是一种急性病毒性出血热疾病,在西非估计每年影响多达30万人,并导致多达5000人死亡。目前可用的拉沙病毒诊断方法在资源匮乏的卫生中心难以实施,并且在检测所有已知或新出现的拉沙病毒毒株方面可能不太敏感。为了优先开展拉沙病毒的诊断研发,我们评估了在各级医疗保健机构中用于病例检测、临床管理、监测、疫情应对以及治疗和疫苗研发的诊断应用。诊断研发应优先考虑即时检测和床旁检测,尤其是那些能够检测所有拉沙病毒谱系的检测方法,因为它们能够在更靠近患者的资源有限的卫生设施中实现快速检测。