比热戈斯群岛（几内亚比绍）沙眼监测中不同诊断检测方法和样本类型的可接受性和感知实用性。
Acceptability and perceived utility of different diagnostic tests and sample types for trachoma surveillance in the Bijagos Islands, Guinea Bissau.
机构信息
Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK.
Programa Nacional de Saúde de Visão, Ministério de Saúde Publica, Bisssau, Guiné Bissau.
出版信息
Trans R Soc Trop Med Hyg. 2021 Aug 2;115(8):847-853. doi: 10.1093/trstmh/traa179.
BACKGROUND
Trachoma is the leading infectious cause of blindness worldwide and is nearing elimination as a public health problem in Guinea Bissau. It is imperative that elimination is followed by a successful postvalidation surveillance programme. The aim of this study was to determine the acceptability and perceived utility of different diagnostic tests and sample types that could be used for postvalidation trachoma surveillance in the Bijagos Islands, Guinea Bissau.
METHODS
Semistructured interviews with community members and stakeholders involved in trachoma elimination were followed by focus group discussions with community members, covering experiences with trachoma and views on trachoma diagnostic methods and sample types.
RESULTS
In this setting, all diagnostic tests and sample types used for trachoma surveillance were generally considered acceptable by communities. A preference for laboratory-based testing and finger-prick blood samples was expressed as these results were considered more accurate and applicable to a range of diseases beyond trachoma.
CONCLUSIONS
Appropriate community and stakeholder engagement and communication regarding the purpose and processes around diagnostic practice prior to trachoma programme implementation are crucial for long-term successful disease-elimination efforts.
背景
沙眼是全球导致失明的主要传染性疾病，在几内亚比绍，沙眼作为一个公共卫生问题已接近消除。消除沙眼之后，必须要有一个成功的后续监测方案。本研究旨在确定在比热戈斯群岛，用于沙眼后续监测的不同诊断检测方法和样本类型的可接受性和感知效用。
方法
对半结构访谈，访谈对象是参与沙眼消除工作的社区成员和利益攸关方，之后对社区成员进行焦点小组讨论，涵盖了他们对沙眼的经验以及对沙眼诊断方法和样本类型的看法。
结果
在这种情况下，社区普遍认为所有用于沙眼监测的诊断检测方法和样本类型都是可以接受的。人们更倾向于基于实验室的检测和指尖采血样本，因为这些检测结果被认为更准确，适用于除沙眼以外的一系列疾病。
结论
在实施沙眼项目之前，针对诊断实践的目的和流程，与社区和利益攸关方进行适当的参与和沟通，对于长期成功的疾病消除工作至关重要。
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