现场诊断被忽视热带病的诊断检测方法。
Diagnosing point-of-care diagnostics for neglected tropical diseases.
机构信息
Department of Bionanoscience, Kavli Institute of Nanoscience Delft, Delft University of Technology, Delft, The Netherlands.
出版信息
PLoS Negl Trop Dis. 2021 Jun 17;15(6):e0009405. doi: 10.1371/journal.pntd.0009405. eCollection 2021 Jun.
Inadequate and nonintegrated diagnostics are the Achilles' heel of global efforts to monitor, control, and eradicate neglected tropical diseases (NTDs). While treatment is often available, NTDs are endemic among marginalized populations, due to the unavailability or inadequacy of diagnostic tests that cause empirical misdiagnoses. The need of the hour is early diagnosis at the point-of-care (PoC) of NTD patients. Here, we review the status quo of PoC diagnostic tests and practices for all of the 24 NTDs identified in the World Health Organization's (WHO) 2021-2030 roadmap, based on their different diagnostic requirements. We discuss the capabilities and shortcomings of current diagnostic tests, identify diagnostic needs, and formulate prerequisites of relevant PoC tests. Next to technical requirements, we stress the importance of availability and awareness programs for establishing PoC tests that fit endemic resource-limited settings. Better understanding of NTD diagnostics will pave the path for setting realistic goals for healthcare in areas with minimal resources, thereby alleviating the global healthcare burden.
诊断不足且缺乏整合是全球监测、控制和消除被忽视热带病(NTDs)努力的阿喀琉斯之踵。虽然通常有治疗方法,但由于缺乏或诊断测试不足导致经验性误诊,NTDs 在边缘化人群中流行。当务之急是在 NTD 患者的护理点(PoC)进行早期诊断。在这里,我们根据世界卫生组织(WHO)2021-2030 路线图中确定的所有 24 种 NTD 的不同诊断要求,审查了针对所有这些疾病的 PoC 诊断测试和实践的现状。我们讨论了当前诊断测试的能力和局限性,确定了诊断需求,并制定了相关 PoC 测试的前提条件。除了技术要求外,我们还强调了建立适合流行资源有限环境的 PoC 测试的可用性和意识计划的重要性。更好地了解 NTD 诊断将为在资源最少的地区设定现实的医疗保健目标铺平道路,从而减轻全球医疗保健负担。