Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
Department of Microbiology, GIPMER, Delhi, India.
Indian J Med Microbiol. 2022 Jul-Sep;40(3):337-341. doi: 10.1016/j.ijmmb.2022.02.003. Epub 2022 Mar 3.
Infectious diseases can be of serious public concerns because of its transmissibility. The parasitic infectious diseases in particular are often seen as neglected diseases of poverty. The diagnostic tests for parasitic diseases barring malaria are not easily available specially in low resources settings where they are needed most. The conventional mode of diagnosis based on centralized laboratory is time consuming and resource intensive. The modern-day medicine has shifted the focus to patient care. The use of point of care tests (POCT) has increased worldwide because they provide rapid diagnosis within the consultation time that too near patient care areas. This is very useful for starting initial treatment. These POCT provide excellent solution for rural and hard to reach areas where parasitic diseases are most prevalent. Despite the high demand, a relatively limited number of validated rapid diagnostics are commercially available for parasitic infections.
This review aims to discuss various POCT available for these neglected parasitic diseases. Accurate detection of parasitic infection underpins a holistic approach to its control and management. The POCT can also be used to screen mass population to detect asymptomatic reservoirs and monitor interventions planned for elimination programs for many parasitic diseases. Recently focus is on integrated platforms and analysis of multiple analytes from single sample. Researchers are striving to produce POCT based on innovative technology such as lab-on-chip that can be made more affordable and suitable for low resource settings.
传染病因其传染性而引起公众严重关切。特别是寄生虫传染病,往往被视为贫困地区被忽视的疾病。寄生虫病的诊断检测(疟疾除外)在最需要的资源匮乏环境中并不容易获得。基于集中实验室的传统诊断模式既耗时又耗费资源。现代医学已经将重点转移到患者护理上。由于在就诊时间内提供了靠近患者护理区域的快速诊断,世界各地都增加了使用即时检测(POCT)的数量。这对于开始初始治疗非常有用。这些 POCT 为寄生虫病最流行的农村和难以到达的地区提供了极好的解决方案。尽管需求很高,但商业化的寄生虫感染验证过的快速诊断方法相对较少。
本综述旨在讨论各种针对这些被忽视的寄生虫病的 POCT。寄生虫感染的准确检测是其控制和管理的整体方法的基础。POCT 还可用于对大量人群进行筛查,以发现无症状的储存宿主,并监测为消除许多寄生虫病而计划的干预措施。最近的重点是整合平台和从单个样本中分析多个分析物。研究人员正在努力开发基于创新技术(如芯片实验室)的 POCT,使其更实惠并适用于资源匮乏的环境。