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2018 - 2019年坦桑尼亚南部疟疾标准显微镜检查和快速诊断检测用于筛查的评估

Evaluation of Malaria Standard Microscopy and Rapid Diagnostic Tests for Screening - Southern Tanzania, 2018-2019.

作者信息

Lin Kangming, Li Mei, Wang Duoquan, Luo Fei, Lu Shenning, Michael Mihayo G, Mlacha Yeromin, Chaki Prosper, Xiao Ning, Zhou Xiao-Nong

机构信息

Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning City, Guangxi Zhuang Autonomous Region, China.

National Institute of Parasitic Diseases, Chinese Center for Tropical Diseases Research, Chinese Center for Disease Control and Prevention; NHC Key Laboratory of Parasite and Vector Biology; WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases; School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai Municipality, China.

出版信息

China CDC Wkly. 2022 Jul 15;4(28):605-608. doi: 10.46234/ccdcw2022.132.

DOI:10.46234/ccdcw2022.132
PMID:35919478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9339368/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Microscopy is the gold standard for parasitological confirmation, but the accuracy of microscopic diagnosis is influenced by the skill of the technicians. An alternative is the immunologic-based malaria rapid diagnostic tests (mRDTs).

WHAT IS ADDED BY THIS REPORT?: Our study evaluated standard microscopy in health system (SMHS) and mRDTs for focused screening and treatment of malaria (FSAT) in Southern Tanzania. We showed that mRDTs were more sensitive than local SMHS for diagnosing malaria infection.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICES?: Malaria rapid diagnostic tests can be useful as an alternative to SMHS for FSAT in the local context of Tanzania.

摘要

关于该主题已知的信息有哪些?:显微镜检查是寄生虫学确诊的金标准,但显微镜诊断的准确性受技术人员技能的影响。另一种方法是基于免疫的疟疾快速诊断检测(mRDTs)。

本报告新增了哪些内容?:我们的研究评估了坦桑尼亚南部卫生系统标准显微镜检查(SMHS)和用于疟疾重点筛查与治疗(FSAT)的mRDTs。我们发现,在诊断疟疾感染方面,mRDTs比当地的SMHS更敏感。

对公共卫生实践有哪些启示?:在坦桑尼亚当地,疟疾快速诊断检测可作为FSAT中替代SMHS的有用方法。

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本文引用的文献

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Infect Dis Poverty. 2019 Jan 8;8(1):4. doi: 10.1186/s40249-018-0507-3.
2
A combined strategy for screening a clustered mobile population returning from highly endemic areas for Plasmodium falciparum.一种针对从高疟区返回的聚集流动人群筛查恶性疟原虫的联合策略。
J Infect Dev Ctries. 2017 Apr 30;11(4):287-293. doi: 10.3855/jidc.8394.
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The usefulness of rapid diagnostic tests in the new context of low malaria transmission in Zanzibar.在桑给巴尔疟疾传播率低的新形势下,快速诊断检测的实用性。
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