Richert Wanesa, Korzeniewski Krzysztof
Department of Epidemiology and Tropical Medicine, Military Institute of Medicine-National Research Institute, 128 Szaserów St., 04-141 Warsaw, Poland.
Pathogens. 2024 Aug 29;13(9):734. doi: 10.3390/pathogens13090734.
Neglected tropical diseases (NTDs) are a group of illnesses which usually present with a chronic clinical picture. NTDs can lead to permanent disability and are often associated with social stigma. In many developing countries where NTDs are endemic, there are no diagnostic tools for the safe storage and transport of biological samples, and there are no specialist diagnostic centers where the samples could be processed. The transport of biological samples (blood, urine) collected in field conditions and brought to laboratories located in developed countries requires the maintenance of the cold chain during transportation. Ensuring temperature control during transport could be problematic or even impossible to achieve; it is also expensive. A helpful solution to this problem is to use the dried matrix spot (DMS) technique, which seems to be a reliable method for collecting biological samples to be used for screening purposes and conducting epidemiological surveillance of NTDs in developing countries. This article is an overview of how DMSs can be used in the diagnosis of most neglected tropical diseases.
被忽视的热带病(NTDs)是一组通常呈现慢性临床症状的疾病。NTDs可导致永久性残疾,且常与社会污名化相关联。在许多NTDs流行的发展中国家,没有用于生物样本安全储存和运输的诊断工具,也没有可对样本进行处理的专业诊断中心。在野外条件下采集并送往发达国家实验室的生物样本(血液、尿液)运输过程中需要维持冷链。确保运输过程中的温度控制可能存在问题甚至无法实现,而且成本也很高。解决这个问题的一个有效办法是使用干血斑(DMS)技术,这似乎是一种可靠的方法,可用于在发展中国家采集用于筛查目的的生物样本并开展NTDs的流行病学监测。本文概述了DMS如何用于诊断大多数被忽视的热带病。