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Accuracy of rapid point-of-care serological tests for leprosy diagnosis: a systematic review and meta-analysis.
Romero, Carmen Phang; Castro, Rodolfo; do Brasil, Pedro Emmanuel A; Pereira, Daniella R; Pinheiro, Roberta Olmo; Toscano, Cristiana M; de Oliveira, Maria Regina Fernandes.
Afiliação
  • Romero CP; Fundação Oswaldo Cruz-Fiocruz, Centro de Desenvolvimento Tecnológico em Saúde, Rio de Janeiro, RJ, Brasil.
  • Castro R; Fundação Oswaldo Cruz-Fiocruz, Escola Nacional de Saúde Pública Sérgio Arouca, Rio de Janeiro, RJ, Brasil.
  • do Brasil PEA; Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
  • Pereira DR; Fundação Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, RJ, Brasil.
  • Pinheiro RO; Fundação Oswaldo Cruz-Fiocruz, Brasília, DF, Brasil.
  • Toscano CM; Fundação Oswaldo Cruz-Fiocruz, Instituto Oswaldo Cruz, Laboratório de Hanseníase, Rio de Janeiro, RJ, Brasil.
  • de Oliveira MRF; Universidade Federal de Goiás, Goiânia, GO, Brasil.
Mem Inst Oswaldo Cruz ; 117: e220317, 2022.
Article em En | MEDLINE | ID: mdl-35416839
BACKGROUND: Leprosy is a chronic infectious disease, still endemic in many countries that may lead to neurological, ophthalmic, and motor sequelae if not treated early. Access to timely diagnosis and multidrug therapy (MDT) remains a crucial element in the World Health Organization's strategy to eliminate the disease as a public health problem. OBJECTIVES: This systematic review aims to evaluate the accuracy of rapid point-of-care (POC) tests for diagnosis of leprosy. METHODS: Searches were carried out in electronic databases (PubMed, EMBASE, CRD, Cochrane Library and LILACS) in April 2021 for patients with suspicion or confirmatory diagnostic of leprosy, classified in multibacillary (MB) or paucibacillary (PB) cases, performing rapid POC serological tests compared to clinical evaluation, smear microscopy and immunohistochemistry analysis. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool (QUADAS-2). A meta-analysis was undertaken to generate pooled estimates of diagnostic parameters, presenting sensitivity, specificity and diagnostic odds ratio (DOR) values. The review protocol was registered at PROSPERO, CRD # 42014009658. FINDINGS: From 893 potentially relevant references, 12 articles were included reporting 16 diagnostic tests accuracy studies with 5395 individuals enrolled. Meta-analysis of NDO-LID and PGL-I tests data in MB patients showed sensitivity and specificity [95% confidence interval (CI)] of 0.83 (0.71-0.91), 0.91 (0.72-0.97); and 0.92 (0.86-0.96), 0.93 (0.78-0.98); respectively, with high heterogeneity among the studies. MAIN CONCLUSIONS: Our results can inform policymakers regarding the possibility of implementing accurate, rapid POC tests for leprosy in public health services, especially within primary health care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistemas Automatizados de Assistência Junto ao Leito / Hanseníase Tipo de estudo: Diagnostic_studies / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Mem Inst Oswaldo Cruz Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistemas Automatizados de Assistência Junto ao Leito / Hanseníase Tipo de estudo: Diagnostic_studies / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Mem Inst Oswaldo Cruz Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil