LymphedemaV1, Main, Exploration, bibRecord, 004167

Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

Identifieur interne : 004167 ( Main/Exploration ); précédent : 004166; suivant : 004168

Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

Auteurs : Joseph B. Koroma [Sierra Leone, Royaume-Uni] ; Momodu M. Bangura [Sierra Leone] ; Mary H. Hodges [Sierra Leone] ; Mohamed S. Bah [Sierra Leone] ; Yaobi Zhang [Sénégal] ; Moses J. Bockarie [Royaume-Uni]

Source :

Parasites & Vectors [ 1756-3305 ] ; 2012.

RBID : PMC:3268710

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Antigènes d'helminthe (sang), Collecte de données, Démographie, Femelle, Filariose lymphatique (diagnostic), Filariose lymphatique (parasitologie), Filariose lymphatique (épidémiologie), Humains, Jeune adulte, Microfilaria (isolement et purification), Mâle, Prévalence, Répartition par sexe, Répartition par âge, Sierra Leone (épidémiologie), Wuchereria bancrofti (immunologie), Wuchereria bancrofti (isolement et purification).
MESH :
- diagnostic : Filariose lymphatique.
- immunologie : Wuchereria bancrofti.
- isolement et purification : Microfilaria, Wuchereria bancrofti.
- parasitologie : Filariose lymphatique.
- sang : Antigènes d'helminthe.
- épidémiologie : Filariose lymphatique, Sierra Leone.
- Adolescent, Adulte, Adulte d'âge moyen, Animaux, Collecte de données, Démographie, Femelle, Humains, Jeune adulte, Mâle, Prévalence, Répartition par sexe, Répartition par âge.

English descriptors

KwdEn :
- Adolescent, Adult, Age Distribution, Animals, Antigens, Helminth (blood), Data Collection, Demography, Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (parasitology), Female, Humans, Male, Microfilariae (isolation & purification), Middle Aged, Prevalence, Sex Distribution, Sierra Leone (epidemiology), Wuchereria bancrofti (immunology), Wuchereria bancrofti (isolation & purification), Young Adult.
MESH :
- chemical , blood : Antigens, Helminth.
- diagnosis : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Sierra Leone.
- immunology : Wuchereria bancrofti.
- isolation & purification : Microfilariae, Wuchereria bancrofti.
- parasitology : Elephantiasis, Filarial.
- Adolescent, Adult, Age Distribution, Animals, Data Collection, Demography, Female, Humans, Male, Middle Aged, Prevalence, Sex Distribution, Young Adult.

Abstract

Background

National mapping of lymphatic filariasis (LF) was conducted using Immunochromatographic tests (ICT) in 2005 to determine endemicity and geographic spread of the disease. A baseline microfilaria survey was then conducted to determine LF prevalence and microfilaria intensity.

Methods

In 2005 1,982 persons of 15 years and over from 14 health districts were selected and fingertip blood samples were tested with ICT cards. In 2007-8 blood samples were taken between 10 p.m. and 2 a.m. and examined for microfilaria (mf) from 9,288 persons from 16 sentinel sites representing each district and 2 additional sites for districts with populations over 500,000 (Bo and Kenema).

Results

The overall LF prevalence by ICT cards was 21% (males 28%, females 15%). All districts had a prevalence of Wuchereria bancrofti antigen > 1%. Distribution of LF prevalence showed a strong spatial correlation pattern with high prevalence in a large area in the northeast gradually decreasing to a relatively low prevalence in the southwest coast. High prevalence was found in the northeast, Bombali (52%), Koinadugu (46%), Tonkolili (37%) and Kono (30%). Low prevalence was found in the southwest, Bonthe (3%) and Pujehun (4%). The mf prevalence was higher in the northeast: Bombali, 6.7%, Koinadugu 5.7%, Port Loko 4.4% and Kono 2.4%. Overall there was a significant difference in mf prevalence by gender: males 2.9%, females 1.8% (p = 0.0002) and within districts in Kailahun, Kono, Port Loko, Moyamba and Koinadugu (all p < 0.05). The mf prevalence was higher in people > 20 years (2.5%) than in people ≤ 20 years (1.7%) (p = 0.043). The overall arithmetic mean mf density was 50.30 mf/ml among mf-positive individuals and 1.19 mf/ml in the population examined which varied significantly between districts.

Conclusions

The ICT results showed that LF was endemic nationwide and that preventive chemotherapy (PCT) was justified across the country. Both the ICT and microfilaraemia surveys found that prevalence was greater in males than females. The increase in microfilaraemia prevalence by age was evident when grouped as ≤ 20 versus > 20 years demonstrating early exposure. Baseline LF microfilaria load will be used to monitor PCT program progress.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268710

DOI: 10.1186/1756-3305-5-10
PubMed: 22236419
PubMed Central: 3268710

Affiliations:

Royaume-Uni, Sierra Leone, Sénégal

Le document en format XML

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<term>Adult</term>
<term>Age Distribution</term>
<term>Animals</term>
<term>Antigens, Helminth (blood)</term>
<term>Data Collection</term>
<term>Demography</term>
<term>Elephantiasis, Filarial (diagnosis)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Elephantiasis, Filarial (parasitology)</term>
<term>Female</term>
<term>Humans</term>
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<term>Prevalence</term>
<term>Sex Distribution</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Antigènes d'helminthe (sang)</term>
<term>Collecte de données</term>
<term>Démographie</term>
<term>Femelle</term>
<term>Filariose lymphatique (diagnostic)</term>
<term>Filariose lymphatique (parasitologie)</term>
<term>Filariose lymphatique (épidémiologie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Microfilaria (isolement et purification)</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Sierra Leone (épidémiologie)</term>
<term>Wuchereria bancrofti (immunologie)</term>
<term>Wuchereria bancrofti (isolement et purification)</term>
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</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Filariose lymphatique</term>
</keywords>
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<term>Sierra Leone</term>
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<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Microfilariae</term>
<term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Microfilaria</term>
<term>Wuchereria bancrofti</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitologie" xml:lang="fr"><term>Filariose lymphatique</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitology" xml:lang="en"><term>Elephantiasis, Filarial</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Antigènes d'helminthe</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term>
<term>Sierra Leone</term>
</keywords>
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<term>Adult</term>
<term>Age Distribution</term>
<term>Animals</term>
<term>Data Collection</term>
<term>Demography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Sex Distribution</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Collecte de données</term>
<term>Démographie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>National mapping of lymphatic filariasis (LF) was conducted using Immunochromatographic tests (ICT) in 2005 to determine endemicity and geographic spread of the disease. A baseline microfilaria survey was then conducted to determine LF prevalence and microfilaria intensity.</p>
</sec>
<sec><title>Methods</title>
<p>In 2005 1,982 persons of 15 years and over from 14 health districts were selected and fingertip blood samples were tested with ICT cards. In 2007-8 blood samples were taken between 10 p.m. and 2 a.m. and examined for microfilaria (mf) from 9,288 persons from 16 sentinel sites representing each district and 2 additional sites for districts with populations over 500,000 (Bo and Kenema).</p>
</sec>
<sec><title>Results</title>
<p>The overall LF prevalence by ICT cards was 21% (males 28%, females 15%). All districts had a prevalence of <italic>Wuchereria bancrofti </italic>
antigen > 1%. Distribution of LF prevalence showed a strong spatial correlation pattern with high prevalence in a large area in the northeast gradually decreasing to a relatively low prevalence in the southwest coast. High prevalence was found in the northeast, Bombali (52%), Koinadugu (46%), Tonkolili (37%) and Kono (30%). Low prevalence was found in the southwest, Bonthe (3%) and Pujehun (4%). The mf prevalence was higher in the northeast: Bombali, 6.7%, Koinadugu 5.7%, Port Loko 4.4% and Kono 2.4%. Overall there was a significant difference in mf prevalence by gender: males 2.9%, females 1.8% (p = 0.0002) and within districts in Kailahun, Kono, Port Loko, Moyamba and Koinadugu (all p < 0.05). The mf prevalence was higher in people > 20 years (2.5%) than in people ≤ 20 years (1.7%) (p = 0.043). The overall arithmetic mean mf density was 50.30 mf/ml among mf-positive individuals and 1.19 mf/ml in the population examined which varied significantly between districts.</p>
</sec>
<sec><title>Conclusions</title>
<p>The ICT results showed that LF was endemic nationwide and that preventive chemotherapy (PCT) was justified across the country. Both the ICT and microfilaraemia surveys found that prevalence was greater in males than females. The increase in microfilaraemia prevalence by age was evident when grouped as ≤ 20 versus > 20 years demonstrating early exposure. Baseline LF microfilaria load will be used to monitor PCT program progress.</p>
</sec>
</div>
</front>
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Serveur d'exploration sur le lymphœdème

Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

Lymphatic filariasis mapping by Immunochromatographic Test cards and baseline microfilaria survey prior to mass drug administration in Sierra Leone

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