Predictive value of the eosinophil counts in the biological diagnosis of lymphatic filariasis in French Polynesia.
Identifieur interne : 001E84 ( PubMed/Curation ); précédent : 001E83; suivant : 001E85Predictive value of the eosinophil counts in the biological diagnosis of lymphatic filariasis in French Polynesia.
Auteurs : D. Musso [Polynésie française] ; V. VialetteSource :
- Medecine et maladies infectieuses [ 1769-6690 ] ; 2012.
Descripteurs français
- KwdFr :
- Animaux, Antigènes d'helminthe (sang), Courbe ROC, Dépistage systématique (économie), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (diagnostic), Filariose lymphatique (parasitologie), Filariose lymphatique (sang), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (épidémiologie), Granulocytes éosinophiles, Humains, Microfilaria, Numération des leucocytes (économie), Parasitémie (diagnostic), Polynésie (épidémiologie), Prévalence, Sensibilité et spécificité, Tests diagnostiques courants (économie), Valeur prédictive des tests, Wuchereria bancrofti (immunologie), Wuchereria bancrofti (isolement et purification), Éosinophilie (étiologie), Études rétrospectives.
- MESH :
- diagnostic : Filariose lymphatique, Parasitémie.
- immunologie : Wuchereria bancrofti.
- isolement et purification : Wuchereria bancrofti.
- parasitologie : Filariose lymphatique.
- sang : Antigènes d'helminthe, Filariose lymphatique.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Filaricides.
- économie : Dépistage systématique, Numération des leucocytes, Tests diagnostiques courants.
- épidémiologie : Filariose lymphatique, Polynésie.
- étiologie : Éosinophilie.
- Animaux, Courbe ROC, Filariose lymphatique, Granulocytes éosinophiles, Humains, Microfilaria, Prévalence, Sensibilité et spécificité, Valeur prédictive des tests, Études rétrospectives.
English descriptors
- KwdEn :
- Animals, Antigens, Helminth (blood), Diagnostic Tests, Routine (economics), Elephantiasis, Filarial (blood), Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (parasitology), Elephantiasis, Filarial (prevention & control), Eosinophilia (etiology), Eosinophils, Filaricides (therapeutic use), Humans, Leukocyte Count (economics), Mass Screening (economics), Microfilariae, Parasitemia (diagnosis), Polynesia (epidemiology), Predictive Value of Tests, Prevalence, ROC Curve, Retrospective Studies, Sensitivity and Specificity, Wuchereria bancrofti (immunology), Wuchereria bancrofti (isolation & purification).
- MESH :
- chemical , blood : Antigens, Helminth.
- blood : Elephantiasis, Filarial.
- diagnosis : Elephantiasis, Filarial, Parasitemia.
- drug therapy : Elephantiasis, Filarial.
- economics : Diagnostic Tests, Routine, Leukocyte Count, Mass Screening.
- epidemiology : Elephantiasis, Filarial, Polynesia.
- etiology : Eosinophilia.
- immunology : Wuchereria bancrofti.
- isolation & purification : Wuchereria bancrofti.
- parasitology : Elephantiasis, Filarial.
- prevention & control : Elephantiasis, Filarial.
- chemical , therapeutic use : Filaricides.
- Animals, Eosinophils, Humans, Microfilariae, Predictive Value of Tests, Prevalence, ROC Curve, Retrospective Studies, Sensitivity and Specificity.
Abstract
Lymphatic filariasis is common in many tropical and subtropical areas and is a major public health issue in south Pacific islands. In endemic areas, most infected individuals are asymptomatic but may harbor microfilariae or filarial antigens in their peripheral blood. Microscopy remains the reference diagnostic tool for the identification of microfilariae but is weakly sensitive. The diagnosis of Wuchereria bancrofti infection was dramatically altered by the development of filarial antigen tests, which are easy to perform but expensive for routine use. Lymphatic filariasis is responsible for acquired eosinophilia and blood eosinophil count is commonly used as a screening tool in endemic areas.
DOI: 10.1016/j.medmal.2012.09.006
PubMed: 23116705
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pubmed:23116705Le document en format XML
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<term>Elephantiasis, Filarial (diagnosis)</term>
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<term>ROC Curve</term>
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<term>Valeur prédictive des tests</term>
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<term>Mass Screening</term>
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<term>Filariose lymphatique</term>
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<term>Numération des leucocytes</term>
<term>Tests diagnostiques courants</term>
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<term>Eosinophils</term>
<term>Humans</term>
<term>Microfilariae</term>
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<term>ROC Curve</term>
<term>Retrospective Studies</term>
<term>Sensitivity and Specificity</term>
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<term>Courbe ROC</term>
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<term>Granulocytes éosinophiles</term>
<term>Humains</term>
<term>Microfilaria</term>
<term>Prévalence</term>
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<front><div type="abstract" xml:lang="en">Lymphatic filariasis is common in many tropical and subtropical areas and is a major public health issue in south Pacific islands. In endemic areas, most infected individuals are asymptomatic but may harbor microfilariae or filarial antigens in their peripheral blood. Microscopy remains the reference diagnostic tool for the identification of microfilariae but is weakly sensitive. The diagnosis of Wuchereria bancrofti infection was dramatically altered by the development of filarial antigen tests, which are easy to perform but expensive for routine use. Lymphatic filariasis is responsible for acquired eosinophilia and blood eosinophil count is commonly used as a screening tool in endemic areas.</div>
</front>
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<ArticleTitle>Predictive value of the eosinophil counts in the biological diagnosis of lymphatic filariasis in French Polynesia.</ArticleTitle>
<Pagination><MedlinePgn>585-90</MedlinePgn>
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<Abstract><AbstractText Label="SETTINGS" NlmCategory="METHODS">Lymphatic filariasis is common in many tropical and subtropical areas and is a major public health issue in south Pacific islands. In endemic areas, most infected individuals are asymptomatic but may harbor microfilariae or filarial antigens in their peripheral blood. Microscopy remains the reference diagnostic tool for the identification of microfilariae but is weakly sensitive. The diagnosis of Wuchereria bancrofti infection was dramatically altered by the development of filarial antigen tests, which are easy to perform but expensive for routine use. Lymphatic filariasis is responsible for acquired eosinophilia and blood eosinophil count is commonly used as a screening tool in endemic areas.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">We retrospectively analyzed all the results of eosinophil counts, antigen and microfilariae detection performed in our laboratory over a 24-month period. We calculated the prevalence of antigenemia for various eosinophilic cut offs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The prevalence of antigenemia was estimated at 25.78% with eosinophilia defined as a count eosinophilic PMN above 500 per mm(3).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Our prevention strategy against lymphatic filariasis is based on annual mass drug administration, vector control, and systematic treatment of antigenemic and microfilaremic patients. Antigenemic and microfilaremic detection cannot be routinely performed because of their cost. Current treatments used for lymphatic filariasis are safe and cheaper than antigenic detection. A possible additional strategy to decrease the prevalence of antigenemia would be the systematic treatment of patients with hypereosinophilia.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Musso</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Laboratoire de Biologie Médicale, Institut Louis-Malardé1, BP 30, 98713 Papeete, Tahiti, French Polynesia. dmusso@ilm.pf</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vialette</LastName>
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<Initials>V</Initials>
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<MeshHeading><DescriptorName UI="D014958" MajorTopicYN="N">Wuchereria bancrofti</DescriptorName>
<QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
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