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Sensitivities and specificities of diagnostic tests and infection prevalence of Schistosoma haematobium estimated from data on adults in villages northwest of Accra in Ghana

Identifieur interne : 000237 ( Pmc/Curation ); précédent : 000236; suivant : 000238

Sensitivities and specificities of diagnostic tests and infection prevalence of Schistosoma haematobium estimated from data on adults in villages northwest of Accra in Ghana

Auteurs : Artemis Koukounari ; Joanne P. Webster ; Christl A. Donnelly ; Bethany C. Bray ; Jean Naples ; Kwabena Bosompem ; Clive Shiff

Source :

RBID : PMC:2726788

Abstract

Substantial uncertainties surround the sensitivities and specificities of diagnostic techniques for urinary schistosomiasis. We used Latent Class (LC) modeling to address this problem. In this study 220 adults in three villages northwest of Accra in Ghana were examined using five Schistosoma haematobium diagnostic measures: microscopic examination of urine for detection of S. haematobium eggs, dipsticks for detection of haematuria, tests for circulating antigens, serological antibody tests and ultrasound scans of the urinary system. Testing of the LC model indicated non-invariance of the performance of the diagnostic tests across different age groups while measurement invariance held for males and females and for the three villages. We therefore recommend the use of LC models for comparison between, and the identification of, the most accurate schistosomiasis diagnostic tests. Furthermore, microscopy and haematuria dipsticks were indicated through these models as the most appropriate techniques for detection of S. haematobium infection.


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PubMed: 19270295
PubMed Central: 2726788

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PMC:2726788

Le document en format XML

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<title xml:lang="en">Sensitivities and specificities of diagnostic tests and infection prevalence of
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<name sortKey="Koukounari, Artemis" sort="Koukounari, Artemis" uniqKey="Koukounari A" first="Artemis" last="Koukounari">Artemis Koukounari</name>
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<name sortKey="Naples, Jean" sort="Naples, Jean" uniqKey="Naples J" first="Jean" last="Naples">Jean Naples</name>
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<name sortKey="Bosompem, Kwabena" sort="Bosompem, Kwabena" uniqKey="Bosompem K" first="Kwabena" last="Bosompem">Kwabena Bosompem</name>
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<p id="P1">Substantial uncertainties surround the sensitivities and specificities of diagnostic techniques for urinary schistosomiasis. We used Latent Class (LC) modeling to address this problem. In this study 220 adults in three villages northwest of Accra in Ghana were examined using five
<italic>Schistosoma haematobium</italic>
diagnostic measures: microscopic examination of urine for detection of
<italic>S. haematobium</italic>
eggs, dipsticks for detection of haematuria, tests for circulating antigens, serological antibody tests and ultrasound scans of the urinary system. Testing of the LC model indicated non-invariance of the performance of the diagnostic tests across different age groups while measurement invariance held for males and females and for the three villages. We therefore recommend the use of LC models for comparison between, and the identification of, the most accurate schistosomiasis diagnostic tests. Furthermore, microscopy and haematuria dipsticks were indicated through these models as the most appropriate techniques for detection of
<italic>S. haematobium</italic>
infection.</p>
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<journal-id journal-id-type="nlm-journal-id">0370507</journal-id>
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<journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id>
<journal-title>The American journal of tropical medicine and hygiene</journal-title>
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<article-title>Sensitivities and specificities of diagnostic tests and infection prevalence of
<italic>Schistosoma haematobium</italic>
estimated from data on adults in villages northwest of Accra in Ghana</article-title>
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<name>
<surname>Koukounari</surname>
<given-names>Artemis</given-names>
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<given-names>Joanne P.</given-names>
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<aff id="A1">Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, Norfolk Place, London, W2 1PG, United Kingdom; MRC Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, Norfolk Place, London, W2 1PG, United Kingdom, The Methodology Center, The Pennsylvania State University, 204 E. Calder Way, Suite 400 State College, PA 16801; Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore MD 21205;Department of Parasitology, Noguchi Memorial Institute for Medical Research, Legon, Accra, Ghana</aff>
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<author-notes>
<corresp id="cor1">Authors’ addresses: Artemis Koukounari, and Joanne P. Webster, Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College Faculty of Medicine, St Mary's Campus, Norfolk Place, London, W2 1PG, Telephone: +44 (0)20 759 43820, Fax: +44 (0) 20 7262 8140, E-mails:
<email>artemis.koukounari@imperial.ac.uk</email>
,
<email>joanne.webster@imperial.ac.uk</email>
, Christl A. Donnelly, MRC Centre for Outbreak Analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College Faculty of Medicine, St Mary's Campus, Norfolk Place, London, W2 1PG. E-mail:
<email>c.donnelly@imperial.ac.uk</email>
, Bethany C. Bray, The Methodology Center, The Pennsylvania State University, Office: 204 E. Calder Way, Suite 400, State College, PA 16801. E-mail:
<email>bcbray@psu.edu</email>
, Jean Naples, Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore MD 21205, USA. E-mail:
<email>jnaples@jhsph.edu</email>
, Kwabena Bosompem, Department of Parasitology, Noguchi Memorial Institute for Medical Research, Legon, Accra, Ghana. E-mail:
<email>kbosompem@noguchi.mimcom.net</email>
, Clive Shiff, Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, Baltimore MD 21205, USA. E-mail:
<email>cshiff@jhsph.edu</email>
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<volume>80</volume>
<issue>3</issue>
<fpage>435</fpage>
<lpage>441</lpage>
<abstract>
<p id="P1">Substantial uncertainties surround the sensitivities and specificities of diagnostic techniques for urinary schistosomiasis. We used Latent Class (LC) modeling to address this problem. In this study 220 adults in three villages northwest of Accra in Ghana were examined using five
<italic>Schistosoma haematobium</italic>
diagnostic measures: microscopic examination of urine for detection of
<italic>S. haematobium</italic>
eggs, dipsticks for detection of haematuria, tests for circulating antigens, serological antibody tests and ultrasound scans of the urinary system. Testing of the LC model indicated non-invariance of the performance of the diagnostic tests across different age groups while measurement invariance held for males and females and for the three villages. We therefore recommend the use of LC models for comparison between, and the identification of, the most accurate schistosomiasis diagnostic tests. Furthermore, microscopy and haematuria dipsticks were indicated through these models as the most appropriate techniques for detection of
<italic>S. haematobium</italic>
infection.</p>
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<contract-num rid="DA1">P50 DA010075-13</contract-num>
<contract-sponsor id="DA1">National Institute on Drug Abuse : NIDA</contract-sponsor>
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