Scope and Limits of an Anamnestic Questionnaire in a Control-Induced Low-Endemicity Helminthiasis Setting in South-Central Côte d’Ivoire
Identifieur interne : 002014 ( Ncbi/Checkpoint ); précédent : 002013; suivant : 002015Scope and Limits of an Anamnestic Questionnaire in a Control-Induced Low-Endemicity Helminthiasis Setting in South-Central Côte d’Ivoire
Auteurs : Thomas Fürst [Suisse] ; Mamadou Ouattara ; Kigbafori D. Silué ; Dje N. N Oran ; Lukas G. Adiossan ; Isaac I. Bogoch [Canada] ; Yao N Uessan ; Siaka Koné ; Jürg Utzinger [Suisse] ; Eliézer K. N OranSource :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
Schistosomiasis and soil-transmitted helminthiasis are two high-burden neglected tropical diseases. In highly endemic areas, control efforts emphasize preventive chemotherapy. However, as morbidity, infection, and transmission begin to decrease, more targeted treatment is likely to become more cost-effective, provided that comparatively cheap diagnostic methods with reasonable accuracy are available.
Adults were administered an anamnestic questionnaire in mid-2010 during a cross-sectional epidemiological survey in the Taabo health demographic surveillance system in south-central Côte d’Ivoire. Questions pertaining to risk factors and signs and symptoms for schistosomiasis and soil-transmitted helminthiasis were included. The individuals’ helminth infection status and their belonging to three different anthelmintic treatment groups were compared with the questionnaire results (i) to inform the local health authorities about the epidemiological and clinical footprint of locally prevailing helminthiases, and (ii) to explore the scope and limits of an anamnestic questionnaire as monitoring tool, which eventually could help guiding the control of neglected tropical diseases in control-induced low-endemicity settings.
Our study sample consisted of 195 adults (101 males, 94 females). We found prevalences of hookworm,
The generally low prevalence and intensity of helminth infection in this part of south-central Côte d’Ivoire indicates that recent control efforts have turned our study area into a low endemicity setting. Our anamnestic questionnaire had low sensitivity and specificity to identify infected individuals or treatment groups.
Url:
DOI: 10.1371/journal.pone.0064380
PubMed: 23755120
PubMed Central: 3670890
Affiliations:
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N Oran</name><affiliation><nlm:aff id="aff5"><addr-line>Programme National de Lutte contre la Schistosomiase, les Géohelminthiases et la Filariose Lymphatique, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Adiossan, Lukas G" sort="Adiossan, Lukas G" uniqKey="Adiossan L" first="Lukas G." last="Adiossan">Lukas G. Adiossan</name><affiliation><nlm:aff id="aff6"><addr-line>Hôpital Général de Taabo, Taabo Cité, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Bogoch, Isaac I" sort="Bogoch, Isaac I" uniqKey="Bogoch I" first="Isaac I." last="Bogoch">Isaac I. 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N Oran</name><affiliation><nlm:aff id="aff3"><addr-line>Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><addr-line>Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23755120</idno><idno type="pmc">3670890</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670890</idno><idno type="RBID">PMC:3670890</idno><idno type="doi">10.1371/journal.pone.0064380</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002A33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002A33</idno><idno type="wicri:Area/Pmc/Curation">002A32</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002A32</idno><idno type="wicri:Area/Pmc/Checkpoint">001715</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001715</idno><idno type="wicri:Area/Ncbi/Merge">002014</idno><idno type="wicri:Area/Ncbi/Curation">002014</idno><idno type="wicri:Area/Ncbi/Checkpoint">002014</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Scope and Limits of an Anamnestic Questionnaire in a Control-Induced Low-Endemicity Helminthiasis Setting in South-Central Côte d’Ivoire</title><author><name sortKey="Furst, Thomas" sort="Furst, Thomas" uniqKey="Furst T" first="Thomas" last="Fürst">Thomas Fürst</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland</addr-line></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>University of Basel, Basel, Switzerland</addr-line></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>University of Basel, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author><author><name sortKey="Ouattara, Mamadou" sort="Ouattara, Mamadou" uniqKey="Ouattara M" first="Mamadou" last="Ouattara">Mamadou Ouattara</name><affiliation><nlm:aff id="aff3"><addr-line>Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Silue, Kigbafori D" sort="Silue, Kigbafori D" uniqKey="Silue K" first="Kigbafori D." last="Silué">Kigbafori D. Silué</name><affiliation><nlm:aff id="aff3"><addr-line>Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><addr-line>Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="N Oran, Dje N" sort="N Oran, Dje N" uniqKey="N Oran D" first="Dje N." last="N Oran">Dje N. N Oran</name><affiliation><nlm:aff id="aff5"><addr-line>Programme National de Lutte contre la Schistosomiase, les Géohelminthiases et la Filariose Lymphatique, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Adiossan, Lukas G" sort="Adiossan, Lukas G" uniqKey="Adiossan L" first="Lukas G." last="Adiossan">Lukas G. Adiossan</name><affiliation><nlm:aff id="aff6"><addr-line>Hôpital Général de Taabo, Taabo Cité, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Bogoch, Isaac I" sort="Bogoch, Isaac I" uniqKey="Bogoch I" first="Isaac I." last="Bogoch">Isaac I. Bogoch</name><affiliation wicri:level="1"><nlm:aff id="aff7"><addr-line>Divisions of Internal Medicine and Infectious Diseases, Toronto General Hospital, Toronto, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Divisions of Internal Medicine and Infectious Diseases, Toronto General Hospital, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="N Uessan, Yao" sort="N Uessan, Yao" uniqKey="N Uessan Y" first="Yao" last="N Uessan">Yao N Uessan</name><affiliation><nlm:aff id="aff4"><addr-line>Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Kone, Siaka" sort="Kone, Siaka" uniqKey="Kone S" first="Siaka" last="Koné">Siaka Koné</name><affiliation><nlm:aff id="aff4"><addr-line>Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author><author><name sortKey="Utzinger, Jurg" sort="Utzinger, Jurg" uniqKey="Utzinger J" first="Jürg" last="Utzinger">Jürg Utzinger</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland</addr-line></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>University of Basel, Basel, Switzerland</addr-line></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>University of Basel, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author><author><name sortKey="N Oran, Eliezer K" sort="N Oran, Eliezer K" uniqKey="N Oran E" first="Eliézer K." last="N Oran">Eliézer K. N Oran</name><affiliation><nlm:aff id="aff3"><addr-line>Unité de Formation et de Recherche Biosciences, Université Félix Houphouët-Boigny, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation><affiliation><nlm:aff id="aff4"><addr-line>Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire</addr-line></nlm:aff><wicri:noCountry code="subfield">Côte d’Ivoire</wicri:noCountry></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Schistosomiasis and soil-transmitted helminthiasis are two high-burden neglected tropical diseases. In highly endemic areas, control efforts emphasize preventive chemotherapy. However, as morbidity, infection, and transmission begin to decrease, more targeted treatment is likely to become more cost-effective, provided that comparatively cheap diagnostic methods with reasonable accuracy are available.</p></sec><sec><title>Methodology</title><p>Adults were administered an anamnestic questionnaire in mid-2010 during a cross-sectional epidemiological survey in the Taabo health demographic surveillance system in south-central Côte d’Ivoire. Questions pertaining to risk factors and signs and symptoms for schistosomiasis and soil-transmitted helminthiasis were included. The individuals’ helminth infection status and their belonging to three different anthelmintic treatment groups were compared with the questionnaire results (i) to inform the local health authorities about the epidemiological and clinical footprint of locally prevailing helminthiases, and (ii) to explore the scope and limits of an anamnestic questionnaire as monitoring tool, which eventually could help guiding the control of neglected tropical diseases in control-induced low-endemicity settings.</p></sec><sec><title>Principal Findings</title><p>Our study sample consisted of 195 adults (101 males, 94 females). We found prevalences of hookworm, <italic>Trichuris trichiura</italic>, <italic>Schistosoma haematobium</italic>, and <italic>Schistosoma mansoni</italic> of 39.0%, 2.7%, 2.1%, and 2.1%, respectively. No <italic>Ascaris lumbricoides</italic> infection was found. Helminth infection intensities were generally very low. Seven, 74 and 79 participants belonged to three different treatment groups. Multivariable logistic regression models revealed statistically significant (p<0.05) associations between some risk factors, signs, and symptoms, and the different helminth infections and treatment groups. However, the risk factors, signs, and symptoms showed weak diagnostic properties.</p></sec><sec><title>Conclusions/Significance</title><p>The generally low prevalence and intensity of helminth infection in this part of south-central Côte d’Ivoire indicates that recent control efforts have turned our study area into a low endemicity setting. Our anamnestic questionnaire had low sensitivity and specificity to identify infected individuals or treatment groups.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="King, Ch" uniqKey="King C">CH King</name></author><author><name sortKey="Dickman, K" uniqKey="Dickman K">K Dickman</name></author><author><name sortKey="Tisch, Dj" uniqKey="Tisch D">DJ Tisch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lammie, Pj" uniqKey="Lammie P">PJ Lammie</name></author><author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name></author><author><name sortKey="Utzinger, J" uniqKey="Utzinger J">J Utzinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brooker, S" uniqKey="Brooker S">S Brooker</name></author><author><name sortKey="Utzinger, J" uniqKey="Utzinger J">J 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Adiossan</name><name sortKey="Kone, Siaka" sort="Kone, Siaka" uniqKey="Kone S" first="Siaka" last="Koné">Siaka Koné</name><name sortKey="N Oran, Dje N" sort="N Oran, Dje N" uniqKey="N Oran D" first="Dje N." last="N Oran">Dje N. N Oran</name><name sortKey="N Oran, Eliezer K" sort="N Oran, Eliezer K" uniqKey="N Oran E" first="Eliézer K." last="N Oran">Eliézer K. N Oran</name><name sortKey="N Uessan, Yao" sort="N Uessan, Yao" uniqKey="N Uessan Y" first="Yao" last="N Uessan">Yao N Uessan</name><name sortKey="Ouattara, Mamadou" sort="Ouattara, Mamadou" uniqKey="Ouattara M" first="Mamadou" last="Ouattara">Mamadou Ouattara</name><name sortKey="Silue, Kigbafori D" sort="Silue, Kigbafori D" uniqKey="Silue K" first="Kigbafori D." last="Silué">Kigbafori D. Silué</name></noCountry><country name="Suisse"><noRegion><name sortKey="Furst, Thomas" sort="Furst, Thomas" uniqKey="Furst T" first="Thomas" last="Fürst">Thomas Fürst</name></noRegion><name sortKey="Furst, Thomas" sort="Furst, Thomas" uniqKey="Furst T" first="Thomas" last="Fürst">Thomas Fürst</name><name sortKey="Utzinger, Jurg" sort="Utzinger, Jurg" uniqKey="Utzinger J" first="Jürg" last="Utzinger">Jürg Utzinger</name><name sortKey="Utzinger, Jurg" sort="Utzinger, Jurg" uniqKey="Utzinger J" first="Jürg" last="Utzinger">Jürg Utzinger</name></country><country name="Canada"><noRegion><name sortKey="Bogoch, Isaac I" sort="Bogoch, Isaac I" uniqKey="Bogoch I" first="Isaac I." last="Bogoch">Isaac I. Bogoch</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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