| Journal: | Memorias do Instituto Oswaldo Cruz |
| Database: | PERIÓDICA |
| System number: | 000452413 |
| ISSN: | 0074-0276 |
| Authors: | Romero, Carmen Phang1 Castro, Rodolfo2 Brasil, Pedro Emmanuel A. do3 Pereira, Daniella R4 Pinheiro, Roberta Olmo5 Toscano, Cristiana M6 de Oliveira, Maria Regina Fernandes7 |
| Institutions: | 1Fundacao Oswaldo Cruz, Centro de Desenvolvimento Tecnologico em Saude, Rio de Janeiro. Brasil 2Fundacao Oswaldo Cruz, Escola Nacional de Saude Publica Sergio Arouca, Rio de Janeiro. Brasil 3Fundacao Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro. Brasil 4Fundacao Oswaldo Cruz, Brasilia, Distrito Federal. Brasil 5Fundacao Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro. Brasil 6Universidade Federal de Goias, Goiania, Goias. Brasil 7Conselho Nacional de Desenvolvimento Cientifico e Tecnologico, Instituto de Avaliacao de Tecnologias em Saude, Porto Alegre, Rio Grande do Sul. Brasil |
| Year: | 2022 |
| Volumen: | 117 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | 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 |
| Disciplines: | Medicina |
| Keyword: | Dermatología, Parasitología, Diagnóstico, Lepra, Pruebas serológicas, Revisiones sistemáticas, Mycobacterium |
| Keyword: | Dermatology, Parasitology, Diagnosis, Leprosy, Serological tests, Systematic reviews, Mycobacterium |
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