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Diagnosis of Schistosoma mansoni infections: what are the choices in Brazilian low-endemic areas? | LitMetric

Diagnosis of Schistosoma mansoni infections: what are the choices in Brazilian low-endemic areas?

Mem Inst Oswaldo Cruz

Fundação Oswaldo Cruz-Fiocruz, Instituto René Rachou, Biologia do Schistosoma mansoni e sua interação com o hospedeiro, Belo Horizonte, MG, Brasil.

Published: March 2019

AI Article Synopsis

  • Brazil has a lot of people with weak infections of a parasite called Schistosoma mansoni.
  • The Kato-Katz method, which is used to check for these infections, might not work well when the infections are low.
  • To improve testing, doctors in Brazil are using a mix of antibody tests and detailed tests to better find and confirm these infections.

Article Abstract

The population of Brazil is currently characterised by many individuals harbouring low-intensity Schistosoma mansoni infections. The Kato-Katz technique is the diagnostic method recommended by the World Health Organization (WHO) to assess these infections, but this method is not sensitive enough in the context of low egg excretion. In this regard, potential alternatives are being employed to overcome the limits of the Kato-Katz technique. In the present review, we evaluated the performance of parasitological and immunological approaches adopted in Brazilian areas. Currently, the diagnostic choices involve a combination of strategies, including the utilisation of antibody methods to screen individuals and then subsequent confirmation of positive cases by intensive parasitological investigations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440364PMC
http://dx.doi.org/10.1590/0074-02760180478DOI Listing

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