Application of a POCCCA rapid diagnostic test and serology for detection of schistosomiasis in HIV-positive individuals in urban Malawi.

Acta Trop

Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany; School of Medicine and Clinical Sciences, Levy Mwanawasa Medical University, Lusaka, Zambia. Electronic address:

Published: December 2021

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http://dx.doi.org/10.1016/j.actatropica.2021.106142DOI Listing

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Application of a POCCCA rapid diagnostic test and serology for detection of schistosomiasis in HIV-positive individuals in urban Malawi.

Acta Trop

December 2021

Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany; School of Medicine and Clinical Sciences, Levy Mwanawasa Medical University, Lusaka, Zambia. Electronic address:

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Background: Point of care tests would be valuable for field diagnosis. However, high sensitivity will likely be required in low endemicity sets where individuals with low schistosome burden are hard to diagnose.

Methods: Commercially available POC tests (POC-CCA® and Urine CCA (Schisto) ECO Teste®) were evaluated to evidence their potential in low endemicity areas.

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Concordance of the point-of-care circulating cathodic antigen test for the diagnosis of intestinal schistosomiasis in a low endemicity area.

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May 2019

Programa de Pós-Graduação Strictu Sensu em Biologia Parasitária na Amazônia da Universidade do Estado do Pará, Tv. Perebebuí, 2623 - Marco, Belém, PA, 66087, Brazil.

Background: The Kato-Katz technique is recommended worldwide for the diagnosis of intestinal schistosomiasis, detecting parasite eggs in feces of infected people. However, new tests have been developed in order to facilitate diagnosis, e.g.

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Article Synopsis
  • Accurate and rapid diagnosis is crucial for controlling schistosomiasis, as existing methods like POC-CCA perform poorly in low-endemicity areas.* -
  • A new method called POC-CCA filter (FLT) was developed, incorporating a quick urine concentration step that significantly improved diagnostic accuracy in Brazilian endemic areas.* -
  • Results showed that POC-CCA FLT had a much higher accuracy rate (up to 100%) compared to the traditional POC-CCA, enhancing its effectiveness in diagnosing cases both before and after treatment.*
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In February 2015, a male patient from Eritrea with persistent abdominal pain and rectal bleeding was diagnosed with Schistosoma mansoni infection upon examination of a rectal biopsy. In May 2015, repeated stool microscopy identified S. mansoni infection in another Eritrean patient with abdominal pain and considerable eosinophilia (34%).

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