| Author | Romero, Carmen Phang | |
| Author | Castro, Rodolfo | |
| Author | Brasil, Pedro Emmanuel A. do | |
| Author | Pereira, Daniella R. | |
| Author | Pinheiro, Roberta Olmo | |
| Author | Toscano, Cristiana M. | |
| Author | Oliveira, Maria Regina Fernandes de | |
| Access date | 2022-05-06T12:52:19Z | |
| Available date | 2022-05-06T12:52:19Z | |
| Document date | 2022 | |
| Citation | ROMERO, Carmen Phang et al. Accuracy of rapid point-of-care serological tests for leprosy diagnosis: a systematic review and meta-analysis. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 117, p. 1-12, 2022. | pt_BR |
| ISSN | 0074-0206 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/52553 | |
| Language | eng | pt_BR |
| Publisher | Fiocruz/IOC | pt_BR |
| Rights | open access | |
| Subject in Portuguese | Precisão | pt_BR |
| Subject in Portuguese | Diagnóstico | pt_BR |
| Subject in Portuguese | Hanseníase | pt_BR |
| Subject in Portuguese | Infecções por micobactérias | pt_BR |
| Subject in Portuguese | Ponto de atendimento | pt_BR |
| Subject in Portuguese | Revisão sistemática | pt_BR |
| Title | Accuracy of rapid point-of-care serological tests for leprosy diagnosis: a systematic review and meta-analysis | pt_BR |
| Type | Article | |
| DOI | 10.1590/0074-02760220317 | |
| 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. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Centro de Desenvolvimento Tecnológico em Saúde. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade Federal de Goiás. Goiânia, GO, Brasil / Conselho Nacional de Desenvolvimento Científico e Tecnológico. Instituto de Avaliação de Tecnologias em Saúde. Porto Alegre, RS, Brasil. | pt_BR |
| Affilliation | Conselho Nacional de Desenvolvimento Científico e Tecnológico. Instituto de Avaliação de Tecnologias em Saúde. Porto Alegre, RS, Brasil / Universidade de Brasília. Brasília, DF, Brasil. | pt_BR |
| Subject | Accuracy | pt_BR |
| Subject | Diagnosis | pt_BR |
| Subject | Leprosy | pt_BR |
| Subject | Mycobacterium infections | pt_BR |
| Subject | Point-of-care | pt_BR |
| Subject | Systematic review | pt_BR |
| e-ISSN | 1678-8060 | |
