Rapid Non-Invasive Diagnosis of Kala-azar
Background: Kala-azar is endemic throughout central and eastern terai region of Nepal bordering the Indian state of Bihar. Lack of knowledge, unavailable simple and reliable diagnostic test and poverty-all contribute to late diagnosis and institution of an effective chemotherapy; thereby maintaining...
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                  oai:103.69.126.140:123456789-712022-11-08T10:29:21Z Rapid Non-Invasive Diagnosis of Kala-azar Communicable/Infectious diseases Gyawali, K Thapa, S Devkota, B Yadav, CS endemic Kala-azar positive predictive value rK-39 Leishmania dipstick sensitivity Background: Kala-azar is endemic throughout central and eastern terai region of Nepal bordering the Indian state of Bihar. Lack of knowledge, unavailable simple and reliable diagnostic test and poverty-all contribute to late diagnosis and institution of an effective chemotherapy; thereby maintaining the potential human reservoir at high level in the community. Since invasive diagnostic method is an unacceptable test of choice in the endemic region, an alternative technique is a dire necessity. The present study evaluated recombinant K-39 Leishmania test with splenic aspirate in hospitalized Kala-azar patients. Methods: This was a retrospective review of hospital case record of Kala-azar patients admitted during the months of Poush- Chaitra 2057. All hospital case notes of the 4 months with the diagnosis of Kala-azar were screened. Shukraraj Tropical and Infectious Disease Hospital, Teku was taken as the study area. Results: The rK-39 Leishmania dipstick achieved a high sensitivity (96%) and high positive value (95%). The dipstick is a simple, reliable and a robust technique. Conclusions: The rK-39 Leishmania dipstick is an acceptable test of choice in the diagnosis of Kala-azar and may be of great utility especially in the endemic districts where invasive methods are neither applicable nor appropriate. Keywords: endemic; Kala-azar; positive predictive value; rK-39 Leishmania dipstick; sensitivity. 2016-10-27T08:19:35Z 2022-11-08T10:10:12Z 2016-10-27T08:19:35Z 2022-11-08T10:10:12Z 2001 Technical Report http://103.69.126.140:8080/handle/123456789/71 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
    
| institution | 
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| collection | 
                  DSpace | 
    
| language | 
                  en_US | 
    
| topic | 
                  endemic Kala-azar positive predictive value rK-39 Leishmania dipstick sensitivity  | 
    
| spellingShingle | 
                  endemic Kala-azar positive predictive value rK-39 Leishmania dipstick sensitivity Gyawali, K Thapa, S Devkota, B Yadav, CS Rapid Non-Invasive Diagnosis of Kala-azar  | 
    
| description | 
                  Background:
Kala-azar is endemic throughout central and eastern terai region of Nepal bordering the Indian state of Bihar. Lack of knowledge, unavailable simple and reliable diagnostic test and poverty-all contribute to late diagnosis and institution of an effective chemotherapy; thereby maintaining the potential human reservoir at high level in the community. Since invasive diagnostic method is an unacceptable test of choice in the endemic region, an alternative technique is a dire necessity. The present study evaluated recombinant K-39 Leishmania test with splenic aspirate in hospitalized Kala-azar patients.
Methods:
This was a retrospective review of hospital case record of Kala-azar patients admitted during the months of Poush- Chaitra 2057. All hospital case notes of the 4 months with the diagnosis of Kala-azar were screened. Shukraraj Tropical and Infectious Disease Hospital, Teku was taken as the study area.
Results:
The rK-39 Leishmania dipstick achieved a high sensitivity (96%) and high positive value (95%). The dipstick is a simple, reliable and a robust technique.
Conclusions:
The rK-39 Leishmania dipstick is an acceptable test of choice in the diagnosis of Kala-azar and may be of great utility especially in the endemic districts where invasive methods are neither applicable nor appropriate.
Keywords: endemic; Kala-azar; positive predictive value; rK-39 Leishmania dipstick; sensitivity. | 
    
| format | 
                  Technical Report | 
    
| author | 
                  Gyawali, K Thapa, S Devkota, B Yadav, CS  | 
    
| author_facet | 
                  Gyawali, K Thapa, S Devkota, B Yadav, CS  | 
    
| author_sort | 
                  Gyawali, K | 
    
| title | 
                  Rapid Non-Invasive Diagnosis of Kala-azar | 
    
| title_short | 
                  Rapid Non-Invasive Diagnosis of Kala-azar | 
    
| title_full | 
                  Rapid Non-Invasive Diagnosis of Kala-azar | 
    
| title_fullStr | 
                  Rapid Non-Invasive Diagnosis of Kala-azar | 
    
| title_full_unstemmed | 
                  Rapid Non-Invasive Diagnosis of Kala-azar | 
    
| title_sort | 
                  rapid non-invasive diagnosis of kala-azar | 
    
| publishDate | 
                  2016 | 
    
| url | 
                  http://103.69.126.140:8080/handle/123456789/71 | 
    
| work_keys_str_mv | 
                  AT gyawalik rapidnoninvasivediagnosisofkalaazar AT thapas rapidnoninvasivediagnosisofkalaazar AT devkotab rapidnoninvasivediagnosisofkalaazar AT yadavcs rapidnoninvasivediagnosisofkalaazar AT gyawalik communicableinfectiousdiseases AT thapas communicableinfectiousdiseases AT devkotab communicableinfectiousdiseases AT yadavcs communicableinfectiousdiseases  | 
    
| _version_ | 
                  1761501101228556288 |