Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area
Introduction: The diagnosis of yaws is established by clinical examination and confirmed through a laboratory test. Unrecognized lesions may lead to a missed opportunity for diagnosis and complete eradication of yaws. The use of Dual Path Platform (DPP® RDT) Syphilis Screen and Confirm RDT (Chembio...
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The Journal of Infection in Developing Countries
2022-12-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/16637 |
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| author | Sri Linuwih SW Menaldi Joanne Natasha Joses Saputra Melani Marissa Yudo Irawan Dewi Friska Danang Tri Wahyudi |
| author_facet | Sri Linuwih SW Menaldi Joanne Natasha Joses Saputra Melani Marissa Yudo Irawan Dewi Friska Danang Tri Wahyudi |
| author_sort | Sri Linuwih SW Menaldi |
| collection | DOAJ |
| description |
Introduction: The diagnosis of yaws is established by clinical examination and confirmed through a laboratory test. Unrecognized lesions may lead to a missed opportunity for diagnosis and complete eradication of yaws. The use of Dual Path Platform (DPP® RDT) Syphilis Screen and Confirm RDT (Chembio, Medford, New York) has been recommended by the World Health Organization (WHO) for endemic areas with limited laboratory facilities. To date, there have not been any studies assessing the conformity of clinical features based on the WHO guidelines with DPP® RDT.
Methodology: A cross-sectional study was conducted to evaluate the conformity of yaws clinical features based on the WHO guidelines to the DPP® RDT. We recruited children aged 2–15 years old in Alor, Indonesia. All subjects underwent clinical examination and were tested with DPP® RDT. Fisher's exact test was used to analyze the overall agreement between the clinical features and the DPP® RDT results.
Results: A total of 197 study subjects (mean age 9 years) were enrolled. The most frequent skin lesion was a yaws scar (79.7%). Eight subjects (3%) were diagnosed with yaws based on the DPP® RDT examination. The overall agreement between clinical features and DPP® RDT was 26.9% (p = 0.202).
Conclusions: The conformity of clinical features in suspected yaws to DPP® RDT is low; thus, clinical features should not be used as a sole initial reference in establishing yaws diagnosis, even in endemic areas.
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| format | Article |
| id | doaj-art-93f46b76f4b843abb5c022acd0fdfc41 |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-93f46b76f4b843abb5c022acd0fdfc412025-08-20T02:16:14ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802022-12-01161210.3855/jidc.16637Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic areaSri Linuwih SW Menaldi0Joanne Natasha1Joses Saputra2Melani Marissa3Yudo Irawan4Dewi Friska5Danang Tri Wahyudi6Department of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, IndonesiaDepartment of Community Medicine, Faculty of Medicine, University of Indonesia, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Dharmais Cancer Hospital, Jakarta, Indonesia Introduction: The diagnosis of yaws is established by clinical examination and confirmed through a laboratory test. Unrecognized lesions may lead to a missed opportunity for diagnosis and complete eradication of yaws. The use of Dual Path Platform (DPP® RDT) Syphilis Screen and Confirm RDT (Chembio, Medford, New York) has been recommended by the World Health Organization (WHO) for endemic areas with limited laboratory facilities. To date, there have not been any studies assessing the conformity of clinical features based on the WHO guidelines with DPP® RDT. Methodology: A cross-sectional study was conducted to evaluate the conformity of yaws clinical features based on the WHO guidelines to the DPP® RDT. We recruited children aged 2–15 years old in Alor, Indonesia. All subjects underwent clinical examination and were tested with DPP® RDT. Fisher's exact test was used to analyze the overall agreement between the clinical features and the DPP® RDT results. Results: A total of 197 study subjects (mean age 9 years) were enrolled. The most frequent skin lesion was a yaws scar (79.7%). Eight subjects (3%) were diagnosed with yaws based on the DPP® RDT examination. The overall agreement between clinical features and DPP® RDT was 26.9% (p = 0.202). Conclusions: The conformity of clinical features in suspected yaws to DPP® RDT is low; thus, clinical features should not be used as a sole initial reference in establishing yaws diagnosis, even in endemic areas. https://jidc.org/index.php/journal/article/view/16637diagnosisendemiceradicationyaws |
| spellingShingle | Sri Linuwih SW Menaldi Joanne Natasha Joses Saputra Melani Marissa Yudo Irawan Dewi Friska Danang Tri Wahyudi Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area Journal of Infection in Developing Countries diagnosis endemic eradication yaws |
| title | Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area |
| title_full | Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area |
| title_fullStr | Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area |
| title_full_unstemmed | Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area |
| title_short | Conformity of yaws clinical features to combined rapid diagnostic test in children aged 2-15 years in an endemic area |
| title_sort | conformity of yaws clinical features to combined rapid diagnostic test in children aged 2 15 years in an endemic area |
| topic | diagnosis endemic eradication yaws |
| url | https://jidc.org/index.php/journal/article/view/16637 |
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