Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/60529
Tipo: Artigo de Periódico
Título: Accuracy of Diagnostic Tests for the Detection of Chagas Disease: A Systematic Review and Meta-Analysis
Autor(es): Mayron Antonio Candia-puma
Laura Yesenia Machaca-luque
Brychs Milagros Roque-pumahuanca
Alexsandro Sobreira Galdino
Rodolfo Cordeiro Giunchetti
Eduardo Antonio Ferraz Coelho
Miguel Angel Chávez Fumagalli
Resumo: The present systematic review and meta-analysis about the accuracy of diagnostic tests aim to describe the findings of literature over the last thirty years for the diagnosis of Chagas disease (CD). This work aimed to determine the accuracy of diagnostic techniques for CD in the disease’s acute and chronic phases. The PubMed database was searched for studies published between 1990 and 2021 on CD diagnostics. Fifty-six published studies that met the criteria were analyzed and included in the meta-analysis, evaluating diagnostic accuracy through sensitivity and specificity. For Enzyme-Linked Immunosorbent Assay (ELISA), Fluorescent Antibody Technique (IFAT), Hemagglutination Test (HmT), Polymerase Chain Reaction (PCR), and Real-Time Polymerase Chain Reaction (qPCR) diagnosis methods, the sensitivity had a median of 99.0%, 78.0%, 75.0%, 76.0%, and 94.0%, respectively; while specificity presented a median of 99.0%, 99.0%, 99.0%, 98.0%, and 98.0%, respectively. This meta-analysis showed that ELISA and qPCR techniques had a higher performance compared to other methods of diagnosing CD in the chronic and acute phases, respectively. It was concluded utilizing the Area Under the Curve restricted to the false positive rates (AUCFPR), that the ELISA diagnostic test presents the highest performance in diagnosing acute and chronic CD, compared to serological and molecular tests. Future studies focusing on new CD diagnostics approaches should be targeted.
Assunto: Imunologia
Medicina
Sensibilidade e Especificidade
Revisão Sistemática
Metanálise
Doença de Chagas
Testes Diagnósticos de Rotina
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: ICB - DEPARTAMENTO DE MORFOLOGIA
ICB - INSTITUTO DE CIÊNCIAS BIOLOGICAS
Tipo de Acesso: Acesso Aberto
Identificador DOI: https://doi.org/10.3390/diagnostics12112752
URI: http://hdl.handle.net/1843/60529
Data do documento: 10-Nov-2022
metadata.dc.url.externa: https://www.mdpi.com/2075-4418/12/11/2752
metadata.dc.relation.ispartof: Diagnostics
Aparece nas coleções:Artigo de Periódico

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