Neglected tropical diseases in Australia : a narrative review
- Kurcheid, Johanna, Gordon, Catherine, Clarke, Naomi, Wangdi, Kinley, Kelly, Matthew, Lal, Aparna, Mutombo, Polydor, Wang, Dongxu, Mationg, Mary, Clements, Archie, Muhi, Stephen, Bradbury, Richard, Biggs, Beverley-Ann, Page, Wendy, Williams, Gail, McManus, Donald, Gray, Darren
- Authors: Kurcheid, Johanna , Gordon, Catherine , Clarke, Naomi , Wangdi, Kinley , Kelly, Matthew , Lal, Aparna , Mutombo, Polydor , Wang, Dongxu , Mationg, Mary , Clements, Archie , Muhi, Stephen , Bradbury, Richard , Biggs, Beverley-Ann , Page, Wendy , Williams, Gail , McManus, Donald , Gray, Darren
- Date: 2022
- Type: Text , Journal article , Review
- Relation: Medical Journal of Australia Vol. 216, no. 10 (2022), p. 532-538
- Full Text: false
- Reviewed:
- Description: Neglected tropical diseases (NTDs) represent a threat to the health, wellbeing and economic prosperity of billions of people worldwide, often causing serious disease or death. •Commonly considered diseases of low and middle-income nations, the presence of NTDs in high income countries such as Australia is often overlooked. •Seven of the 20 recognised NTDs are endemic in Australia: scabies, soil-transmitted helminths and strongyloidiasis, echinococcosis, Buruli ulcer, leprosy, trachoma, and snakebite envenoming. •Dengue, while not currently endemic, poses a risk of establishment in Australia. There are occasional outbreaks of dengue fever, with local transmission, due to introductions in travellers from endemic regions. •Similarly, the risk of introduction of other NTDs from neighbouring countries is a concern. Many NTDs are only seen in Australia in individuals travelling from endemic areas, but they need to be recognised in health settings as the potential consequences of infection can be severe. •In this review, we consider the status of NTDs in Australia, explore the risk of introducing and contracting these infections, and emphasise the negative impact they have on the health of Australians, especially Aboriginal and Torres Strait Islander peoples. © 2022 AMPCo Pty Ltd.
First international external quality assessment scheme of nucleic acid amplification tests for the detection of schistosoma and soil-transmitted helminths, including strongyloides : A pilot study
- Cools, Piet, van Lieshout, Lisette, Koelewijn, Rob, Addiss, David, Ajjampur, Sitara, Ayana, Mio, Bradbury, Richard, Cantera, Jason, Dana, Daniel, Fischer, Kerstin, Imtiaz, Rubina, Kabagenyi, Joyce, Lok, James, McCarthy, James, Mejia, Rojelio, Mekonnen, Zeleke, Njenga, Sammy, Othman, Nurulhasanah, Shao, Hongguang, Traub, Rebecca, Van Esbroeck, Marjan, Vercruysse, Jozef, Vlaminck, Johnny, Williams, Steven, Verweij, Jaco, van Hellemond, Jaap, Levecke, Bruno
- Authors: Cools, Piet , van Lieshout, Lisette , Koelewijn, Rob , Addiss, David , Ajjampur, Sitara , Ayana, Mio , Bradbury, Richard , Cantera, Jason , Dana, Daniel , Fischer, Kerstin , Imtiaz, Rubina , Kabagenyi, Joyce , Lok, James , McCarthy, James , Mejia, Rojelio , Mekonnen, Zeleke , Njenga, Sammy , Othman, Nurulhasanah , Shao, Hongguang , Traub, Rebecca , Van Esbroeck, Marjan , Vercruysse, Jozef , Vlaminck, Johnny , Williams, Steven , Verweij, Jaco , van Hellemond, Jaap , Levecke, Bruno
- Date: 2020
- Type: Text , Journal article
- Relation: PLoS Neglected Tropical Diseases Vol. 14, no. 6 (2020), p. 1-19
- Full Text:
- Reviewed:
- Description: Background Nucleic acid amplification tests (NAATs) are increasingly being used as diagnostic tools for soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuris trichiura, Necator ameri-canus, Ancylostoma duodenale and A. ceylanicum), Strongyloides stercoralis and Schisto-soma in human stool. Currently, there is a large diversity of NAATs being applied, but an external quality assessment scheme (EQAS) for these diagnostics is lacking. An EQAS involves a blinded process where test results reported by a laboratory are compared to those reported by reference or expert laboratories, allowing for an objective assessment of the diagnostic performance of a laboratory. In the current study, we piloted an international EQAS for these helminths (i) to investigate the feasibility of designing and delivering an EQAS; (ii) to assess the diagnostic performance of laboratories; and (iii) to gain insights into the different NAAT protocols used. Methods and principal findings A panel of twelve stool samples and eight DNA samples was validated by six expert laboratories for the presence of six helminths (Ascaris, Trichuris, N. americanus, Ancylostoma, Strongyloides and Schistosoma). Subsequently this panel was sent to 15 globally dispersed laboratories. We found a high degree of diversity among the different DNA extraction and NAAT protocols. Although most laboratories performed well, we could clearly identify the laboratories that were poorly performing. Conclusions/Significance We showed the technical feasibility of an international EQAS for the NAAT of STHs, Stron-gyloides and Schistosoma. In addition, we documented that there are clear benefits for par-ticipating laboratories, as they can confirm and/or improve the diagnostic performance of their NAATs. Further research should aim to identify factors that explain poor performance of NAATs. © 2020 Cools et al.
- Authors: Cools, Piet , van Lieshout, Lisette , Koelewijn, Rob , Addiss, David , Ajjampur, Sitara , Ayana, Mio , Bradbury, Richard , Cantera, Jason , Dana, Daniel , Fischer, Kerstin , Imtiaz, Rubina , Kabagenyi, Joyce , Lok, James , McCarthy, James , Mejia, Rojelio , Mekonnen, Zeleke , Njenga, Sammy , Othman, Nurulhasanah , Shao, Hongguang , Traub, Rebecca , Van Esbroeck, Marjan , Vercruysse, Jozef , Vlaminck, Johnny , Williams, Steven , Verweij, Jaco , van Hellemond, Jaap , Levecke, Bruno
- Date: 2020
- Type: Text , Journal article
- Relation: PLoS Neglected Tropical Diseases Vol. 14, no. 6 (2020), p. 1-19
- Full Text:
- Reviewed:
- Description: Background Nucleic acid amplification tests (NAATs) are increasingly being used as diagnostic tools for soil-transmitted helminths (STHs; Ascaris lumbricoides, Trichuris trichiura, Necator ameri-canus, Ancylostoma duodenale and A. ceylanicum), Strongyloides stercoralis and Schisto-soma in human stool. Currently, there is a large diversity of NAATs being applied, but an external quality assessment scheme (EQAS) for these diagnostics is lacking. An EQAS involves a blinded process where test results reported by a laboratory are compared to those reported by reference or expert laboratories, allowing for an objective assessment of the diagnostic performance of a laboratory. In the current study, we piloted an international EQAS for these helminths (i) to investigate the feasibility of designing and delivering an EQAS; (ii) to assess the diagnostic performance of laboratories; and (iii) to gain insights into the different NAAT protocols used. Methods and principal findings A panel of twelve stool samples and eight DNA samples was validated by six expert laboratories for the presence of six helminths (Ascaris, Trichuris, N. americanus, Ancylostoma, Strongyloides and Schistosoma). Subsequently this panel was sent to 15 globally dispersed laboratories. We found a high degree of diversity among the different DNA extraction and NAAT protocols. Although most laboratories performed well, we could clearly identify the laboratories that were poorly performing. Conclusions/Significance We showed the technical feasibility of an international EQAS for the NAAT of STHs, Stron-gyloides and Schistosoma. In addition, we documented that there are clear benefits for par-ticipating laboratories, as they can confirm and/or improve the diagnostic performance of their NAATs. Further research should aim to identify factors that explain poor performance of NAATs. © 2020 Cools et al.
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