The use of rapid diagnostic tests for chronic Chagas disease: An expert meeting report.

Chagas disease, caused by Trypanosoma cruzi, affects millions of people globally and is associated with significant underdiagnosis and undertreatment. Current diagnostic algorithms face challenges in remote regions. We aimed to review the potential of rapid diagnostic tests (RDTs) for screening or d...

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Bibliographic Details
Published in:PLOS Neglected Tropical Diseases
Main Authors: Freddy Perez, Debbie Vermeij, Roberto Salvatella, Luis Gerardo Castellanos, Andrea Silvestre de Sousa
Format: Article in Journal/Newspaper
Language:English
Published: Public Library of Science (PLoS) 2024
Subjects:
Online Access:https://doi.org/10.1371/journal.pntd.0012340
https://doaj.org/article/ac18c3a9eacc4263999fd264ff876d60
Description
Summary:Chagas disease, caused by Trypanosoma cruzi, affects millions of people globally and is associated with significant underdiagnosis and undertreatment. Current diagnostic algorithms face challenges in remote regions. We aimed to review the potential of rapid diagnostic tests (RDTs) for screening or diagnosing chronic Chagas disease in endemic areas. An expert panel representing scientific and academic institutions from the Americas convened with the aim of discussing the use of RDTs. The study employed the nominal group technique, gathering insights from diverse experts during a 3-day meeting. Panel discussions covered RDT application, research protocols, and regulatory mechanisms. The results indicate that RDTs play a crucial role in surveillance and screening, although limitations in sensitivity and specificity exist. The expert group recommends standardized protocols, emphasizes the importance of cost-effectiveness assessments, and highlights the need to consider geographic validation. Despite these challenges, RDTs present a promising avenue for improving Chagas disease diagnosis in resource-limited settings. Future research and a collaborative approach are deemed essential for effective implementation.