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Target Product Profile for a point-of-care diagnostic test for dermal leishmaniases

机译:用于皮肤利什曼病的即时诊断测试的目标产品简介

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摘要

ObjectivesLocalized cutaneous leishmaniasis and its evolving forms diffuse cutaneous leishmaniasis, mucosal leishmaniasis and cutaneous leishmaniasis recidivans, together with the visceral leishmaniasis sequelae post-kala azar dermal leishmaniasis account for about one million dermal leishmaniases cases per year worldwide. Although not lethal, the dermal leishmaniases cause chronic and disfiguring skin lesions, which are an important cause of morbidity and stigma.Microscopy remains the reference test for diagnosis of dermal leishmaniasis; however, it has low and variable sensitivity and requires well trained personnel. The technical complexity and cost of the more sensitive molecular techniques (e.g. PCR) limits their application in routine diagnosis in endemic areas. Point-of-care (POC) tests for early diagnosis are much needed in order to benefit both patients and communities, by reducing the risk of both sequelae and Leishmania transmission. To this end we developed a Target Product Profile (TPP) for a POC test for dermal leishmaniases.
机译:目的局限性皮肤利什曼病及其发展形式包括弥漫性皮肤利什曼病,粘膜利什曼病和皮肤利什曼病,再加上内脏利什曼病后遗症,黑热病后皮肤利什曼病约占全球每年一百万例皮肤利什曼病。皮肤利什曼病虽然不致命,但会引起慢性和毁容性皮肤损伤,这是发病率和柱头病的重要原因。显微镜检查仍然是诊断皮肤利什曼病的参考测试。但是,它的灵敏度低且易变,需要训练有素的人员。较敏感的分子技术(例如PCR)的技术复杂性和成本限制了它们在流行地区常规诊断中的应用。为了降低后遗症和利什曼原虫传播的风险,为了使患者和社区都受益,急需进行即时诊断(POC)检测。为此,我们开发了用于皮肤利什曼病的POC测试的目标产品档案(TPP)。

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