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Point-of-care ultrasonography for S. haematobium associated urinary tract morbidity evaluation in the adult population of Mozambique

dc.contributor.authorSerra, João Tiago Fernandes
dc.contributor.authorKaminstein, Daniel
dc.contributor.authorSilva , Carina
dc.contributor.authorSidat, Mohsin
dc.contributor.authorBelo, Silvana
dc.contributor.authorConceição, Cláudia
dc.contributor.institutionIndividual Health Care (IHC)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo IHMT)
dc.contributor.institutionVector borne diseases and pathogens (VBD)
dc.date.accessioned2025-02-26T22:18:17Z
dc.date.available2025-02-26T22:18:17Z
dc.date.issued2024
dc.description.abstractSchistosomiasis is a parasitic and disabling waterborne neglected tropical disease caused by a trematode belonging to genus Schistosoma. The burden of urinary schistosomiasis morbidity is relatively high in Sub-Saharan Africa. Ultrasound has proved to be useful in the identification of not only bladder lesions, but also of the upper urinary tract. The point-of-care ultrasound helps to objectively assess organ lesions and clarify clinical manifestations presented by patients. Thus, to assess and characterize Schistosoma haematobium urinary tract morbidity in the adult population of Chókwè district, we have employed a point-of care ultrasound protocol based on previous WHO guidelines. Among the 912 ultrasounds performed in a representative study sample of adults, echogenic foci inside bladder lumen were found in only 0.3% of participants. Renal pelvis was the most frequent location for ultrasound abnormalities (23.1%), followed by the ureters (20.4%) and bladder wall (11.6%). The only risk factor found in our study to be associated with ultrasound abnormalities was being born in Chókwè district (p=0.026). For quality control purpose, 236 out of 912 ultrasounds were reviewed by an expert. The interobserver analysis showed a good correlation between the field investigator and expert classification. Findings corroborate not only for the need of urinary schistosomiasis morbidity assessment in highly endemic regions but also reinforce the need to develop simplified ultrasound protocols that can be used by local health personal.en
dc.description.versionpublished
dc.format.extent1
dc.format.extent1298788
dc.identifier.otherPURE: 110729790
dc.identifier.otherPURE UUID: e446f105-03d3-4946-8b12-b0fca3022a9c
dc.identifier.otherORCID: /0000-0001-8701-8657/work/179012984
dc.identifier.otherORCID: /0000-0001-7004-0268/work/179014235
dc.identifier.urihttp://hdl.handle.net/10362/179899
dc.language.isoeng
dc.peerreviewedyes
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePoint-of-care ultrasonography for S. haematobium associated urinary tract morbidity evaluation in the adult population of Mozambiqueen
dc.typeconference poster
degois.publication.titleAnnual meeting of The American Society of Tropical Medicine and Hygiene
dspace.entity.typePublication
rcaap.rightsrestrictedAccess

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