Trichinosis diagnostic criteria: Difference between revisions
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{{CMG}} {{AE}} {{DL}} | {{CMG}} {{AE}} {{DL}} | ||
==Overview== | ==Overview== | ||
The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.<ref name=abc>FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref> | The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.<ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref><ref name="abc">FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref> | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
The following diagnostic criteria are suggested for the diagnosis of trichinosis:<ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437 }} </ref><ref name="abc">FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016 </ref> | |||
* | |||
** | === '''Clinical criteria''' === | ||
** | *'''At least 3 of the following 6 diagnostic criteria are met:''' | ||
** | **[[Muscle soreness|Muscle soreness and pain]] | ||
** | **[[Diarrhoea|Diarrhea]] | ||
** | **[[Fever]] | ||
** | **[[Facial edema|Facial swelling]] | ||
**[[Subconjunctival haemorrhage|Subconjunctival]], subungual, and [[retinal]] [[bleeding]] | |||
* | **[[Eosinophilia|Increased eosinophils in the blood]] | ||
=== '''Laboratory criteria''' === | |||
*'''At least 1 of the following 2 diagnostic criteria is met:''' | |||
* | **Confirmation of anti-''[[Trichinella]]'' [[IgG]] by either [[ELISA test|ELISA]], [[western blot]] or IFA, {{or}} | ||
**Confirmation of ''[[Trichinella]]'' larvae in muscle tissue by biopsy | |||
=== '''Epidemiological criteria''' === | |||
*'''At least 1 of the following 3 diagnostic criteria is met:''' | |||
**Epidemiological connection to exposure of the same common source of a patient with confirmed laboratory result, {{or}} | |||
**Laboratory result confirming consumption of potentially parasitised products from an infected animal,{{or}} | |||
**Laboratory result confirming consumption of parasitised meat | |||
==Case Confirmation== | |||
===Confirmed Case=== | |||
Patients with clinical {{and}} laboratory criteria within the last 2 months | |||
===Possible Case=== | |||
Patients with clinical {{and}} epidemiological criteria | |||
==References== | ==References== | ||
{{reflist|2}} | |||
Latest revision as of 19:01, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
The diagnosis of trichinosis is based on the European Center for Disease Control criteria, which include a combination of clinical, laboratory and epidemiological criteria.[1][2]
Diagnostic Criteria
The following diagnostic criteria are suggested for the diagnosis of trichinosis:[1][2]
Clinical criteria
- At least 3 of the following 6 diagnostic criteria are met:
Laboratory criteria
- At least 1 of the following 2 diagnostic criteria is met:
- Confirmation of anti-Trichinella IgG by either ELISA, western blot or IFA, OR
- Confirmation of Trichinella larvae in muscle tissue by biopsy
Epidemiological criteria
- At least 1 of the following 3 diagnostic criteria is met:
- Epidemiological connection to exposure of the same common source of a patient with confirmed laboratory result, OR
- Laboratory result confirming consumption of potentially parasitised products from an infected animal,OR
- Laboratory result confirming consumption of parasitised meat
Case Confirmation
Confirmed Case
Patients with clinical AND laboratory criteria within the last 2 months
Possible Case
Patients with clinical AND epidemiological criteria
References
- ↑ 1.0 1.1 Gottstein B, Pozio E, Nöckler K (2009). "Epidemiology, diagnosis, treatment, and control of trichinellosis". Clin Microbiol Rev. 22 (1): 127–45, Table of Contents. doi:10.1128/CMR.00026-08. PMC 2620635. PMID 19136437.
- ↑ 2.0 2.1 FAO/WHO/OIE Guidelines for the surveillance, management, prevention and control of trichinellosis. FAO (2007). http://www.fao.org/documents/card/en/c/61e00fb1-87e8-5b89-8be1-50481e43eed1/ Accessed on January 28, 2016