Table 1.
Assessment | Community Settings | Institutional Settings | |
---|---|---|---|
Diagnosis | Traditional | Parasitological methods |
Parasitological methods Biopsya/tissueb Serology |
New Tools |
Immunodiagnosis DNA detection RTc |
Immunodiagnosis DNA detection RTc |
|
Morbidity Markers | Traditional |
US FOB |
Doppler imaging Endoscopy Colonoscopy FOB |
New Tools | ‐ |
Computed tomography Magnetic resonance Liver elastographyd |
|
Follow‐Up Post‐Treatment | Traditional |
Parasitological methods USe |
Parasitological methods £ USe Doppler imaginge Endoscopye Colonoscopyf |
New Tools |
DNA detectiong
RTg |
DNA detectiong
RTg Liver elastographyg |
Community settings is applicable to endemic areas.
Abbreviations: FOB, fecal occult blood; RT, rapid test; US, ultrasonography.
Biopsy: Includes rectal snips and liver biopsy
Tissue: surgical specimens
Rapid Tests: point‐of‐care CCA and CAA (S. mansoni)
In individuals who are not egg excretors before treatment, parasitological tests are unsuitable for follow‐up and assessment of cure
Indicated in individuals with hepatic schistosomiasis
In individuals with concomitant intestinal presentation.
Few numbers of studies and/or small study populations recruited are the limitations to validate the procedures. Further studies are still necessary.