Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania

Research output: Contribution to journalJournal articleResearchpeer-review

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Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania. / Partal, Miriam Casacuberta; Kinunghi, Safari; Vennervald, Birgitte J; Olsen, Annette.

In: Parasite Epidemiology and Control, Vol. 1, No. 2, 06.2016, p. 105-115.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Partal, MC, Kinunghi, S, Vennervald, BJ & Olsen, A 2016, 'Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania', Parasite Epidemiology and Control, vol. 1, no. 2, pp. 105-115. https://doi.org/10.1016/j.parepi.2016.04.002

APA

Partal, M. C., Kinunghi, S., Vennervald, B. J., & Olsen, A. (2016). Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania. Parasite Epidemiology and Control, 1(2), 105-115. https://doi.org/10.1016/j.parepi.2016.04.002

Vancouver

Partal MC, Kinunghi S, Vennervald BJ, Olsen A. Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania. Parasite Epidemiology and Control. 2016 Jun;1(2):105-115. https://doi.org/10.1016/j.parepi.2016.04.002

Author

Partal, Miriam Casacuberta ; Kinunghi, Safari ; Vennervald, Birgitte J ; Olsen, Annette. / Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania. In: Parasite Epidemiology and Control. 2016 ; Vol. 1, No. 2. pp. 105-115.

Bibtex

@article{4cc04d52a95e4b8eafadbe6bf088bf02,
title = "Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania",
abstract = "There is a need for diagnostic techniques which are sensitive, specific, rapid and easy to perform at the point-of-care. The aim of this study was to evaluate the diagnostic performance of the Circulating Cathodic Antigen (POC-CCA) assay for Schistosoma mansoni in four schools along the coast of Lake Victoria in Mwanza Region, Tanzania, and to optimize the reading of the POC-CCA test lines by using a computer software image analysis. Initially, a pilot study in 106 school children indicated that time of urine collection did not have an impact on CCA results as 84.9{\%} (90) had identical scores from a urine collected in the morning and a urine taken at midday after drinking 0.5 L of water. The main study was conducted among 404 school children (aged 9-12 years) where stool and urine samples were collected for three consecutive days. For S. mansoni diagnosis, stool samples were examined for eggs with duplicate Kato-Katz smears, whereas urine samples were tested for presence of antigen by POC-CCA. The proportion of positive individuals for S. mansoni by one POC-CCA was higher compared to two Kato-Katz smears (66.1{\%} vs. 28.7{\%}; p < 0.0001). Both proportions increased expectedly when three POC-CCAs were compared to six Kato-Katz smears (75.0{\%} vs. 42.6{\%}; p < 0.0001). Three POC-CCAs were more sensitive (94.7{\%}) than six Kato-Katz smears (53.8{\%}) using the combined results of three POC-CCAs and six Kato-Katz smears as the 'gold standard'. To optimize the reading of the POC-CCA, a Software tool (Image Studio Lite{\circledR}) was used to read and quantify the colour (expressed as pixels) of the test line on all positive tests, showing a positive correlation between number of pixels and the visually scored intensities and between number of pixels and egg counts. In conclusion, the POC-CCA assay seems to be a more appropriate tool for S. mansoni diagnosis compared to the Kato-Katz method in endemic communities such as Mwanza Region. Optimization of the tool in terms of cassette-reading could be assessed by computer software which was able to quantify the colour of the lines in the strip of the cassette.",
keywords = "Faculty of Health and Medical Sciences, Schistosoma mansoni, School children, CCA, Computer image analyses, Tanzania",
author = "Partal, {Miriam Casacuberta} and Safari Kinunghi and Vennervald, {Birgitte J} and Annette Olsen",
year = "2016",
month = "6",
doi = "10.1016/j.parepi.2016.04.002",
language = "English",
volume = "1",
pages = "105--115",
journal = "Parasite Epidemiology and Control",
issn = "2405-6731",
publisher = "Elsevier Limited",
number = "2",

}

RIS

TY - JOUR

T1 - Evaluation and optimization of the Circulating Cathodic Antigen (POC-CCA) cassette test for detecting Schistosoma mansoni infection by using image analysis in school children in Mwanza Region, Tanzania

AU - Partal, Miriam Casacuberta

AU - Kinunghi, Safari

AU - Vennervald, Birgitte J

AU - Olsen, Annette

PY - 2016/6

Y1 - 2016/6

N2 - There is a need for diagnostic techniques which are sensitive, specific, rapid and easy to perform at the point-of-care. The aim of this study was to evaluate the diagnostic performance of the Circulating Cathodic Antigen (POC-CCA) assay for Schistosoma mansoni in four schools along the coast of Lake Victoria in Mwanza Region, Tanzania, and to optimize the reading of the POC-CCA test lines by using a computer software image analysis. Initially, a pilot study in 106 school children indicated that time of urine collection did not have an impact on CCA results as 84.9% (90) had identical scores from a urine collected in the morning and a urine taken at midday after drinking 0.5 L of water. The main study was conducted among 404 school children (aged 9-12 years) where stool and urine samples were collected for three consecutive days. For S. mansoni diagnosis, stool samples were examined for eggs with duplicate Kato-Katz smears, whereas urine samples were tested for presence of antigen by POC-CCA. The proportion of positive individuals for S. mansoni by one POC-CCA was higher compared to two Kato-Katz smears (66.1% vs. 28.7%; p < 0.0001). Both proportions increased expectedly when three POC-CCAs were compared to six Kato-Katz smears (75.0% vs. 42.6%; p < 0.0001). Three POC-CCAs were more sensitive (94.7%) than six Kato-Katz smears (53.8%) using the combined results of three POC-CCAs and six Kato-Katz smears as the 'gold standard'. To optimize the reading of the POC-CCA, a Software tool (Image Studio Lite®) was used to read and quantify the colour (expressed as pixels) of the test line on all positive tests, showing a positive correlation between number of pixels and the visually scored intensities and between number of pixels and egg counts. In conclusion, the POC-CCA assay seems to be a more appropriate tool for S. mansoni diagnosis compared to the Kato-Katz method in endemic communities such as Mwanza Region. Optimization of the tool in terms of cassette-reading could be assessed by computer software which was able to quantify the colour of the lines in the strip of the cassette.

AB - There is a need for diagnostic techniques which are sensitive, specific, rapid and easy to perform at the point-of-care. The aim of this study was to evaluate the diagnostic performance of the Circulating Cathodic Antigen (POC-CCA) assay for Schistosoma mansoni in four schools along the coast of Lake Victoria in Mwanza Region, Tanzania, and to optimize the reading of the POC-CCA test lines by using a computer software image analysis. Initially, a pilot study in 106 school children indicated that time of urine collection did not have an impact on CCA results as 84.9% (90) had identical scores from a urine collected in the morning and a urine taken at midday after drinking 0.5 L of water. The main study was conducted among 404 school children (aged 9-12 years) where stool and urine samples were collected for three consecutive days. For S. mansoni diagnosis, stool samples were examined for eggs with duplicate Kato-Katz smears, whereas urine samples were tested for presence of antigen by POC-CCA. The proportion of positive individuals for S. mansoni by one POC-CCA was higher compared to two Kato-Katz smears (66.1% vs. 28.7%; p < 0.0001). Both proportions increased expectedly when three POC-CCAs were compared to six Kato-Katz smears (75.0% vs. 42.6%; p < 0.0001). Three POC-CCAs were more sensitive (94.7%) than six Kato-Katz smears (53.8%) using the combined results of three POC-CCAs and six Kato-Katz smears as the 'gold standard'. To optimize the reading of the POC-CCA, a Software tool (Image Studio Lite®) was used to read and quantify the colour (expressed as pixels) of the test line on all positive tests, showing a positive correlation between number of pixels and the visually scored intensities and between number of pixels and egg counts. In conclusion, the POC-CCA assay seems to be a more appropriate tool for S. mansoni diagnosis compared to the Kato-Katz method in endemic communities such as Mwanza Region. Optimization of the tool in terms of cassette-reading could be assessed by computer software which was able to quantify the colour of the lines in the strip of the cassette.

KW - Faculty of Health and Medical Sciences

KW - Schistosoma mansoni

KW - School children

KW - CCA

KW - Computer image analyses

KW - Tanzania

U2 - 10.1016/j.parepi.2016.04.002

DO - 10.1016/j.parepi.2016.04.002

M3 - Journal article

C2 - 27430027

VL - 1

SP - 105

EP - 115

JO - Parasite Epidemiology and Control

JF - Parasite Epidemiology and Control

SN - 2405-6731

IS - 2

ER -

ID: 164972923