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Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso

OBJECTIVES: Dengue fever remains unrecognized and under-reported in Africa due to several factors, including health professionals’ lack of awareness, important prevalence of other febrile illnesses, most of which are treated presumptively as malaria, and the absence of surveillance systems. In Burki...

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Autores principales: Zongo, Sylvie, Carabali, Mabel, Munoz, Marie, Ridde, Valéry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100125/
https://www.ncbi.nlm.nih.gov/pubmed/30147936
http://dx.doi.org/10.1177/2050312118794589
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author Zongo, Sylvie
Carabali, Mabel
Munoz, Marie
Ridde, Valéry
author_facet Zongo, Sylvie
Carabali, Mabel
Munoz, Marie
Ridde, Valéry
author_sort Zongo, Sylvie
collection PubMed
description OBJECTIVES: Dengue fever remains unrecognized and under-reported in Africa due to several factors, including health professionals’ lack of awareness, important prevalence of other febrile illnesses, most of which are treated presumptively as malaria, and the absence of surveillance systems. In Burkina Faso, health centers have no diagnostic tools to identify and manage dengue, which remains ignored, despite the evidence of seasonal outbreaks in recent years. A qualitative study was conducted to analyze the use of rapid diagnostic tests in six health and social promotion centers (i.e. health-care centers, from the French Centers de Santé et de Promotion Sociale) of Ouagadougou (Burkina Faso) in an exploratory research context. METHODS: Dengue rapid diagnostic tests were introduced into fever-related consultations from December 2013 to January 2014. In-depth individual interviews were conducted in May and June 2014 with 32 health professionals. RESULTS: Prior to the introduction of the tests, dengue was not well known or diagnosed by health professionals during consultations. Most febrile cases were routinely presumed to be malaria and treated accordingly. With training and routine use of rapid diagnostic tests, health professionals became more knowledgeable about dengue, improving the diagnosis of non-malaria febrile cases and its management, and better prescription practices. CONCLUSIONS: In a context of dengue re-emergence and high prevalence of other febrile illnesses, having rapid diagnostic tools available, especially during epidemics reinforces health professionals’ diagnostic and prescribing capacities, allowing an opportune and accurate case management and facilitates diseases surveillance.
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spelling pubmed-61001252018-08-24 Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso Zongo, Sylvie Carabali, Mabel Munoz, Marie Ridde, Valéry SAGE Open Med Original Article OBJECTIVES: Dengue fever remains unrecognized and under-reported in Africa due to several factors, including health professionals’ lack of awareness, important prevalence of other febrile illnesses, most of which are treated presumptively as malaria, and the absence of surveillance systems. In Burkina Faso, health centers have no diagnostic tools to identify and manage dengue, which remains ignored, despite the evidence of seasonal outbreaks in recent years. A qualitative study was conducted to analyze the use of rapid diagnostic tests in six health and social promotion centers (i.e. health-care centers, from the French Centers de Santé et de Promotion Sociale) of Ouagadougou (Burkina Faso) in an exploratory research context. METHODS: Dengue rapid diagnostic tests were introduced into fever-related consultations from December 2013 to January 2014. In-depth individual interviews were conducted in May and June 2014 with 32 health professionals. RESULTS: Prior to the introduction of the tests, dengue was not well known or diagnosed by health professionals during consultations. Most febrile cases were routinely presumed to be malaria and treated accordingly. With training and routine use of rapid diagnostic tests, health professionals became more knowledgeable about dengue, improving the diagnosis of non-malaria febrile cases and its management, and better prescription practices. CONCLUSIONS: In a context of dengue re-emergence and high prevalence of other febrile illnesses, having rapid diagnostic tools available, especially during epidemics reinforces health professionals’ diagnostic and prescribing capacities, allowing an opportune and accurate case management and facilitates diseases surveillance. SAGE Publications 2018-08-18 /pmc/articles/PMC6100125/ /pubmed/30147936 http://dx.doi.org/10.1177/2050312118794589 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Zongo, Sylvie
Carabali, Mabel
Munoz, Marie
Ridde, Valéry
Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title_full Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title_fullStr Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title_full_unstemmed Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title_short Dengue rapid diagnostic tests: Health professionals’ practices and challenges in Burkina Faso
title_sort dengue rapid diagnostic tests: health professionals’ practices and challenges in burkina faso
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100125/
https://www.ncbi.nlm.nih.gov/pubmed/30147936
http://dx.doi.org/10.1177/2050312118794589
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