Assessment of cure by detection of circulating antigens in serum and urine, following schistosomiasis mass treatment in two villages of the Office du Niger, Mali

D De Clercq, M Sacko, J Vercruysse, V vanden Bussche, A Landouré, A Diarra, B Gryseels, A Deelder

Research output: Contribution to journalA1: Web of Science-articlepeer-review

Abstract

Eight weeks after mass chemotherapy with 40 mg/kg praziquantel in two villages in Office du Niger (an irrigation area in Mali, endemic for both Schistosoma haematobium and Schistosoma mansoni) the circulating anodic (CAA) and cathodic (CCA) antigen detection assays were carried out on serum and urine samples. Both prior and post treatment highest prevalence was measured with the urine-CCA assay. Cure rates determined by antigen detection were almost half that of the egg counting methods. It was shown that the reduction in intensity should be preferentially assessed by the serum-CAA assay. Compared with egg detection, a single antigen detection assay gave a much better assessment of the impact of chemotherapy.
Original languageEnglish
JournalActa Tropica
Volume68
Issue number3
Pages (from-to)339-346
Number of pages8
ISSN0001-706X
DOIs
Publication statusPublished - 1997

Keywords

  • B780-tropical-medicine
  • Helminthic diseases
  • Schistosomiasis
  • Mass drug therapy
  • Praziquantel
  • Treatment success
  • Antigen detection
  • Mali
  • Africa-West

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