Dengue Diagnostic Tests: NS1 ELISA, Lateral Flow, and qRT-PCR
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Questions and Answers

What is the primary use of dengue NS1 antigen rapid diagnostic test?

  • To monitor the treatment of dengue patients
  • To study dengue epidemiology in rural areas
  • To prevent dengue virus transmission
  • To detect dengue virus in patients with acute febrile illness (correct)
  • What is the advantage of using lateral flow rapid tests for dengue diagnosis?

  • They can be used in difficult-to-reach areas (correct)
  • They are less expensive than ELISA tests
  • They require sophisticated laboratory equipment
  • They are more accurate than ELISA tests
  • What is the relationship between viraemia and antibody responses in dengue diagnosis?

  • Viraemia is dependent on antibody responses
  • Viraemia is inversely related to antibody responses
  • Viraemia is independent of antibody responses
  • Viraemia is directly related to antibody responses (correct)
  • What is the primary goal of evaluating dengue rapid diagnostic tests?

    <p>To compare different diagnostic tests</p> Signup and view all the answers

    Which of the following is a limitation of using qRT-PCR for dengue diagnosis?

    <p>It requires sophisticated laboratory equipment</p> Signup and view all the answers

    What is the primary application of nonstructural 1 enzyme-linked immunosorbent assay (NS1 ELISA) in dengue diagnosis?

    <p>To detect dengue virus in patients with acute febrile illness</p> Signup and view all the answers

    What is the significance of calculating the average cost per case of dengue fever?

    <p>To understand the economic burden of dengue fever</p> Signup and view all the answers

    What is the primary advantage of using rapid diagnostic tests in rural areas?

    <p>They can be used in areas with limited laboratory infrastructure</p> Signup and view all the answers

    What is the term used to describe the severe cases of dengue infection?

    <p>Dengue hemorrhagic fever (DHF)</p> Signup and view all the answers

    In which climates is dengue infection hyperendemic?

    <p>Tropical and subtropical climates</p> Signup and view all the answers

    What is the case fatality rate of dengue infection in the Philippines?

    <p>0.3%</p> Signup and view all the answers

    How many cases of dengue were reported in 2019 in the Philippines?

    <p>270,000 cases</p> Signup and view all the answers

    What is the recommended repellent for the prevention of dengue?

    <p>DEET repellents</p> Signup and view all the answers

    How many cases of dengue were reported by mid-October 2022 in the Philippines?

    <p>181,971 cases</p> Signup and view all the answers

    What is the expected trend of dengue infection in the Philippines and worldwide?

    <p>Rapidly spreading</p> Signup and view all the answers

    What is the primary purpose of the NS1 Ag-based tests for dengue virus?

    <p>To detect dengue virus in the Asian population</p> Signup and view all the answers

    According to the Ministry of Health Malaysia, what is the recommended approach for managing dengue in children?

    <p>Following the Clinical Practice Guidelines for Management of Dengue in Children</p> Signup and view all the answers

    What is the primary advantage of commercial dengue rapid diagnostic tests?

    <p>Ease of use and rapid results for point-of-care application</p> Signup and view all the answers

    What is a common limitation of rapid immunochromatographic tests for dengue diagnosis?

    <p>Low sensitivity and specificity in detecting dengue virus</p> Signup and view all the answers

    What is the primary focus of the study by Mata et al. (2017)?

    <p>Comparing the accuracy of different rapid diagnostic tests for dengue diagnosis</p> Signup and view all the answers

    What is the primary objective of the clinical practice guidelines for management of dengue in children?

    <p>To provide evidence-based recommendations for managing dengue in children</p> Signup and view all the answers

    What is the primary advantage of using commercial dengue rapid diagnostic tests at the point-of-care setting?

    <p>Rapid results and ease of use for healthcare professionals</p> Signup and view all the answers

    What is the primary focus of the study by Buonora et al. (2016)?

    <p>Investigating the accuracy of clinical criteria and immunochromatographic strip test for dengue diagnosis</p> Signup and view all the answers

    Study Notes

    Diagnostic Accuracy of NS1 ELISA and Lateral Flow Rapid Tests for Dengue

    • Studies have evaluated the diagnostic accuracy of NS1 ELISA and lateral flow rapid tests for dengue.
    • These tests have been compared to other diagnostic methods, including qRT-PCR, for their sensitivity and specificity in detecting dengue infections.

    Evaluation of Commercial Dengue NS1 Antigen Rapid Diagnostic Tests

    • Various studies have evaluated the performance of commercial dengue NS1 antigen rapid diagnostic tests in different settings.
    • These tests have shown varying levels of sensitivity and specificity, with some studies reporting high accuracy in detecting dengue infections.

    Cost of Dengue Illness to Households

    • A study in rural Cambodia found that the cost of dengue illness to households was significant, highlighting the economic burden of the disease.

    Guideline for Dengue Management

    • The Ministry of Health Malaysia has published clinical practice guidelines for the management of dengue in children.

    Accuracy and Reliability of Rapid Diagnostic Tests

    • Studies have evaluated the accuracy and reliability of rapid diagnostic tests for dengue, including NS1 antigen-based tests.
    • These tests have shown varying levels of accuracy and reliability, with some studies highlighting the need for further evaluation.

    Prevention of Dengue Infection

    • Recommendations have been made against the use of certain repellents, such as plant-based non-DEET extracts, IR3535, and citronella, for the prevention of dengue infection.
    • DEET repellents are recommended for the prevention of dengue infection.

    Epidemiology of Dengue in the Philippines

    • Dengue is a major public health concern in the Philippines, with high incidence rates reported each year.
    • The disease has a case fatality rate of 0.3% in the Philippines.
    • The Philippines has reported a high number of dengue cases, with a 91% increase in cases reported in 2022 compared to the previous year.

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    Description

    This quiz covers the diagnostic accuracy and comparison of different tests for dengue, including NS1 ELISA, lateral flow rapid tests, and qRT-PCR. It also explores their relationship to viraemia and antibody responses.

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