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Rapid diagnostic tests for Lassa fever: what do we aim for?
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Rapid diagnostic tests for Lassa fever: what do we aim for?
Rapid diagnostic tests for Lassa fever: what do we aim for?
Journal Article

Rapid diagnostic tests for Lassa fever: what do we aim for?

2024
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Overview
Lassa virus (LASV) is a high-consequence pathogen endemic to west Africa that causes annual outbreaks with substantial mortality. Besides transmission from the rodent reservoir to humans, human-to-human transmission can occur through contact with blood and other bodily fluids.1,2 To date, people in endemic regions presenting with the initially unspecific clinical symptoms of Lassa fever are mostly tested for LASV only after empirical treatment with antimalarials and antibiotics has failed. The sensitivity of the test was poorly correlated with viral load, as false-negative test results also occurred in highly viraemic individuals.3 Based on the understanding that RDTs are often imperfect diagnostic tools, they could still have a highly positive impact on patient management when used wisely. [...]to correctly interpret the results of this study, we need to first ask what the minimum acceptable test performance characteristics of an RDT are for this high-consequence pathogen. [...]tests have proven sufficiently accurate in the field, we must continue to rely on an accelerated implementation of molecular diagnostic assays for Lassa fever diagnosis.