Universität zu Köln

Ahmed, Shahira Abdelaziz Ali, Mohamed, Samar Farag, Fouad, Ahmed Mahmoud ORCID: 0000-0003-1872-4587 and Karanis, Panagiotis (2022). Gastrointestinal parasites diagnoses at the primary health care units: a comparative analysis of diagnostic abilities of parasitology staff technicians versus medical parasitologists in Ismailia, Egypt. Trans. Roy. Soc. Trop. Med. Hyg., 116 (12). S. 1191 - 1202. OXFORD: OXFORD UNIV PRESS. ISSN 1878-3503

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Abstract

Background This study aims to compare parasitology technicians (ParaTechs) with medical staff parasitologists (MedParas) in terms of diagnostic ability and to assess the actual occurrence of gastrointestinal parasites in selected faecal samples from primary health care units (PHCUs). Methods The study included five PHCU ParaTechs in the El-Kassassin rural area, evaluated using a scoring system for their knowledge, skills, practices and parasitology laboratory facilities. Seventy-five faecal samples previously examined for ova and parasites by ParaTechs were chosen for re-evaluation by MedParas. Results The most deficient ParaTechs-related factor was the parasitological knowledge, which scored 23.9% of the maximum score, while ParaTechs had acceptable levels of skills and practices, scored 60% and 61%, respectively. Compared with MedParas, false positive ParaTech diagnoses made up 8.8% of all negative samples, while false negative diagnoses made up 85.4% of all positive samples. ParaTechs underestimated the count or misidentified the type of parasites in one-third of the true positive samples. The overall rate of misdiagnosis among ParaTechs was 53.3% of all samples. Conclusions Regular ParaTech training, including culture and staining at parasitology labs, and collaboration between the Ministry of Health and Population and academic institutions are essential to increase ParaTechs diagnostic abilities.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ahmed, Shahira Abdelaziz Ali UNSPECIFIED UNSPECIFIED UNSPECIFIED Mohamed, Samar Farag UNSPECIFIED UNSPECIFIED UNSPECIFIED Fouad, Ahmed Mahmoud UNSPECIFIED orcid.org/0000-0003-1872-4587 UNSPECIFIED Karanis, Panagiotis UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-676436
DOI:	10.1093/trstmh/trac072
Journal or Publication Title:	Trans. Roy. Soc. Trop. Med. Hyg.
Volume:	116
Number:	12
Page Range:	S. 1191 - 1202
Date:	2022
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1878-3503
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INFECTIONS; CHILDREN Multiple languages Public, Environmental & Occupational Health; Tropical Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67643