Retrospect, advances and challenges in Chagas disease diagnosis: a comprehensive review

Alejandro Gabriel Schijman1, Julio Alonso-Padilla2,3, Constança Britto4

  • 1Laboratorio de Biología Molecular de la Enfermedad de Chagas, Instituto de Investigaciones en Ingeniería Genética y Biología Molecular "Dr Héctor Torres", INGEBI- CONICET, Vuelta de Obligado 2490, Buenos Aires, 1428 ADN, Argentina.

Insights

Timely diagnosis of Chagas disease is crucial for treatment access and elimination goals. Innovative point-of-care tests are needed to overcome limitations of current multi-test algorithms, especially in resource-limited settings.

Area of Science:

  • Neglected tropical diseases
  • Infectious disease diagnostics
  • Public health

Background:

  • Chagas disease, caused by Trypanosoma cruzi, impacts millions globally.
  • The World Health Organization (WHO) aims for its elimination by 2030, highlighting diagnostic needs.
  • Current diagnostic algorithms are time-consuming, posing challenges in resource-limited areas.

Purpose of the Study:

  • To review historical context and recent advancements in Chagas disease diagnostics.
  • To identify challenges and future directions for improving diagnostic accessibility.
  • To emphasize the need for innovative tools to meet elimination goals.

Main Methods:

  • Review of parasitological, molecular, and serological diagnostic methods.
  • Analysis of diagnostic performance, sensitivity, and specificity.
  • Exploration of point-of-care testing strategies.

Main Results:

  • Parasitological methods lack sensitivity; molecular methods offer quantification and throughput.
  • Serological tools face challenges with parasite antigenic diversity.
  • Point-of-care tests are critical for accessibility and disease control.

Conclusions:

  • Despite progress, challenges in Chagas disease diagnosis persist.
  • Innovative diagnostic strategies, particularly point-of-care tests, are essential for widespread accessibility.
  • Balancing achievements and obstacles is key to comprehensive progress in controlling Chagas disease.

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