1. Opportunistic Community Screening of Chronic Chagas Disease Using a Rapid Diagnosis Test in Pharmacies in Barcelona (Catalonia, Spain): Study Protocol and Pilot Phase Results
- Author
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Aroa Silgado, Pau Bosch-Nicolau, Adrián Sánchez-Montalvá, Ariadna Cervià, Jordi Gomez-i-Prat, Guillermo Bagaria, Cristina Rodriguez, Lidia Goterris, Núria Serre-Delcor, Inés Oliveira-Souto, Fernando Salvador, Israel Molina, and Elena Sulleiro
- Subjects
Chagas disease ,opportunistic screening ,community pharmacies ,rapid test ,dried blood ,Public aspects of medicine ,RA1-1270 - Abstract
Objectives: This study aimed to report the protocol and results from the pilot phase of an opportunistic CP-based CD screening program in Barcelona, Spain.Methods: Three strategies according to recruitment approach were designed: passive, active and active-community. The study process consisted of signing the informed consent form, recording the patient’s data in a web-based database system, and performing the rapid test and blood collection on dry paper.Results: Nineteen pharmacies participated and 64 patients were included during the pilot phase of the study. The rapid diagnostic test (RDT) was positive in 2/64 (3.13%) cases. Of the 49 DBS samples that arrived at the laboratory, 22 (45%) were collected incorrectly. After quantitative and qualitative assessment of the program, the dry paper sample and passive strategy were ruled out.Conclusion: DBS sampling and the passive strategy are not suitable for CD screening in community pharmacies. There is a need to expand the number of participating pharmacies and individuals to determine whether conducting a RDT in community pharmacies is an effective screening method to increase access to CD diagnosis in a non-endemic area.
- Published
- 2022
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