Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity

To compare sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of self-diagnosis for head lice infestation with visual inspection, we conducted a study in an urban slum in Brazil. Individuals were asked about active head lice infestation (self-diagnosis); we performed visual inspection and thereafter wet combing (gold standard). Of the 175 individuals included, 77 (44%) had an active head lice infestation. For self-diagnosis, sensitivity (80.5%), specificity (91.8%), PPV (88.6%) and NPV (85.7%) were high. Sensitivity of visual inspection was 35.1%. Public health professionals can use self-diagnosis as a diagnostic tool, to estimate accurately prevalence of pediculosis in a community, and to monitor ongoing intervention strategies.

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Main Authors: Pilger,Daniel, Khakban,Adak, Heukelbach,Jorg, Feldmeier,Hermann
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2008
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652008000200011
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spelling oai:scielo:S0036-466520080002000112008-06-02Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificityPilger,DanielKhakban,AdakHeukelbach,JorgFeldmeier,Hermann Head lice Epidemiology Diagnosis Sensitivity Specificity Predictive values To compare sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of self-diagnosis for head lice infestation with visual inspection, we conducted a study in an urban slum in Brazil. Individuals were asked about active head lice infestation (self-diagnosis); we performed visual inspection and thereafter wet combing (gold standard). Of the 175 individuals included, 77 (44%) had an active head lice infestation. For self-diagnosis, sensitivity (80.5%), specificity (91.8%), PPV (88.6%) and NPV (85.7%) were high. Sensitivity of visual inspection was 35.1%. Public health professionals can use self-diagnosis as a diagnostic tool, to estimate accurately prevalence of pediculosis in a community, and to monitor ongoing intervention strategies.info:eu-repo/semantics/openAccessInstituto de Medicina Tropical de São PauloRevista do Instituto de Medicina Tropical de São Paulo v.50 n.2 20082008-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652008000200011en10.1590/S0036-46652008000200011
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country Brasil
countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Pilger,Daniel
Khakban,Adak
Heukelbach,Jorg
Feldmeier,Hermann
spellingShingle Pilger,Daniel
Khakban,Adak
Heukelbach,Jorg
Feldmeier,Hermann
Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
author_facet Pilger,Daniel
Khakban,Adak
Heukelbach,Jorg
Feldmeier,Hermann
author_sort Pilger,Daniel
title Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
title_short Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
title_full Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
title_fullStr Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
title_full_unstemmed Self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
title_sort self-diagnosis of active head lice infestation by individuals from an impoverished community: high sensitivity and specificity
description To compare sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of self-diagnosis for head lice infestation with visual inspection, we conducted a study in an urban slum in Brazil. Individuals were asked about active head lice infestation (self-diagnosis); we performed visual inspection and thereafter wet combing (gold standard). Of the 175 individuals included, 77 (44%) had an active head lice infestation. For self-diagnosis, sensitivity (80.5%), specificity (91.8%), PPV (88.6%) and NPV (85.7%) were high. Sensitivity of visual inspection was 35.1%. Public health professionals can use self-diagnosis as a diagnostic tool, to estimate accurately prevalence of pediculosis in a community, and to monitor ongoing intervention strategies.
publisher Instituto de Medicina Tropical de São Paulo
publishDate 2008
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652008000200011
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AT heukelbachjorg selfdiagnosisofactiveheadliceinfestationbyindividualsfromanimpoverishedcommunityhighsensitivityandspecificity
AT feldmeierhermann selfdiagnosisofactiveheadliceinfestationbyindividualsfromanimpoverishedcommunityhighsensitivityandspecificity
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