Mduluza-Jokonya et al reported a score for the diagnosis of early Schistosoma haematobium in pre-school children. This can be used to triage patients for various levels of management. The authors are from University of KwaZulu-Natal and University of Zimbabwe.
Patient selection: pre-school age child in an endemic region for Schistosoma haematobium
Parameters:
(1) fever
(2) pallor
(3) inguinal lymphadenopathy
(4) frequent exposure to contaminated water
(5) family member complaining of hematuria OR family member treated for schistomiasis
(6) abdominal pain
(7) episode of facial or body swelling
Parameter
Finding
Points
fever
no
0
yes
4
pallor
no
0
yes
2
inguinal lymphadenopathy
no
0
yes
1
frequent water exposure
no
0
yes
1
family member
no
0
yes
1
abdominal pain
no
0
yes
2
facial or body swelling
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
Total Score
Risk Level
Management
0 to 3
low
risk reduction
4 to 8
"mild"
test for hematuria; if positive manage as infected
9 to 12
high
manage as infected
Performance:
• The area under the ROC curve was 0.93 in the derivation and 0.80 in the validation cohorts.
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