Development and validation of the Molluscum Contagiosum Diagnostic Tool for Parents: diagnostic accuracy study in primary care

Abstract

BackgroundMolluscum contagiosum (MC) is diagnosed by its distinct appearance. Parental diagnosis of MC may reduce anxiety and lead to reductions in healthcare consultations, and may be particularly useful in large-scale epidemiological studies. However, there are currently no published, validated tools allowing parental diagnosis of MC. AimTo develop and validate a tool for parental diagnosis of MC. Design and settingThe Molluscum Contagiosum Diagnostic Tool for Parents (MCDTP) was developed and its diagnostic accuracy was compared with GP diagnosis in 12 GP surgeries in South Wales. MethodFollowing development, which involved three phases with dermatologists, nurses, GPs, and parents, parents completed the MCDTP (index test) in the practice waiting room, and rated their confidence in their diagnosis. A GP then examined their child for MC (reference test). Test characteristics were calculated for all responders and for those who expressed being confident or very confident in their diagnosis. ResultsA total of 203 parents completed the MCDTP. The MCDTP showed a sensitivity of 91.5% (95% confidence intervals (CI) = 81.3 to 97.2) and a specificity of 88.2% (95% CI = 81.8 to 93.0) in all parents and a sensitivity of 95.8% (95% CI = 85.7 to 99.5) and a specificity of 90.9% (95% CI = 83.9 to 95.6) in parents who were confident or very confident in their diagnosis. The positive predictive value was 76.1% (95% CI = 64.5 to 85.4) and negative predictive value was 96.2% (95% CI = 91.4 to 98.8) for all parents. ConclusionThe MCDTP performed well compared with GP diagnosis and is suitable for clinical use by parents and in population-based studies.

Diagnosis dan Tata Laksana Moluskum Kontagiosum

“…2 Penyakit ini paling banyak menyerang anak-anak usia di bawah 14 tahun dengan rerata usia 5 tahun. 6,7 FAKTOR RISIKO Perenang memiliki risiko dua kali lipat terinfeksi MK dibandingkan non-perenang. 1 Anak-anak dengan dermatitis atopik lebih mudah terkena MK dengan lesi yang lebih luas disertai gatal dan dapat berkembang menjadi dermatitis moluskum.…”