Ultrasound in Tropical Medicine

Brunetti, Enrico

doi:10.1016/b978-0-7020-5101-2.00009-1

Cited by 3 publications

(2 citation statements)

References 78 publications

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“…In ID, individual applications are taught in short courses, 8 but a standardized curriculum has never been developed and most curricula are collated following the opinions and preferences of local leaders in the field. The selection of POCUS applications for a particular setting should apply three criteria: (1) the condition should be prevalent in the patient population; (2) its diagnosis should carry the potential to significantly change patient management; and (3) POCUS diagnosis should be fairly straightforward for a novice to learn. 9 In this study, the frequency of use of various POCUS applications, findings, and consequences for treatment were assessed in urban Malawi, a setting with high tuberculosis (TB) and human immunodeficiency virus (HIV) prevalence.…”

mentioning

confidence: 99%

Ultrasound for patients in a high HIV/tuberculosis prevalence setting: a needs assessment and review of focused applications for Sub-Saharan Africa

Heller

Mtemang’ombe

Huson

et al. 2017

International Journal of Infectious Diseases

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Ultrasound is increasingly used in point-of-care applications and has great potential to support the diagnosis of infectious diseases, especially in resource-limited settings. A cross-sectional study was performed involving 100 Malawian patients with a clinical indication for ultrasound. Furthermore, the literature on point-of-care ultrasound (POCUS) in Sub-Saharan Africa was reviewed to establish its applicability, most frequent indications, findings, and implications for treatment, and therefore relevance in POCUS curricula, with a main focus on infectious diseases. In Malawi, the main indications for ultrasound were weight loss, abdominal pain, and shortness of breath. Abnormal findings were observed in 77% of patients, the most common being enlarged abdominal lymph nodes (n=17), pericardial effusion (n=15), splenic microabscesses (n=15), and pleural effusion (n=14). POCUS led to a change in treatment in 72% of patients. The literature on the various POCUS applications used in Malawi was reviewed, including focused assessment with sonography for HIV-associated TB (FASH), heart, liver, kidney, deep venous thrombosis (DVT), and gynaecology. Based on disease prevalence, impact of POCUS on treatment, and technical difficulty, it is proposed that FASH, heart, and DVT are the most relevant POCUS applications in comparable Sub-Saharan African settings and should be incorporated in POCUS curricula.

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confidence: 99%

Ultrasound for patients in a high HIV/tuberculosis prevalence setting: a needs assessment and review of focused applications for Sub-Saharan Africa

Heller

Mtemang’ombe

Huson

et al. 2017

International Journal of Infectious Diseases

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“…POCUS is not a comprehensive US assessment. 8 Diagnoses for which POCUS is suitable should fulfill two criteria: 1) diagnosis must be relevant to consecutive treatment decision making and 2) diagnosis must be easily and accurately recognizable by physicians applying US without the necessity for extended US training. Whereas patients' benefit from POCUS in affluent settings is mainly a reduced time to diagnosis and further management, POCUS in resource-constrained settings provides the additional benefit that it is frequently the only diagnostic imaging modality available.…”

Section: Introductionmentioning

confidence: 99%

Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases—A Review of Applications and Perspectives

Bélard¹,

Tamarozzi²,

Bustinduy³

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. The development of good quality and affordable ultrasound machines has led to the establishment and implementation of numerous point-of-care ultrasound (POCUS) protocols in various medical disciplines. POCUS for major infectious diseases endemic in tropical regions has received less attention, despite its likely even more pronounced benefit for populations with limited access to imaging infrastructure. Focused assessment with sonography for HIV-associated TB (FASH) and echinococcosis (FASE) are the only two POCUS protocols for tropical infectious diseases, which have been formally investigated and which have been implemented in routine patient care today. This review collates the available evidence for FASH and FASE, and discusses sonographic experiences reported for urinary and intestinal schistosomiasis, lymphatic filariasis, viral hemorrhagic fevers, amebic liver abscess, and visceral leishmaniasis. Potential POCUS protocols are suggested and technical as well as training aspects in the context of resourcelimited settings are reviewed. Using the focused approach for tropical infectious diseases will make ultrasound diagnosis available to patients who would otherwise have very limited or no access to medical imaging.

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Application of Ultrasonography in the Diagnosis of Infectious Diseases in Resource-Limited Settings

Brunetti¹,

Heller²,

Richter

et al. 2016

Curr Infect Dis Rep

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Ultrasound (US) has vast potential in the field of infectious diseases, especially so in resource-limited settings. Recent technological advances have increased availability and access to ultrasound in low-resource settings, where the burden of infectious diseases is greatest. This paper collates the evidence for the utilization of ultrasound and evaluates its effectiveness in the diagnosis and management of a range of infectious diseases. This paper explores the role of ultrasound in population-based screening for specific diseases as well as highlights its benefits for individual patient management. We describe the common diagnostic signs seen on US for common and neglected parasitic, bacterial, and viral diseases. We proceed to document the emerging field of chest US which is proving to be a superior imaging modality for the diagnosis of specific pulmonary conditions. We conclude by discussing the efforts needed to formalize and rigorously evaluate the role of ultrasound in infectious diseases.

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Ultrasound in Tropical Medicine

Cited by 3 publications

References 78 publications

Ultrasound for patients in a high HIV/tuberculosis prevalence setting: a needs assessment and review of focused applications for Sub-Saharan Africa

Ultrasound for patients in a high HIV/tuberculosis prevalence setting: a needs assessment and review of focused applications for Sub-Saharan Africa

Point-of-Care Ultrasound Assessment of Tropical Infectious Diseases—A Review of Applications and Perspectives

Application of Ultrasonography in the Diagnosis of Infectious Diseases in Resource-Limited Settings

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