Comparative Study between Molecular Diagnosis and Different Diagnostic Methods of Schistosma haematobium in Gezira State Sudan.

ABSTRACT

Over 650 million people globally are at risk of infection with Schistosomiasis, with more than 200 million people infected, and higher disease rates occur in children. Objectives: The aim of this study was to compare the Molecular diagnostic method with different diagnostic methods (urine filtration, haematuria ultrasound). Methods: Eighty three students of Quran School for boys in Radwan village, Gezira state were recruited. The mean age was 12.45±3.2 with a range between 6-20 years. Urine samples were collected. Different diagnostic methods were used. DNA was extracted from the eggs. Polymerase Chain Reaction was done for all samples. Results: Fifty-four percent of the cases were positive with urine filtration method, of whom microhaematuria was seen in 28%, while 61.4% were positive by ultrasound. Using polymerase chain reaction 73.3% of the samples were positive for Schistosoma haematobium. The comparison between the different diagnostic methods and gold standard urine filtration techniques showed that haematuria had a sensitivity of 42.2% and specificity of 89.4% with a significant association, (P<0.05). No, significant difference was found with ultrasound (P>0.05) which had a sensitivity of 71% and specificity of 50%, while PCR showed a sensitivity of 100% and specificity of 60.5%, showing a significant association between PCR and filtration techniques. Conclusion: The study concluded that PCR was 100% sensitivite, while microhaematuria method was highly specific 89%. Ultrasound had alower specificity as compared with other diagnostic tests. It is recommended that different diagnostic techniques should be applied according to the situation of the disease.