Diagnosis of Cryptosporidiosis in Africa: Prospects and Challenges
Authors:
OKANGBA Chika
Publication Type: Journal article
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Abstract
Cryptosporidium parvum is an opportunistic parasite capable of causing gastrointestinal illness in both immunocompetent and immunocompromised patients as well as in children less than 2 years old particularly in developing countries. The parasite causes diarrhoea that is self-limiting in immunocompetent individuals and another that is potentially life- threatening in immunosuppressed individuals. Transmission of the parasite could be direct through faecal-oral route or indirect via contaminated water supply, food or environment. Methods of diagnosis of infection due to the parasite, involve use of polymerase chain reaction (PCR), immunological based detection methods, and microscopy. These diagnostic procedures in Africa are however confronted with several challenges ranging from constant lack of power supply and lack of experienced technologists, to poor funding from government for periodic trainings, seminars and workshops for laboratory workers as well as their technical complexity. Given the poor state of health care infrastructure in Africa, brain drain of skilled personnel, low allocation of resources to health care etc; the inclusion of immediate work-ups for the prompt diagnosis of Cryptosporidiosis is imperative if not urgent.