Browsing by Author "McDermott, J.J."
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Item Assessment of the Rose-Bengal Plate Test for the Diagnosis Of Human Brucellosis in Health Facilities in Narok District, Kenya(1998) McDermott, J.J.; Maichomo, M.W.; Arimi, S.M.; Gathura, P.B.The Rose-Bengal plate test (RBPT) was performed on 488 patients with flu-like symptoms from Narok district. There was poor agreement between RBPT results from four health facilities in Narok and from the central veterinary laboratory (CVL). Agreement was poorer for the three rural dispensaries than for the District Hospital. On the other hand, for tests conducted at the CVL, there was good agreement between RBPT, serum agglutination test (SAT) and complement fixation test (CFT) results, indicating that all these tests were probably performing well. Better training and quality control and the use of white rather than a clear background surface for judging agglutination results are recommended to improve the performance of test results in Narok District health facilities.Item Study of brucellosis in a pastoral community and evaluation of the usefulness of clinical signs and symptoms in differentiating it from other flu-like diseases.(2000) Mugambi, T.J.; McDermott, J.J.; Maichomo, M.W.; Arimi, S.M.; Gathura, P.B.; Muriuki, S.M.A study of differentials causing flu-like symptoms (malaria, typhoid, streptococcal infections and rheumatoid arthritis) in 488 patients from a pastoralist area is presented. The potential usefulness of clinical signs, symptoms and diagnostic tests in ruling-in or ruling-out these diseases was investigated in the District hospital and three outlying health dispensaries. For each patient a detailed clinical history plus diagnostic test for brucellosis, typhoid, streptococcal infections and rheumatoid arthritis, and for some patients’ malaria were conducted. Incidence levels of these diseases were estimated using laboratory test results; brucellosis, 13%, typhoid, 40%: ... streptococcal infections, 6% malaria, 9%: and rheumatoid arthritis, 10%. Brucellosis could not be differentiated clinically from the other flu-like diseases but rheumatoid arthritis could.
