Guidelines for the diagnosis of human leptospirosis
Abstract
Leptospirosis is under diagnosed and under reported in developing countries due to lack of diagnostic facilities. The diagnosis of leptospirosis is complex, because the gold standard tests are not easily available. Though rapid tests are available for the past two decades, they have to be combined with the existing gold standard tests for confirmation of diagnosis. It should be adequate to diagnose leptospirosis with rapid tests. I intend to review the literature from developing countries in Asia, Latin America and Africa and suggest the need for utilizing rapid tests for diagnosis. Leptospirosis can be diagnosed only by diagnostic tests and epidemiological data, such as incidence/ prevalence data cannot be obtained without these tests. Without these data, funding cannot be obtained for diagnostic, treatment and control programs, as without diagnostic tests, leptospirosis would be considered a rare disease. In this article, the various guidelines for the diagnosis of leptospirosis will be discussed.
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