Review article: Point-of-care ultrasound assessment of tropical infectious diseases-a review of applications and perspectives

Sabine Bélard, Francesca Tamarozzi, Amaya L. Bustinduy, Claudia Wallrauch, Martin P. Grobusch, Walter Kuhn, Enrico Brunetti, Elizabeth Joekes, Tom Heller

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)8-21
Number of pages14
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume94
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

    Fingerprint

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

Cite this