Chagas disease: What is known and what should be improved: a systemic review

This study consists of a broad review on what is known and what should be improved regarding knowledge of Chagas disease, not only through analysis on the main studies published on the topics discussed, but to a large extent based on experience of this subject, acquired over the past 50 years (1961-...

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Main Authors: José Rodrigues Coura, José Borges-Pereira
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2012-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300002&lng=en&tlng=en
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author José Rodrigues Coura
José Borges-Pereira
author_facet José Rodrigues Coura
José Borges-Pereira
author_sort José Rodrigues Coura
collection DOAJ
description This study consists of a broad review on what is known and what should be improved regarding knowledge of Chagas disease, not only through analysis on the main studies published on the topics discussed, but to a large extent based on experience of this subject, acquired over the past 50 years (1961-2011). Among the subjects covered, we highlight the pathogenesis and evolution of infection by Trypanosoma cruzi, drugs in use and new strategies for treating Chagas disease; the serological tests for the diagnosis and the controls of cure the infection; the regional variations in prevalence, morbidity and response to treatment of the disease; the importance of metacyclogenesis of T. cruzi in different species of triatomines and its capacity to transmit Chagas infection; the risks of adaptation of wild triatomines to human dwellings; the morbidity and need for a surveillance and control program for Chagas disease in the Amazon region and the need to prioritize initiatives for controlling Chagas disease in Latin America and Mexico and in non-endemic countries, which is today a major international dilemma. Finally, we raise the need for to create a new initiative for controlling Chagas disease in the Gran Chaco, which involves parts of Argentina, Bolivia and Paraguay.
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spelling doaj.art-1dad3445fb8a47ae918de06e75f0e8a92022-12-22T00:55:31ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492012-06-0145328629610.1590/S0037-86822012000300002S0037-86822012000300002Chagas disease: What is known and what should be improved: a systemic reviewJosé Rodrigues Coura0José Borges-Pereira1Fundação Oswaldo CruzFundação Oswaldo CruzThis study consists of a broad review on what is known and what should be improved regarding knowledge of Chagas disease, not only through analysis on the main studies published on the topics discussed, but to a large extent based on experience of this subject, acquired over the past 50 years (1961-2011). Among the subjects covered, we highlight the pathogenesis and evolution of infection by Trypanosoma cruzi, drugs in use and new strategies for treating Chagas disease; the serological tests for the diagnosis and the controls of cure the infection; the regional variations in prevalence, morbidity and response to treatment of the disease; the importance of metacyclogenesis of T. cruzi in different species of triatomines and its capacity to transmit Chagas infection; the risks of adaptation of wild triatomines to human dwellings; the morbidity and need for a surveillance and control program for Chagas disease in the Amazon region and the need to prioritize initiatives for controlling Chagas disease in Latin America and Mexico and in non-endemic countries, which is today a major international dilemma. Finally, we raise the need for to create a new initiative for controlling Chagas disease in the Gran Chaco, which involves parts of Argentina, Bolivia and Paraguay.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300002&lng=en&tlng=enDoença de ChagasPadrão evolutivoInteração Trypanosoma cruzi-vetoresNovas estratégias para o tratamentoVigilância e controle
spellingShingle José Rodrigues Coura
José Borges-Pereira
Chagas disease: What is known and what should be improved: a systemic review
Revista da Sociedade Brasileira de Medicina Tropical
Doença de Chagas
Padrão evolutivo
Interação Trypanosoma cruzi-vetores
Novas estratégias para o tratamento
Vigilância e controle
title Chagas disease: What is known and what should be improved: a systemic review
title_full Chagas disease: What is known and what should be improved: a systemic review
title_fullStr Chagas disease: What is known and what should be improved: a systemic review
title_full_unstemmed Chagas disease: What is known and what should be improved: a systemic review
title_short Chagas disease: What is known and what should be improved: a systemic review
title_sort chagas disease what is known and what should be improved a systemic review
topic Doença de Chagas
Padrão evolutivo
Interação Trypanosoma cruzi-vetores
Novas estratégias para o tratamento
Vigilância e controle
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300002&lng=en&tlng=en
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