Hospitals lack diagnostic kit for acute undifferentiated fever

Kathmandu, May 13

The hospitals have been facing difficulties diagnosing acute undifferentiated fever due to lack of well-equipped laboratories.

“The laboratories must be equipped with RDTs, ELISA test kits for the diagnosis of acute undifferentiated fever. However, Most of the hospitals and the laboratories in the country lack such testing kits and equipment. hence many patients are facing difficulty,” said Dr Anup Bastola, consultant tropical medicine physician at Sukraraj Tropical and Infectious Disease Hospital.

The testing kits also should have sensitivity in it for an accurate test. “The amount of samples necessary for the tests, the amount of time and the method plays a vital role to detect the disease,” said Dr Bastola.

The fever one can suffer from could be viral, bacterial, protozoal or rickettsial. People are likely to suffer from dengue fever, enteric fever, leptospirosis, malaria, brucellosis. A proper diagnostic kit is necessary to diagnose such diseases. “Availability of proper diagnosis facilities and timely detection will help doctors make quick decisions and start the treatment of patients,” said the doctor.

Though all the acute undifferentiated fever cases do not always get an etiological diagnosis but availabilityof test kits and equipment will be helpful to find causes of fever, according to the doctor.

Despite the availability of all the test kits and equipment in the capital, several fever cases could not be diagnosed. As per the report provided by STIDH in the fiscal year 2011/12, there were 121 cases of undiagnosed acute undifferentiated fever recorded at the hospital. In the fiscal years 2012/13, 2013/14, 2014/15, 2015/16 and 2016/17 there were 147, 198, 182, 218 and 195 cases respectively reported at the hospital.