Pruebas de laboratorio elementales de apoyo en el diagnostico precoz de leptospirosis machala 2018-2019 .

Abstract

INTRODUCTION: The leptospirosis according to the World Organization of Health WHO in 2008 refers that it is a global health problem in the humid tropical and subtropical areas where the majority of developing countries are and with greater significance in those that have a temperate climate , due to the difficult timely diagnosis in primary health care since it frequently produces a mild disease or with nonspecific symptoms such as fever, myalgia, retro ocular pain, it usually results in a sub-registration of cases, leading to treatment late and ineffective. GENERAL OBJECTIVE: To establish the differences between laboratory tests for the early diagnosis of leptospirosis by reviewing scientific articles for an adequate treatment of the patient in primary health care. METHODS: this investigative work is carried out through the use of academic data search platforms and / or journals: ScienceDirect, Cochrane, Pubmed, Medline, Google Scholar of periods from 2013 to 2018. DEVELOPMENT: the selection of articles that comply with the parameters mentioned above and that have international guarantees and are within the research levels between quartiles Q1 and Q2; a comparison was made between the clinical characteristics between leptospirosis, dengue and urinary tract infection. CONCLUSIONS: Leptospirosis is one of the main zoonoses of impact in our region, this added to its presentation of febrile majority and clinical similarity with pathologies such as dengue without warning signs and UTI, lead to an underreporting of cases in the centers of primary care, here is the importance of using and interpreting laboratory tests such as complete blood count, NS1 glycoprotein, an elementary urine test to make an early diagnosis, give proper treatment and avoid complications.