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Faine's criteria - Revision history
2026-04-28T19:30:43Z
Revision history for this page on the wiki
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Aidan: Created page with "== Criteria == {| class="wikitable" !Item !Points |- ! colspan="2" |Part A: Clinical Data |- |Headache |2 |- |Fever |2 |- |Fever >39ºC |2 |- |Conjunctival suffusion |4 |- |Me..."
2020-10-08T13:26:19Z
<p>Created page with "== Criteria == {| class="wikitable" !Item !Points |- ! colspan="2" |Part A: Clinical Data |- |Headache |2 |- |Fever |2 |- |Fever >39ºC |2 |- |Conjunctival suffusion |4 |- |Me..."</p>
<p><b>New page</b></p><div>== Criteria ==<br />
{| class="wikitable"<br />
!Item<br />
!Points<br />
|-<br />
! colspan="2" |Part A: Clinical Data<br />
|-<br />
|Headache<br />
|2<br />
|-<br />
|Fever<br />
|2<br />
|-<br />
|Fever >39ºC<br />
|2<br />
|-<br />
|Conjunctival suffusion<br />
|4<br />
|-<br />
|Meningism<br />
|4<br />
|-<br />
|Myalgia<br />
|4<br />
|-<br />
|Conjunctival suffusion, meningism, and myalgia<br />
|10<br />
|-<br />
|Jaundice<br />
|1<br />
|-<br />
|Albuminuria or nitrogen retention<br />
|2<br />
|-<br />
|Hemoptysis or dyspnea<br />
|2<br />
|-<br />
! colspan="2" |Part B: Epidemiological Factors<br />
|-<br />
|Rainfall<br />
|5<br />
|-<br />
|Contact with contaminated environement<br />
|4<br />
|-<br />
|Animal contact<br />
|1<br />
|-<br />
! colspan="2" |Part C: Bacteriological and Laboratory Findings<br />
|-<br />
|Isolation of [[Leptospira]] in culture<br />
|diagnosis certain<br />
|-<br />
|Positive PCR<br />
|25<br />
|-<br />
|Positive ELISA IgM<br />
|15<br />
|-<br />
|Positive SAT<br />
|15<br />
|-<br />
|Other rapid serologic test<br />
|15<br />
|-<br />
|MAT positive once with high titre<br />
|15<br />
|-<br />
|MAT acute and convalescent with rising titre<br />
|25<br />
|}<br />
<br />
* Rapid serologic tests include latex agglutination, Leptodipstick, LeptoTek lateral flow, Lepto Tek Dri Dot<br />
* Only one serologic test should be counted<br />
<br />
== Interpretation ==<br />
<br />
* Parts A and B ≥26: presumptive diagnosis<br />
* Parts A, B, and C ≥25: presumptive diagnosis<br />
* Parts A, B, and C of 20 to 25: possible diagnosis<br />
<br />
== Further Reading ==<br />
<br />
* Utility of modified Faine's criteria in diagnosis of leptospirosis. ''BMC Infect Dis''. 2016;16:446 doi: [https://doi.org/10.1186/s12879-016-1791-9 10.1186/s12879-016-1791-9]<br />
<br />
[[Category:Diagnostics]]</div>
Aidan