@article{bb5719c5525044b79407ab4385d0fb4a,
title = "Spatial patterns in discordant diagnostic test results for chagas disease: Links to transmission hotspots",
abstract = "Diagnosis of Chagas disease is hindered by discordance between screening and confirmatory test results for Trypanosoma cruzi infection. In periurban Arequipa, Peru, spatial analysis revealed that individuals with discordant test results are spatially clustered in hotspots of T. cruzi transmission, suggesting that discordant results likely represent true infections in this setting.",
author = "Levy, {Michael Z.} and Bowman, {Natalie M.} and Vivian Kawai and Plotkin, {Joshua B.} and Waller, {Lance A.} and Lilia Cabrera and Frank Steurer and Seitz, {Amy E.} and Pinedo-Cancino, {Viviana V.} and Carpio, {Juan Geny Cornejo Del} and Benzaquen, {Eleazar Cordova} and McKenzie, {F. Ellis} and Maguire, {James H.} and Gilman, {Robert H.} and Caryn Bern",
note = "Funding Information: 1Fogarty International Center, National Institutes of Health, Bethesda, and 2Johns Hopkins Hospital and 3Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; 4Biology Department, University of Pennsylvania, Philadelphia; 5Program in Population Biology, Ecology, and Evolution, Division of Biological and Biomedical Sciences, Emory University, and 6Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; 7Division of Infectious Disease, Brigham and Women{\textquoteright}s Hospital, Boston, Massachusetts; 8Asociaci{\'o}n Ben{\'e}fica Proyectos en Inform{\'a}tica, Salud, Medicina y Agricultura (AB PRISMA), Lima, and 9Direcci{\'o}n Regional del Ministerio de Salud, Arequipa, Per{\'u} Funding Information: Financial support. National Institutes of Health (5P50AI074285-02, R01-ES015525, U19-AI-33061, RO1-AI047498; NIAID grant K01AI079162 to M.Z.L. and training grant 5T35AI007646-03 to N.M.B.), Fogarty/Ellison fellowship to N.M.B., the International Society for Infectious Diseases grant to V.K. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Potential conflicts of interest. All authors: no conflicts.",
year = "2009",
month = apr,
day = "15",
doi = "10.1086/597464",
language = "English (US)",
volume = "48",
pages = "1104--1106",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "Oxford University Press",
number = "8",
}