Point-of-care testing for malaria outbreak management
- PMID: 18513771
- DOI: 10.1016/j.trstmh.2008.04.018
Point-of-care testing for malaria outbreak management
Abstract
A rapid antigen assay for malaria was performed on blood samples collected during a simultaneous outbreak of falciparum malaria and vivax malaria on a remote island in the Indonesian archipelago. During the outbreak, a total of 89 patients (4.3% of the population) were diagnosed with malaria within a week. Microscopic examination revealed 78 malaria slide-positive cases, of whom 49 (62.8%) were identified as P. falciparum, 7 (9.0%) as P. vivax and 22 (28.2%) as mixed P. falciparum and P. vivax infections. The rapid malaria assay showed excellent correlation with expert-confirmed routine microscopy for P. falciparum and P. vivax monoinfections and mixed infections with a parasite density >50 parasites/microl. Several slide-negative blood samples collected from febrile patients with clinical malaria tested positive in the rapid test. The estimated sensitivity calculated for the rapid test (91.0%) was slightly higher than that of microscopy (87.6%). The result indicates that rapid antigen detection for malaria could be a useful alternative to microscopy to reduce the workload during emergency outbreak situations.
Comment in
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Comment on: Point-of-care testing for malaria outbreak management.Trans R Soc Trop Med Hyg. 2009 Jan;103(1):106; author reply 106. doi: 10.1016/j.trstmh.2008.07.006. Epub 2008 Aug 28. Trans R Soc Trop Med Hyg. 2009. PMID: 18760434 No abstract available.
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