Parasite-specific lactate dehydrogenase for the diagnosis of Plasmodium falciparum infection in an endemic area in west Uganda
- PMID: 8665389
- DOI: 10.1111/j.1365-3156.1996.tb00031.x
Parasite-specific lactate dehydrogenase for the diagnosis of Plasmodium falciparum infection in an endemic area in west Uganda
Abstract
The measurement of parasite lactate dehydrogenase (pLDH) has been presented as an easy and rapid method for the diagnosis of malaria in humans. In order to evaluate the sensitivity and specificity of such a test we examined blood samples from 429 Ugandan patients. While pLDH activity was significantly linked to parasitaemia, sensitivity and specificity were found to be rather low at 58.8 and 62.2% respectively. The positive and negative predictive values failed to meet necessary standards. We conclude that the methods of measurement of pLDH activity in malaria infection, although potentially useful for the fast diagnosis of malaria, need to be improved to be of true value in endemic areas.
Similar articles
-
Comparison of HRP2- and pLDH-based rapid diagnostic tests for malaria with longitudinal follow-up in Kampala, Uganda.Am J Trop Med Hyg. 2007 Jun;76(6):1092-7. Am J Trop Med Hyg. 2007. PMID: 17556616
-
Rapid diagnostic tests for malaria at sites of varying transmission intensity in Uganda.J Infect Dis. 2008 Feb 15;197(4):510-8. doi: 10.1086/526502. J Infect Dis. 2008. PMID: 18240951
-
Assessment of three new parasite lactate dehydrogenase (pan-pLDH) tests for diagnosis of uncomplicated malaria.Trans R Soc Trop Med Hyg. 2008 Jan;102(1):25-31. doi: 10.1016/j.trstmh.2007.09.014. Epub 2007 Nov 26. Trans R Soc Trop Med Hyg. 2008. PMID: 18031779
-
Measurement of the lactate dehydrogenase activity of Plasmodium falciparum as an assessment of parasitemia.Am J Trop Med Hyg. 1993 Feb;48(2):205-10. doi: 10.4269/ajtmh.1993.48.205. Am J Trop Med Hyg. 1993. PMID: 8447524
-
Interpreting rapid diagnostic test (RDT) for Plasmodium falciparum.BMC Res Notes. 2018 Dec 4;11(1):850. doi: 10.1186/s13104-018-3967-4. BMC Res Notes. 2018. PMID: 30509313 Free PMC article. Review.
Cited by
-
Use of a pLDH-based dipstick in the diagnostic and therapeutic follow-up of malaria patients in Mali.Malar J. 2011 Nov 24;10:345. doi: 10.1186/1475-2875-10-345. Malar J. 2011. PMID: 22114867 Free PMC article.
-
Plasmodium berghei bio-burden correlates with parasite lactate dehydrogenase: application to murine Plasmodium diagnostics.Malar J. 2016 Jan 4;15:3. doi: 10.1186/s12936-015-1027-2. Malar J. 2016. PMID: 26729268 Free PMC article.
-
Performance and clinical usefulness of the Optimal-IT® test in the treatment of confirmed malaria cases in rural areas in Côte d'Ivoire.Malariaworld J. 2014 Dec 4;5:12. doi: 10.5281/zenodo.10887947. eCollection 2014. Malariaworld J. 2014. PMID: 38764804 Free PMC article.
-
Rapid diagnostic tests for diagnosing uncomplicated non-falciparum or Plasmodium vivax malaria in endemic countries.Cochrane Database Syst Rev. 2014 Dec 18;2014(12):CD011431. doi: 10.1002/14651858.CD011431. Cochrane Database Syst Rev. 2014. PMID: 25519857 Free PMC article. Review.
-
Methodology and application of flow cytometry for investigation of human malaria parasites.J Immunol Methods. 2011 Mar 31;367(1-2):1-16. doi: 10.1016/j.jim.2011.01.015. Epub 2011 Feb 4. J Immunol Methods. 2011. PMID: 21296083 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources