Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran

<b>Background:</b> The accurate diagnosis of malaria cases, especially asymptotic and low-parasitemia patients, using robust molecular methods (nested-PCR) have been emphasized. The goal of this study was to detect active cases of malaria in areas with a history of local malaria transmis...

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Main Authors: Jebreil Shamseddin, Amin Ghanbarnejad, Abdoljabbar Zakeri, Farshid Abedi, Shaghayegh Khojasteh, Habibollah Turki
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/12/3025
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author Jebreil Shamseddin
Amin Ghanbarnejad
Abdoljabbar Zakeri
Farshid Abedi
Shaghayegh Khojasteh
Habibollah Turki
author_facet Jebreil Shamseddin
Amin Ghanbarnejad
Abdoljabbar Zakeri
Farshid Abedi
Shaghayegh Khojasteh
Habibollah Turki
author_sort Jebreil Shamseddin
collection DOAJ
description <b>Background:</b> The accurate diagnosis of malaria cases, especially asymptotic and low-parasitemia patients, using robust molecular methods (nested-PCR) have been emphasized. The goal of this study was to detect active cases of malaria in areas with a history of local malaria transmission focusing on the use of molecular tools to ensure that the malaria elimination program has been implemented successfully. <b>Methods:</b> In this cross-sectional study, 816 blood samples were taken from immigrants and local residents of malaria-endemic areas in Hormozgan province, Iran. In order to identify asymptomatic malaria parasite reservoirs, the samples were examined using microscopic, RDT, and nested-PCR techniques. <b>Results:</b> About twelve positive asymptomatic malaria cases were identified when the molecular method (nested-PCR) was used. The positivity rates among immigrants and local residents were 2.07% and 0.93%, respectively. No positive cases were detected using microscopic and RDT methods. <b>Conclusions:</b> The finding of the research emphasize that in addition to microscopy and RDTs methods, sensitive molecular tools as a standard and essential strategy are needed in the diagnosis and detection of asymptomatic parasite reservoir.
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spelling doaj.art-386b491ec0664ae5b3c0dacffce2a8d22023-11-24T14:17:22ZengMDPI AGDiagnostics2075-44182022-12-011212302510.3390/diagnostics12123025Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in IranJebreil Shamseddin0Amin Ghanbarnejad1Abdoljabbar Zakeri2Farshid Abedi3Shaghayegh Khojasteh4Habibollah Turki5Molecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas 7916613885, IranSocial Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan, University of Medical Sciences, Bandar Abbas 7919916753, IranInfectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas 7919693116, IranInfectious Diseases Research Center, Birjand University of Medical Sciences, Birjand 9717853577, IranMolecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas 7916613885, IranMolecular Medicine Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas 7916613885, Iran<b>Background:</b> The accurate diagnosis of malaria cases, especially asymptotic and low-parasitemia patients, using robust molecular methods (nested-PCR) have been emphasized. The goal of this study was to detect active cases of malaria in areas with a history of local malaria transmission focusing on the use of molecular tools to ensure that the malaria elimination program has been implemented successfully. <b>Methods:</b> In this cross-sectional study, 816 blood samples were taken from immigrants and local residents of malaria-endemic areas in Hormozgan province, Iran. In order to identify asymptomatic malaria parasite reservoirs, the samples were examined using microscopic, RDT, and nested-PCR techniques. <b>Results:</b> About twelve positive asymptomatic malaria cases were identified when the molecular method (nested-PCR) was used. The positivity rates among immigrants and local residents were 2.07% and 0.93%, respectively. No positive cases were detected using microscopic and RDT methods. <b>Conclusions:</b> The finding of the research emphasize that in addition to microscopy and RDTs methods, sensitive molecular tools as a standard and essential strategy are needed in the diagnosis and detection of asymptomatic parasite reservoir.https://www.mdpi.com/2075-4418/12/12/3025malariadiagnosticmolecular techniqueslow-density infectioncase detectionelimination program
spellingShingle Jebreil Shamseddin
Amin Ghanbarnejad
Abdoljabbar Zakeri
Farshid Abedi
Shaghayegh Khojasteh
Habibollah Turki
Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
Diagnostics
malaria
diagnostic
molecular techniques
low-density infection
case detection
elimination program
title Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
title_full Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
title_fullStr Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
title_full_unstemmed Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
title_short Molecular Method Is Essential to Identify Asymptomatic Malaria Reservoirs: A Successful Experience in the Malaria Elimination Program in Iran
title_sort molecular method is essential to identify asymptomatic malaria reservoirs a successful experience in the malaria elimination program in iran
topic malaria
diagnostic
molecular techniques
low-density infection
case detection
elimination program
url https://www.mdpi.com/2075-4418/12/12/3025
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