Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women
<p style="text-align:justify;"> Improved laboratory diagnosis is critical to reduce the burden of malaria in pregnancy. Peripheral blood smears appear less sensitive than Plasmodium falciparum histidine-rich protein 2–based rapid diagnostic tests (RDTs) for placental malaria infecti...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
American Society of Tropical Medicine and Hygiene
2012
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| _version_ | 1797095357726851072 |
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| author | Dhorda, M Piola, P Nyehangane, D Tumwebaze, B Nalusaji, A Nabasumba, C Turyakira, E McGready, R Ashley, E Guerin, P Snounou, G |
| author_facet | Dhorda, M Piola, P Nyehangane, D Tumwebaze, B Nalusaji, A Nabasumba, C Turyakira, E McGready, R Ashley, E Guerin, P Snounou, G |
| author_sort | Dhorda, M |
| collection | OXFORD |
| description | <p style="text-align:justify;"> Improved laboratory diagnosis is critical to reduce the burden of malaria in pregnancy. Peripheral blood smears appear less sensitive than Plasmodium falciparum histidine-rich protein 2–based rapid diagnostic tests (RDTs) for placental malaria infections in studies conducted at delivery. In this study, 81 women in Uganda in the second or third trimester of pregnancy were followed-up until delivery. At each visit, peripheral blood was tested by blood smear, RDT, and nested species-specific polymerase chain reaction (PCR). Sensitivity and specificity of the tests was calculated with PCR, which detected 22 infections of P. falciparum, as the gold standard. The sensitivity and specificity of blood smears were 36.4% (95% confidence interval [CI] = 18.0–59.2%) and 99.6% (95% CI = 97.7–100%), respectively. The corresponding values for RDT were 31.8% (95% CI = 14.7–54.9%) and 100% (95% CI = 98.3–100%). The RDTs could replace blood smears for diagnosis of malaria in pregnancy by virtue of their relative ease of use. Field-based sensitive tests for malaria in pregnancy are urgently needed. </p> |
| first_indexed | 2024-03-07T04:26:45Z |
| format | Journal article |
| id | oxford-uuid:cce87416-89ce-4e89-932f-8d394c8ab19c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T04:26:45Z |
| publishDate | 2012 |
| publisher | American Society of Tropical Medicine and Hygiene |
| record_format | dspace |
| spelling | oxford-uuid:cce87416-89ce-4e89-932f-8d394c8ab19c2022-03-27T07:25:06ZPerformance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant womenJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cce87416-89ce-4e89-932f-8d394c8ab19cEnglishSymplectic Elements at OxfordAmerican Society of Tropical Medicine and Hygiene2012Dhorda, MPiola, PNyehangane, DTumwebaze, BNalusaji, ANabasumba, CTuryakira, EMcGready, RAshley, EGuerin, PSnounou, G <p style="text-align:justify;"> Improved laboratory diagnosis is critical to reduce the burden of malaria in pregnancy. Peripheral blood smears appear less sensitive than Plasmodium falciparum histidine-rich protein 2–based rapid diagnostic tests (RDTs) for placental malaria infections in studies conducted at delivery. In this study, 81 women in Uganda in the second or third trimester of pregnancy were followed-up until delivery. At each visit, peripheral blood was tested by blood smear, RDT, and nested species-specific polymerase chain reaction (PCR). Sensitivity and specificity of the tests was calculated with PCR, which detected 22 infections of P. falciparum, as the gold standard. The sensitivity and specificity of blood smears were 36.4% (95% confidence interval [CI] = 18.0–59.2%) and 99.6% (95% CI = 97.7–100%), respectively. The corresponding values for RDT were 31.8% (95% CI = 14.7–54.9%) and 100% (95% CI = 98.3–100%). The RDTs could replace blood smears for diagnosis of malaria in pregnancy by virtue of their relative ease of use. Field-based sensitive tests for malaria in pregnancy are urgently needed. </p> |
| spellingShingle | Dhorda, M Piola, P Nyehangane, D Tumwebaze, B Nalusaji, A Nabasumba, C Turyakira, E McGready, R Ashley, E Guerin, P Snounou, G Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title | Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title_full | Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title_fullStr | Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title_full_unstemmed | Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title_short | Performance of a histidine-rich protein 2 rapid diagnostic test, Paracheck Pf®, for detection of malaria infections in Ugandan pregnant women |
| title_sort | performance of a histidine rich protein 2 rapid diagnostic test paracheck pf r for detection of malaria infections in ugandan pregnant women |
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