A comparison of two rapid field immunochromatographic tests to expert microscopy in the diagnosis of malaria

In Myanmar, we tested two rapid malaria immunochromatographic kits: the OptiMAL assay for the detection of parasite lactate dehydrogenase (pLDH), and the ICT Malaria P.f./P.v. test for histidine-rich protein 2 (PfHRP2) and panmalarial antigens. A total of 229 patients were examined, of whom 133 were...

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Veröffentlicht in:Acta tropica 2002-04, Vol.82 (1), p.51-59
Hauptverfasser: Mason, Daniel Philippe, Kawamoto, Fumihiko, Lin, Khin, Laoboonchai, Anintita, Wongsrichanalai, Chansuda
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container_issue 1
container_start_page 51
container_title Acta tropica
container_volume 82
creator Mason, Daniel Philippe
Kawamoto, Fumihiko
Lin, Khin
Laoboonchai, Anintita
Wongsrichanalai, Chansuda
description In Myanmar, we tested two rapid malaria immunochromatographic kits: the OptiMAL assay for the detection of parasite lactate dehydrogenase (pLDH), and the ICT Malaria P.f./P.v. test for histidine-rich protein 2 (PfHRP2) and panmalarial antigens. A total of 229 patients were examined, of whom 133 were found to be malaria positive by Giemsa microscopy. Both OptiMAL and ICT gave lower sensitivities than previously reported. ICT sensitivity for Plasmodium falciparum and non-falciparum parasites were 86.2 and 2.9%, respectively; specificity was 76.9 and 100%, respectively. OptiMAL sensitivity for P. falciparum and non-falciparum parasites were 42.6 and 47.1%, respectively; specificity was 97.0 and 96.9%, respectively. The sensitivity of both tests for the detection of both P. falciparum and non-falciparum parasites increased with parasite density. Several explanations for these results are explored. Our results raise particular concern over batch quality variations of malaria rapid diagnostic devices (MRDDs).
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subjects Animals
Antigens, Protozoan - blood
Azure Stains
Biological and medical sciences
Chromatography
HRP2
Human protozoal diseases
Humans
Infectious diseases
L-Lactate Dehydrogenase - analysis
Malaria
Malaria - blood
Malaria - diagnosis
Medical sciences
Microscopy
Myanmar
Parasitic diseases
Plasmodium - chemistry
Plasmodium - isolation & purification
pLDH
Predictive Value of Tests
Protozoal diseases
Protozoan Proteins - blood
Rapid tests
Reagent Kits, Diagnostic
Sensitivity and Specificity
Tropical medicine
title A comparison of two rapid field immunochromatographic tests to expert microscopy in the diagnosis of malaria
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