Usefulness of quantitative nucleic acid sequence-based amplification for diagnosis of malaria in an academic hospital setting

The aim of the present study was to evaluate the usefulness of quantitative nucleic acid sequence-based amplification (QT-NASBA) to detect Plasmodium spp. in diagnostic specimens of patients suspected of having malaria in a clinical setting in a non-endemic country. During the 4-month recruitment pe...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2003-09, Vol.22 (9), p.555-557
Hauptverfasser: SCHALLIG, H. D. F. H, SCHOONE, G. J, LOMMERSE, E. J. M, KROON, C. C. M, DE VRIES, P. J, VAN GOOL, T
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container_issue 9
container_start_page 555
container_title European journal of clinical microbiology & infectious diseases
container_volume 22
creator SCHALLIG, H. D. F. H
SCHOONE, G. J
LOMMERSE, E. J. M
KROON, C. C. M
DE VRIES, P. J
VAN GOOL, T
description The aim of the present study was to evaluate the usefulness of quantitative nucleic acid sequence-based amplification (QT-NASBA) to detect Plasmodium spp. in diagnostic specimens of patients suspected of having malaria in a clinical setting in a non-endemic country. During the 4-month recruitment period, 113 patients were enrolled in the study, of which 93 were diagnosed as non-malaria and 20 as malaria cases on the basis of clinical and microscopic criteria. All microscopically positive cases had QT-NASBA counts of >0.1 parasites/ micro l and there was a significant positive correlation between the parasite counts obtained with both diagnostic methods. Of the 93 microscopically negative cases, six had a positive QT-NASBA result. Three of these cases had a recent history of malaria for which specific treatment was taken. In the other three cases there was no history of malaria and QT-NASBA results in these cases were near the cut-off level (>0.1 parasites/ micro l) of the test. The results demonstrate that QT-NASBA is a useful technology for the diagnosis of malaria in a reference laboratory, and it is very helpful in cases of low parasitemia.
doi_str_mv 10.1007/s10096-003-0985-4
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subjects Academic Medical Centers
Ambulatory Care
Animals
Biological and medical sciences
Cohort Studies
Female
Human protozoal diseases
Humans
Infectious diseases
Malaria
Malaria, Falciparum - diagnosis
Male
Medical sciences
Netherlands
Nucleic Acid Amplification Techniques
Nucleic acids
Parasites
Parasitic diseases
Plasmodium falciparum - isolation & purification
Protozoal diseases
RNA, Protozoan - analysis
Self-Sustained Sequence Replication - methods
Sensitivity and Specificity
Vector-borne diseases
title Usefulness of quantitative nucleic acid sequence-based amplification for diagnosis of malaria in an academic hospital setting
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