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Comparison of detection methods to estimate asexual Plasmodium falciparum parasite prevalence and gametocyte carriage in a community survey in Tanzania

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dc.creator Mwingira, Felista
dc.creator Genton, Blaise
dc.creator Kabanywanyi, Abdu-Noor M
dc.creator Felger, Ingrid
dc.date 2020-08-31T10:22:58Z
dc.date 2020-08-31T10:22:58Z
dc.date 2014-11-18
dc.date.accessioned 2021-05-07T09:43:38Z
dc.date.available 2021-05-07T09:43:38Z
dc.identifier Mwingira, F., Genton, B., Kabanywanyi, A.M. et al. Comparison of detection methods to estimate asexual Plasmodium falciparum parasite prevalence and gametocyte carriage in a community survey in Tanzania. Malar J 13, 433 (2014). https://doi.org/10.1186/1475-2875-13-433
dc.identifier http://hdl.handle.net/20.500.11810/5490
dc.identifier doi:10.1186/1475-2875-13-433
dc.identifier https://doi.org/10.1186/1475-2875-13-433
dc.identifier.uri http://hdl.handle.net/20.500.11810/5490
dc.description Background The use of molecular techniques to detect malaria parasites has been advocated to improve the accuracy of parasite prevalence estimates, especially in moderate to low endemic settings. Molecular work is time-consuming and costly, thus the effective gains of this technique need to be carefully evaluated. Light microscopy (LM) and rapid diagnostic tests (RDT) are commonly used to detect malaria infection in resource constrained areas, but their limited sensitivity results in underestimation of the proportion of people infected with Plasmodium falciparum. This study aimed to evaluate the extent of missed infections via a community survey in Tanzania, using polymerase chain reaction (PCR) to detect P. falciparum parasites and gametocytes. Methods Three hundred and thirty individuals of all ages from the Kilombero and Ulanga districts (Tanzania) were enrolled in a cross-sectional survey. Finger prick blood samples were collected for parasite detection by RDT, LM and molecular diagnosis using quantitative 18S rRNA PCR and msp2 nPCR. Gametocytes were detected by LM and by amplifying transcripts of the gametocyte-specific marker pfs25. Results Results from all three diagnostic methods were available for a subset of 226 individuals. Prevalence of P. falciparum was 38% (86/226; 95% CI 31.9–44.4%) by qPCR, 15.9% (36/226; 95% CI 11.1–20.7%) by RDT and 5.8% (13/226; 95% CI 2.69- 8.81%) by LM. qPCR was positive for 72% (26/36) of the RDT-positive samples. Gametocyte prevalence was 10.6% (24/226) by pfs25-qRT-PCR and 1.2% by LM.
dc.publisher Springer Nature
dc.relation 13;433
dc.subject Plasmodium falciparum, Gametocyte Prevalence, Quantitative PCR, pfs25, Light microscopy
dc.title Comparison of detection methods to estimate asexual Plasmodium falciparum parasite prevalence and gametocyte carriage in a community survey in Tanzania
dc.type Journal Article, Peer Reviewed


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