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Original Article

Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand

Wanna Chaijaroenkul1, Thanee Wongchai2, Ronnatrai Ruangweerayut2, Kesara Na-Bangchang1
The Korean Journal of Parasitology 2011;49(1):33-38.
Published online: March 18, 2011

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Corresponding author (kesaratmu@yahoo.com)
• Received: November 9, 2010   • Revised: January 5, 2011   • Accepted: January 9, 2011

© 2011, Korean Society for Parasitology

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Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand
Korean J Parasitol. 2011;49(1):33-38.   Published online March 18, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.1.33
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Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand
Korean J Parasitol. 2011;49(1):33-38.   Published online March 18, 2011
DOI: https://doi.org/10.3347/kjp.2011.49.1.33
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Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand
Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand
Species (microscopy positive) Ag-Pf kit Ag-Pv kit P.f/Pan P. falciparum (211) 229 0 232 P. vivax (218) 0 219 200 P. falciparum and P. vivax mixed (30) 29 30 28 Negative or P. ovale (125) 326 335 124 Total (584) 584 584 584 Ag-Pf Ag-Pv Pf/Pan Sensitivity for P. falciparum 97.6 (94.7-98.9) - 99.0 (96.9-99.7) P. vivax - 98.6 (96.5-99.6) 99.0 (95.6-99.5) Specificity 93.3 (90.1-95.5) 98.8 (97.0-99.5) 94.4 (88.8-97.0) Positive predictive value (PPV) 90.0 (86.8-92.2) 98.2 (96.4-99.4) 98.2 (95.6-99.5) Negative predictive value (NPV) 98.5 (95.3-99.7) 99.1 (97.3-99.8) 80.3 (77.7-85.5) False positive rate 6.7 (4.5-9.9) 1.2 (0.5-3.0) 5.6 (3.0-11.2) False negative rate 2.4 (1.1-5.3) 1.4 (0.4-35) 6.8 (4.5-9.6) Detection limit (parasites/µl) > 2-5 > 2 Pf > 2-5, Pv > 2 Parasite density (parasites/μl) Ag-Pf Ag-Pv Pf/Pan Plasmodium falciparum  < 50 (n = 29) 84.2 (62.4-94.5) - 89.7 (73.6-96.4)  50-499 (n = 74) 98.7 (92.7-99.8) - 97.3 (90.7-99.3)  500-999 (n = 35) 97.1 (85.1-99.5) - 97.1 (85.5-99.5)  1,000-4,999 (n = 64) 98.4 (91.3-99.7) - 98.4 (91.7-99.7)  > 5,000 (n = 38) 100 (90.8-100) - 100 (90.8-100) Plasmodium vivax  < 50 (n = 47) - 76.6 (62.8-86.4) 78.7 (65.1-88.0)  50-499 (n = 111) - 95.5 (89.9-98.1) 93.7 (87.6-96.9)  500-999 (n = 35) - 97.1 (85.5-99.5) 94.3 (81.4-98.4)  1,000-4,999 (n = 44) - 90.9 (78.8-96.4) 84.1 (70.6-92.1)  > 5,000 (n = 11) - 100 (74.1-100) 100 (74.1-100) Ag-Pf Ag-Pv Pf/Pan Microscopic method Sensitivity for P. falciparum 91.8 (82.2-96.5) - 100.0 (85.7-100) 96.7 (83.3-99.4) P. vivax - 91.9 (83.4-96.2) 92.6 (76.6-97.9) 97.3 (86.2-99.5) Specificity 66.2 (54.3-76.3) 92.7 (82.7-97.1) 73.9 (53.5-87.5) 78.2 (58.1-90.3) Positive predictive value (PPV) 70.9 (59.0-81.0) 94.4 (84.4-98.8) 93.5 (86.2-99.5) 95.4 (84.3-97.6) Negative predictive value (NPV) 90.0 (80.4-94.7) 89.5 (81.0-93.8) 77.3 (56.9-90.9) 90.0 (78.1-94.2) False positive rate 33.8 (23.7-45.7) 7.3 (3.8-16.6) 26.1 (12.5-46.5) 21.7 (9.7-41.9) False negative rate 8.2 (3.5-17.8) 8.1 (2.9-17.3) 4.7 (1.9-11.9) 1.9 (0.9-21.2)
Table 1. Detection of P. falciparum and P. vivax by Malaria Ag-Pf, Ag-Pv, and Malaria Antigen Pf/Pan testsa in comparison with the microscopic method

Data are presented as the number of positive samples by the 3 RDTs and microscopic method (in parenthesis).

Table 2. The test performancea of Malaria Ag-Pf, Ag-Pv, and Malaria Antigen Pf/Pan for detection of P. falciparum and P. vivax in comparison with the microscopic method

Data are presented as percentage (95% confidence interval; CI).

Table 3. The sensitivitya of Malaria Ag-Pf, Ag-Pv, and Malaria Antigen Pf/Pan tests for detection of P. falciparum and P. vivax in comparison with the microscopic method, categorized according to parasite density

Data are presented as percentage (95% CI).

Table 4. The test performancea of Malaria Ag-Pf, Ag-Pv, Malaria Antigen Pf/Pan, and the microscopic method for detection of P. falciparum and P. vivax compared with the PCR method

Data are presented as percentage (95%CI).

Table 1.

Table 2.

Table 3.

Table 4.

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