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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8897
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pubmed:dateCreated |
1994-3-22
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pubmed:abstractText |
Two field studies in Kenya and an experimental challenge study in the USA were done to assess the accuracy of a dipstick antigen-capture assay based on qualitative detection of Plasmodium falciparum histidine-rich protein 2 (PfHRP-2) in peripheral blood for diagnosis of P falciparum infection. In these studies, the assay was 96.5-100% sensitive for detection of greater than 60 P falciparum asexual parasites/microL blood, 70-81% sensitive for 11-60 parasites/microL blood, and 11-67% sensitive for 10 parasites or less/microL blood. Specificity was 95% (95% CI 85-105%; n = 20) among naive American volunteers, 98% (96-101%; n = 112) among volunteers exposed to the bite of P falciparum-infected mosquitoes, and 88% (84-92%; n = 285) among Kenyans living in an area with holoendemic malaria. Our results also indicated that PfHRP-2 antigen was not detectable in blood 6 days after initiation of curative chemotherapy, and suggest that such circulating antigens rarely lead to false-positive tests. The dipstick assay's sensitivity, specificity, simplicity, and speed may make it an important tool in the battle against malaria.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
5
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pubmed:volume |
343
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
564-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7906328-Adolescent,
pubmed-meshheading:7906328-Adult,
pubmed-meshheading:7906328-Animals,
pubmed-meshheading:7906328-Antigens, Protozoan,
pubmed-meshheading:7906328-Child,
pubmed-meshheading:7906328-Female,
pubmed-meshheading:7906328-Humans,
pubmed-meshheading:7906328-Malaria, Falciparum,
pubmed-meshheading:7906328-Male,
pubmed-meshheading:7906328-Plasmodium falciparum,
pubmed-meshheading:7906328-Predictive Value of Tests,
pubmed-meshheading:7906328-Protozoan Proteins,
pubmed-meshheading:7906328-Reagent Strips,
pubmed-meshheading:7906328-Sensitivity and Specificity
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pubmed:year |
1994
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pubmed:articleTitle |
Diagnosis of malaria by detection of Plasmodium falciparum HRP-2 antigen with a rapid dipstick antigen-capture assay.
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pubmed:affiliation |
Malaria Program, Naval Medical Research Institute, Rockville, MD 20852-1820.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.
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