2010
DOI: 10.1186/1475-2875-9-129
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Global sequence variation in the histidine-rich proteins 2 and 3 of Plasmodium falciparum: implications for the performance of malaria rapid diagnostic tests

Abstract: BackgroundAccurate diagnosis is essential for prompt and appropriate treatment of malaria. While rapid diagnostic tests (RDTs) offer great potential to improve malaria diagnosis, the sensitivity of RDTs has been reported to be highly variable. One possible factor contributing to variable test performance is the diversity of parasite antigens. This is of particular concern for Plasmodium falciparum histidine-rich protein 2 (PfHRP2)-detecting RDTs since PfHRP2 has been reported to be highly variable in isolates … Show more

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Cited by 153 publications
(355 citation statements)
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“…More recently, rapid diagnostic tests (RDTs) have been introduced in the field. These tests detect malaria antigens, most commonly histidine-rich protein 2 (HRP2) and plasmodium lactate dehydrogenase (pLDH), which are antigens produced by most, but not all, P. falciparum parasites [7][8][9] . These diagnostics are easier to use and more reliable than microscopy, but have similar detection thresholds 10,11 .…”
Section: S95mentioning
confidence: 99%
See 1 more Smart Citation
“…More recently, rapid diagnostic tests (RDTs) have been introduced in the field. These tests detect malaria antigens, most commonly histidine-rich protein 2 (HRP2) and plasmodium lactate dehydrogenase (pLDH), which are antigens produced by most, but not all, P. falciparum parasites [7][8][9] . These diagnostics are easier to use and more reliable than microscopy, but have similar detection thresholds 10,11 .…”
Section: S95mentioning
confidence: 99%
“…Another form of targeting could take place at the population level (for example a village) where mass interventions are deployed if the population prevalence 1 , Amanda Ross* 2,3 , André Lin Ouédraogo 4,5 , Lisa J. White 6,7 , Chea Nguon Mass-screen-and-treat and targeted mass-drug-administration strategies are being considered as a means to interrupt transmission of Plasmodium falciparum malaria. However, the effectiveness of such strategies will depend on the extent to which current and future diagnostics are able to detect those individuals who are infectious to mosquitoes.…”
mentioning
confidence: 99%
“…[13][14][15][16] Additionally, although our health facility personnel were trained in the collection of specimens for RDTs, it is possible that human error in test performance may explain some of the false-negative RDT results. In any event, our results suggest the need in malaria elimination settings for development of more sensitive point-of-care diagnostic tools to ensure improved case detection of all major human malaria species in febrile patients.…”
mentioning
confidence: 99%
“…The development of alternative diagnostic method like rapid diagnostic test, (RDTs) has made it possible to provide rapid and accurate detection of malaria parasites in remote areas where microscopy facility is not available. Several factors affect the performance of malaria RDTs which include test factors & parasite factors but genetic variability [12,13] and genetic deletion of these diagnostic antigens have been also questioned their sensitivity & reliability [14]. So, there is also an urgent need Volume 3 Issue 2 -2016 to develop new reliable diagnostic target of malaria parasite.…”
Section: Nuclear Peroxiredoxin As a Target For Rapid Diagnosis Of Mamentioning
confidence: 99%