2001
DOI: 10.1046/j.1365-3156.2001.00694.x
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Short communication: Paracheck‐Pf®: a new, inexpensive and reliable rapid test for P. falciparum malaria

Abstract: SummaryWe compared the performance of Paracheck-PfÒ, a new and cheap rapid malaria test, with ICT-Pf/PvÒ and microscopy in two malaria surveys in Thai villages on the Thai-Burmese border. The speci®city, sensitivity, predictive positive and negative values of the Paracheck-PfÒ and ICT-PfÒ tests were calculated taking microscopy results as the gold standard. The 294 ICT-Pf/Pv tests resulted in two invalid (no control line) and 11 doubtful results. Both the ICT-Pf/PvÒ and Paracheck-PfÒ tests reliably detected P.… Show more

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Cited by 65 publications
(56 citation statements)
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“…One case of microscopically diagnosed P. vivax infection was not detected by both RDTs, this case was only detected by the blood film (parasitemia 0.02%). The results obtained by both the Bio Tina Pf/Pan Mal and OptiMAL tests is significantly affected by the level of malaria parasite in peripheral blood which is concluded by other researchers in previous studies ( Iqbal et al, 1999;Fryauff et al, 0222;Ricci et al, 2000;Singh et al, 2000;Proux et al, 2001). Furthermore, one case of P. falciparum infection diagnosed by microscopy and OptiMAL test in the present study was not detected by the Bio Tina Pf/Pan Mal test, the same finding had been observed in earlier studies which concluded that falsenegative dipstick test results may be detected even in samples with higher parasitemias, but the underlying reason is not known (Anonymous, 1996;Karbwang et al, 1996 ;Humar et al, 1997 ;Palmer et al, 1998 ;Van den et al, 1998;Cooke et al, 1999 ).…”
Section: Discussionsupporting
confidence: 57%
See 1 more Smart Citation
“…One case of microscopically diagnosed P. vivax infection was not detected by both RDTs, this case was only detected by the blood film (parasitemia 0.02%). The results obtained by both the Bio Tina Pf/Pan Mal and OptiMAL tests is significantly affected by the level of malaria parasite in peripheral blood which is concluded by other researchers in previous studies ( Iqbal et al, 1999;Fryauff et al, 0222;Ricci et al, 2000;Singh et al, 2000;Proux et al, 2001). Furthermore, one case of P. falciparum infection diagnosed by microscopy and OptiMAL test in the present study was not detected by the Bio Tina Pf/Pan Mal test, the same finding had been observed in earlier studies which concluded that falsenegative dipstick test results may be detected even in samples with higher parasitemias, but the underlying reason is not known (Anonymous, 1996;Karbwang et al, 1996 ;Humar et al, 1997 ;Palmer et al, 1998 ;Van den et al, 1998;Cooke et al, 1999 ).…”
Section: Discussionsupporting
confidence: 57%
“…The sensitivity of the RDTs was studied and reported by earlier studies to be influenced by the level of malaria parasite in peripheral blood ( Iqbal et al, 1999;Fryauff et al, 0222;Ricci et al, 2000;Singh et al, 2000;Proux et al, 2001), which could be dangerous, as to ignore malaria diagnosis in patient that could lead to serious complications as proper treatment not instituted in time. The assessment of a negative result in this condition will be judged mainly by the clinical features of the patient.…”
Section: Discussionmentioning
confidence: 99%
“…Malaria infection was identified using peripheral blood smear to detect malaria parasites, and via the rapid diagnostic test (RDT), Paracheck-pf ® (Orchid Biomedical Systems, Goa, India) that detects the presence of histidine-rich protein 2 (HRP2) antigen and is both highly sensitive (92.3%) and specific (97.2%) when compared with microscopy. 29,30 For this analysis, we used the results of the RDT, which are characterized by high sensitivity but lower specificity as the tests detect HRP2 antigen that persists in the bloodstream after clearance of the parasite. 31 Children with a positive RDT were offered treatment with weight-based dosing of Coartem ® artemether/ lumefantrine (Novartis Pharma AG, Basel, Switzerland) at the household according to guidelines from the Uganda NMCP.…”
Section: Methodsmentioning
confidence: 99%
“…We calculated costs in Euros (as of August 2004, 1 Euro ¼ 1.219 USD) per 10 000 febrile patients consulting in a period of 1 month (Table 1). This unit rate seemed appropriate, as it allowed us to factor in timedependent costs (such as salaries), and since caseload is actually far higher in most serious epidemics (WHO 1998 Estimates of RDT sensitivity and specificity are the average of manufacturer specifications and the following studies: (Proux et al 2001;Guthmann et al 2002;Huong et al 2002;Singh et al 2002) RDT-based strategy 95% Specificity…”
Section: Parameter Inputsmentioning
confidence: 99%