Comparative diagnostic performance of two commercial rapid tests for malaria in a non-endemic area

Eur J Clin Microbiol Infect Dis. 2004 Oct;23(10):784-6. doi: 10.1007/s10096-004-1202-9.

Abstract

In the study reported here, the diagnostic performance of two new rapid tests for the diagnosis of malaria was evaluated in symptomatic patients in a non-endemic area. Of 557 consecutive patients, 109 (19.6%) had documented malaria. For the NOW ICT MALARIA P.f./P.v. (Binax, Portland, ME, USA) and OptiMAL IT (Diamed, Cressier, Switzerland) tests, respectively, sensitivity values were 96.3% and 79.8% (P-value, 0.0001), and specificity values were 98.8% and 98.4%. The NOW ICT test did not detect two of 80 Plasmodium falciparum infections, and it generated false-positive results for five patients. The OptiMAL IT test failed to detect ten of the P. falciparum infections, and it generated seven false-positive results. The results suggest that these rapid diagnostic tests for malaria may be useful, but they cannot replace microscopic examination of blood films.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Child
  • Child, Preschool
  • False Positive Reactions
  • Female
  • France / epidemiology
  • Humans
  • Infant
  • Malaria / blood
  • Malaria / diagnosis*
  • Malaria / epidemiology
  • Male
  • Middle Aged
  • Plasmodium
  • Protozoan Proteins / analysis*
  • Reagent Kits, Diagnostic*
  • Sensitivity and Specificity
  • Time Factors

Substances

  • Protozoan Proteins
  • Reagent Kits, Diagnostic