Details

Autor(en) / Beteiligte

• Costa, Mônica Regina Farias
• Vieira, Pedro Paulo Ribeiro
• Ferreira, Cynthia de Oliveira
• Lacerda, Marcus Vinícius Guimarães de
• Alecrim, Wilson Duarte
• Alecrim, Maria das Graças Costa

Titel

Molecular diagnosing of malaria in a tertiary care center in the Brazilian Amazon region

Ist Teil von

• Revista da Sociedade Brasileira de Medicina Tropical, 2008-07, Vol.41 (4), p.381

Ort / Verlag

Brazil: Sociedade Brasileira de Medicina Tropical

Erscheinungsjahr

2008

Quelle

Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals

Beschreibungen/Notizen

• The routine test for diagnosing malaria is still the thick blood smear, despite its known decreased sensitivity and specificity in situations of low parasite density and mixed infections. The polymerase chain reaction is increasingly being used for molecular detection and identification of Plasmodium species, due to its higher sensitivity and specificity. Nested PCR was performed on whole-blood samples from 344 patients with acute febrile syndrome who came to a tertiary healthcare center in Manaus (State of Amazonas) for diagnostic confirmation of malaria. No malaria cases caused by Plasmodium malariae were detected through the blood smear or PCR. Co-positivity of 96.7%, co-negativity of 62.2% and kappa coefficient of 0.44 were observed between PCR and thick blood smear for Plasmodium falciparum. For Plasmodium vivax, co-positivity of 100%, co-negativity of 78.1% and kappa coefficient of 0.56 were observed. For mixed infection, co-positivity of 100%, co-negativity of 84.9% and kappa coefficient of 0.26 were observed. Polymerase chain reaction detected a high number of mixed infections in the samples analyzed, but its routine use for diagnosing malaria still deserves further discussion.