How Much Remains Undetected? Probability of Molecular Detection of Human Plasmodia in the Field
2011

Detecting Malaria Parasites in Children

Sample size: 269 publication 10 minutes Evidence: moderate

Author Information

Author(s): Koepfli Cristian, Schoepflin Sonja, Bretscher Michael, Lin Enmoore, Kiniboro Benson, Zimmerman Peter A., Siba Peter, Smith Thomas A., Mueller Ivo, Felger Ingrid

Primary Institution: Swiss Tropical and Public Health Institute, University of Basel, Papua New Guinea Institute of Medical Research, Center for Global Health and Diseases, Case Western Reserve University

Hypothesis

How does repeated blood sampling affect the detection of malaria parasites in children?

Conclusion

Repeated blood sampling increases the detection of malaria parasites, particularly in children with multiple infections.

Supporting Evidence

  • Detectability of P. falciparum was estimated at 0.79 and P. vivax at 0.73.
  • 6 to 9% of infections were missed on a single day.
  • Combining results from two days increased the observed mean multiplicity of infection.

Takeaway

If you take blood samples from kids with malaria on two days instead of one, you can find more germs that cause the sickness.

Methodology

Blood samples were collected from children in Papua New Guinea at 2-month intervals over 16 months, with genotyping performed on samples collected 24 hours apart.

Potential Biases

Potential biases in sampling methods and participant adherence to study protocols.

Limitations

The study may not account for all biological factors affecting detectability and was limited to a specific age group.

Participant Demographics

Children aged 1 to 4.5 years from Papua New Guinea.

Statistical Information

P-Value

0.002

Confidence Interval

[0.76–0.82]

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0019010

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