Evidence map›Paper›PMID 20686079›Full record

ArticleJournal of clinical microbiology2010

PCR-based pooling of dried blood spots for detection of malaria parasites: optimization and application to a cohort of Ugandan children.

Michelle S Hsiang, Michael Lin, Christian Dokomajilar, Jordan Kemere, Christopher D Pilcher, Grant Dorsey, Bryan Greenhouse

Open access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 99 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Michelle S HsiangDepartment of Global Health Sciences, Division of Pediatric Infectious Diseases, University of California, San Francisco, San Francisco, CA 94105, USA. hsiangm@peds.ucsf.edu
Michael Lin
Christian Dokomajilar
Jordan Kemere
Christopher D Pilcher
Grant Dorsey
Bryan Greenhouse
University of California, San Francisco · USIndiana University School of MedicineUniversity of North Carolina at Chapel Hill · US

Funding

Transmission and Persistence of CTL and Drug Resistance MutationsP01AI071713 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M · 2007 to 2011
$14.3M
Clinical &Molecular Studies of Drug Resistant MalariaU01AI052142 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSENTHAL, PHILIP JON · 2003 to 2008
$4.4M
Targeting Acute HIVR01MH068686 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PILCHER, CHRISTOPHER D · 2003 to 2007
$1.6M
NIAID NIH HHS P01 AI071713NIAID NIH HHS U01 AI052142NIAID NIH HHS U01 AI52142NIMH NIH HHS R01 MH068686
6 · The paper itself

Abstract

Sensitive, high-throughput methods to detect malaria parasites in low-transmission settings are needed. PCR-based pooling strategies may offer a solution. We first used laboratory-prepared samples to compare 2 DNA extraction and 4 PCR detection methods across a range of pool sizes and parasite densities. Pooled Chelex extraction of DNA, followed by nested PCR of cytochrome b, was the optimal strategy, allowing reliable detection of a single low-parasitemic sample (100 parasites/μl) in pool sizes up to 50. This PCR-based pooling strategy was then compared with microscopy using 891 dried blood spots from a cohort of 77 Ugandan children followed for 2 years in an urban setting of low endemicity. Among 419 febrile episodes, 35 cases of malaria were detected using the PCR-based pooling strategy and 40 cases using microscopy. All five cases of malaria not detected by PCR were from samples stored for >2 years with parasitemia of <6,000/μl, highlighting the issue of possible DNA degradation with long-term storage of samples. Among 472 samples collected from asymptomatic children as part of routine surveillance, 15 (3.2%) were positive by PCR-based pooling compared to 4 (0.8%) by microscopy (P = 0.01). Thus, this PCR-based pooling strategy for detection of malaria parasites using dried blood spots offers a sensitive and efficient approach for malaria surveillance in low-transmission settings, enabling improved detection of asymptomatic submicroscopic infections and dramatic savings in labor and costs.

Indexed as

DesiccationBloodChildChild, PreschoolDNA, ProtozoanHumansInfantMalariaMicroscopyParasitologyPolymerase Chain ReactionSensitivity and SpecificitySpecimen HandlingUgandaDNA, Protozoan

Identifiers

PMID20686079
PMCPMC2953134
OpenAlexW2148765503

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.