Evidence map›Paper›PMID 25344520›Full record

Trial reportThe Journal of infectious diseases2015

Plasma concentration of parasite DNA as a measure of disease severity in falciparum malaria.

Mallika Imwong, Charles J Woodrow, Ilse C E Hendriksen, Jacobien Veenemans, Hans Verhoef, M Abul Faiz, Sanjib Mohanty, Saroj Mishra, George Mtove, Samwel Gesase and 5 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00623857 (Effects of Supplementation With Zinc and Other Micronutrients on the Health and Development of African Children), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT00623857 phase3completednot on this map

Effects of Supplementation With Zinc and Other Micronutrients on the Health and Development of African Children

TypeinterventionalSponsorWageningen UniversityRan2008 to 2009Enrolled612ConditionsMalariaArmsZinc, Vitamins and minerals other than zinc, Vitamins plus zinc and other minerals, Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. A comprehensive review of cerebral malaria.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Severe malaria.Malaria journal · 2022
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Concomitant Bacteremia in Adults With Severe Falciparum Malaria.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Droplet Digital PCR for the Detection ofPathogens (Basel, Switzerland) · 2020
    Article
  18. Article
  19. Article
  20. Article
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

15 authors at 10 institutions in 8 countries.

Mallika ImwongDepartment of Molecular Tropical Medicine and Genetics.
Charles J WoodrowMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Centre for Tropical Medicine, Churchill Hospital, University of Oxford.
Ilse C E HendriksenMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Centre for Tropical Medicine, Churchill Hospital, University of Oxford.
Jacobien VeenemansCell Biology and Immunology Group, Wageningen University Laboratory for Microbiology and Infection Control, Amphia Hospital, Breda, the Netherlands.
Hans VerhoefMRC International Nutrition Group, London School of Hygiene and Tropical Medicine, United Kingdom Cell Biology and Immunology Group, Wageningen University MRC Keneba, the Gambia.
M Abul FaizDev Care Foundation, Dhaka, Bangladesh.
Sanjib MohantyDepartment of Medicine, Ispat Hospital, Rourkela, India.
Saroj MishraDepartment of Medicine, Ispat Hospital, Rourkela, India.
George MtoveAmani Centre, National Institute for Medical Research, Muheza.
Samwel GesaseKorogwe Research Laboratory, National Institute for Medical Research, Tanga, Tanzania.
Amir SeniHospital Central da Beira.
Kajal D ChhaganlalHospital Central da Beira Faculty of Health Sciences, Catholic University of Mozambique, Beira, Mozambique.
Nicholas P J DayMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Centre for Tropical Medicine, Churchill Hospital, University of Oxford.
Arjen M DondorpMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Centre for Tropical Medicine, Churchill Hospital, University of Oxford.
Nicholas J WhiteMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Centre for Tropical Medicine, Churchill Hospital, University of Oxford.
Churchill Hospital · GBIspat General Hospital · INNational Institute for Medical Research · TZAmphia Ziekenhuis · NLCatholic University of Mozambique · MZChild Health Research Foundation · BDMahidol Oxford Tropical Medicine Research Unit · THMahidol University · THMRC Unit the Gambia · GMUniversity of Oxford · GB

Funding

Wellcome Trust 093956
6 · The paper itself

Abstract

In malaria-endemic areas, Plasmodium falciparum parasitemia is common in apparently healthy children and severe malaria is commonly misdiagnosed in patients with incidental parasitemia. We assessed whether the plasma Plasmodium falciparum DNA concentration is a useful datum for distinguishing uncomplicated from severe malaria in African children and Asian adults. P. falciparum DNA concentrations were measured by real-time polymerase chain reaction (PCR) in 224 African children (111 with uncomplicated malaria and 113 with severe malaria) and 211 Asian adults (100 with uncomplicated malaria and 111 with severe malaria) presenting with acute falciparum malaria. The diagnostic accuracy of plasma P. falciparum DNA concentrations in identifying severe malaria was 0.834 for children and 0.788 for adults, similar to that of plasma P. falciparum HRP2 levels and substantially superior to that of parasite densities (P < .0001). The diagnostic accuracy of plasma P. falciparum DNA concentrations plus plasma P. falciparum HRP2 concentrations was significantly greater than that of plasma P. falciparum HRP2 concentrations alone (0.904 for children [P = .004] and 0.847 for adults [P = .003]). Quantitative real-time PCR measurement of parasite DNA in plasma is a useful method for diagnosing severe falciparum malaria on fresh or archived plasma samples.

Indexed as

AdultAnimalsBangladeshChild, PreschoolDiagnosis, DifferentialDNA, ProtozoanFemaleHumansIndiaInfantLongitudinal StudiesMalaria, FalciparumMaleMozambiqueParasitemiaPlasmodium falciparumDNA, Protozoandiagnostic accuracymalariaplasma DNAPlasmodium falciparumsevere disease

Identifiers

PMID25344520
PMCPMC4354984
OpenAlexW2113224583

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.