Evidence map›Paper›PMID 26911917›Full record

ArticleMalaria journal2016

Application of magnetic cytosmear for the estimation of Plasmodium falciparum gametocyte density and detection of asexual stages in asymptomatic children.

Deborah Sumari, Brian T Grimberg, D'Arbra Blankenship, Joseph Mugasa, Kefas Mugittu, Lee Moore, Paul Gwakisa, Maciej Zborowski

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 13 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

8 authors at 5 institutions in 2 countries.

Deborah SumariBagamoyo Branch, Biomedical Thematic group, Ifakara Health Institute, P.O. Box 54, Bagamoyo, Tanzania. dsumari@ihi.or.tz.
Brian T GrimbergThe Centre for Global Health and Disease, Case Western Reserve University, Cleveland, OH, 44106-7286, USA. bxg43@case.edu.
D'Arbra BlankenshipThe Centre for Global Health and Disease, Case Western Reserve University, Cleveland, OH, 44106-7286, USA. drm20@case.edu.
Joseph MugasaNational Institute for Medical Research, Amani Medical Research Centre, P.O. Box 81, Muheza, Tanzania. jpmugasa@gmail.com.
Kefas MugittuMuvek Laboratories, P. O. Box 105270, Dar Es Salaam, Tanzania. kefas@muvek.co.tz.
Lee MooreDepartment of Biomedical Engineering/ND20, Learner Research Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. moorel@ccf.org.
Paul GwakisaSchool of Life Sciences and Bioengineering, The Nelson Mandela African Institution for Science and Technology, P.O. Box 447, Arusha, Tanzania. psgwakisa@gmail.com.
Maciej ZborowskiDepartment of Biomedical Engineering/ND20, Learner Research Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. zborowm@ccf.org.
Case Western Reserve University · USCleveland Clinic · USIfakara Health Institute · TZNational Institute for Medical Research · TZSokoine University of Agriculture · TZ

Funding

Magnetophoretic Cell Sorting and AnalysisR01CA062349 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI ZBOROWSKI, MACIEJ · 1994 to 2015
$5.5M
NCI NIH HHS R01 CA062349
6 · The paper itself

Abstract

backgroundConventional malaria parasite detection methods, such as rapid diagnostic tests (RDT) and light microscopy (LM), are not sensitive enough to detect low level parasites and identification of gametocytes in the peripheral blood. A modified and sensitive laboratory prototype, Magnetic Deposition Microscopy (MDM) was developed to increase the detection of sub-microscopic parasitaemia and estimation of gametocytes density in asymptomatic school children.

methodsBlood samples were collected from 303 asymptomatic school children from seven villages in Bagamoyo district in Tanzania. Participants were screened for presence of malaria parasites in the field using RDT and MDM whereas further examination of malaria parasites was done in the laboratory by LM. LM and MDM readings were used to calculate densities and estimate prevalence of asexual and sexual stages of the parasite.

resultsPlasmodium falciparum parasites (asexual and sexual stages) were detected in 23 (7.6 %), 52 (17.2 %), and 59 (19.5 %) out of 303 samples by LM, RDT and MDM respectively. Gametocytes were detected in 4 (1.3 %) and 12 (4.0 %) out of the same numbers of samples by LM, and MDM, respectively. Likewise, in vitro results conducted on two laboratory strains of P. falciparum, 3D7 and NF54 to assess MDM sensitivity on gametocytes detection and its application on concentrating gametocytes indicated that gametocytes were enriched by MDM by 10-fold higher than LM. Late stages of the parasite strains, 3D7 and NF54 were enriched by MDM by a factor of 20.5 and 35.6, respectively. MDM was more specific than LM and RDT by 87.5 % (95 %, CI 71.2-89.6 %) and 89.0 % (95 % CI 82.9-91.4) respectively. It was also found that MDM sensitivity was 62.5 % (95 % CI 49.5-71.8) when compared with RDT while with LM was 36.5 % (95 % CI 32.2-60.5).

conclusionsThese findings provide strong evidence that MDM enhanced detection of sub-microscopic P. falciparum infections and estimation of gametocyte density compared to current malaria diagnostic tools. In addition, MDM is superior to LM in detecting sub-microscopic gametocytaemia. Therefore, MDM is a potential tool for low-level parasitaemia identification and quantification with possible application in malaria transmission research.

Indexed as

AdolescentAsymptomatic InfectionsChildCross-Sectional StudiesHumansMalaria, FalciparumMicroscopyParasite LoadParasitemiaPlasmodium falciparumSensitivity and SpecificityTanzania

Identifiers

PMID26911917
PMCPMC4765204
OpenAlexW2279307965

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.