Evidence map›Paper›PMID 29334955›Full record

ArticleMalaria journal2018

The inverted cup device for blood transfer on malaria RDTs: ease of use, acceptability and safety in routine use by health workers in Nigeria.

Sandra Incardona, Magoma Mwancha-Kwasa, Roxanne R Rees-Channer, Audrey Albertini, Joshua Havumaki, Peter Chiodini, Wellington Oyibo, Iveth J Gonzalez

Open access · goldAbstract readComparative Study
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 99% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 4 countries.

Sandra IncardonaFoundation for Innovative New Diagnostics, 9 Chemin des Mines, 1202, Geneva, Switzerland. sandra.incardona@finddx.org.ORCID http://orcid.org/0000-0003-4994-1736
Magoma Mwancha-KwasaFoundation for Innovative New Diagnostics, 9 Chemin des Mines, 1202, Geneva, Switzerland.
Roxanne R Rees-ChannerHospital for Tropical Diseases, Mortimer Market, London, WC1E 6JB, UK.
Audrey AlbertiniFoundation for Innovative New Diagnostics, 9 Chemin des Mines, 1202, Geneva, Switzerland.
Joshua HavumakiFoundation for Innovative New Diagnostics, 9 Chemin des Mines, 1202, Geneva, Switzerland.
Peter ChiodiniHospital for Tropical Diseases, Mortimer Market, London, WC1E 6JB, UK.
Wellington OyiboTropical Disease Research Laboratory, Department of Medical Microbiology and Parasitology, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria.
Iveth J GonzalezFoundation for Innovative New Diagnostics, 9 Chemin des Mines, 1202, Geneva, Switzerland.
FIND · CHHospital for Tropical Diseases · GBUniversity of Lagos · NG

Funding

Bill and Melinda Gates Foundation OPP41698Department for International Development, UK Government Component Code 204074-101Special Programme for Research and Training in Tropical Diseases CRDF 2013-14
6 · The paper itself

Abstract

backgroundMalaria rapid diagnostic tests (RDTs) are becoming widely adopted for case management at community level. However, reports and anecdotal observations indicate that the blood transfer step poses a significant challenge to many users. This study sought to evaluate the inverted cup device in the hands of health workers in everyday clinical practice, in comparison with the plastic pipette, and to determine the volume accuracy of the device made of a lower-cost plastic.

methodsThe volume accuracy of inverted cup devices made of two plastics, PMMA and SBC, was compared by transferring blood 150 times onto filter paper and comparing the blood spot areas with those produced by 20 reference transfers with a calibrated micropipette. The ease of use, safety and acceptability of the inverted cup device and the pipette were evaluated by 50 health workers in Nigeria. Observations were recorded on pre-designed questionnaires, by the health workers themselves and by trained observers. Focus group discussions were also conducted.

resultsThe volume accuracy assessment showed that the device made from the low-cost material (SBC) delivered a more accurate volume (mean 5.4 μL, SD 0.48 μL, range 4.5-7.0 μL) than the PMMA device (mean 5.9 μL, SD 0.48 μL, range 4.9-7.2 μL). The observational evaluation demonstrated that the inverted cup device performed better than the pipette in all aspects, e.g. higher proportions of health workers achieved successful blood collection (96%, vs. 66%), transfer of the required blood volume (90%, vs. 58%), and blood deposit without any loss (95%, vs. 50%). Majority of health workers also considered it' very easy' to use (81%),'very appropriate' for everyday use (78%), and 50% of them reported that it was their preferred BTD.

conclusionsThe good volume accuracy and high acceptability of the inverted cup device shown in this study, along with observed ease of use and safety in hands of health workers, further strengthens prior findings which demonstrated its higher accuracy as compared with other BTDs in a laboratory setting. Altogether, these studies suggest that the inverted cup device should replace other types of devices for use in day-to-day malaria diagnosis with RDTs.

Indexed as

Clinical CompetenceCommunity Health WorkersDiagnostic Tests, RoutineFocus GroupsHumansMalariaNigeriaEase of useInverted cup blood transfer deviceMalaria rapid diagnostic testSafety and acceptability

Identifiers

PMID29334955
PMCPMC5769227
OpenAlexW2783953661

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.