Evidence map›Paper›PMID 29402283›Full record

ArticleMalaria journal2018

High prevalence of malaria in a non-endemic setting: comparison of diagnostic tools and patient outcome during a four-year survey (2013-2017).

Adriana Calderaro, Giovanna Piccolo, Sara Montecchini, Mirko Buttrini, Sabina Rossi, Maria Loretana Dell'Anna, Valeria De Remigis, Maria Cristina Arcangeletti, Carlo Chezzi, Flora De Conto

Open access · goldAbstract read
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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.4field-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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Imported malaria in a non-endemic country: sixteen years of cases in a hospital in the South of Madrid, Spain.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  7. Epidemiological characteristics and molecular identification ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Transfusion-Transmitted Malaria ofHealthcare (Basel, Switzerland) · 2021
    Article
  13. Review
  14. Article
  15. Article
  16. Clinical Impact of Malaria Rapid Diagnostic Testing at a US Children's Hospital.Journal of the Pediatric Infectious Diseases Society · 2020
    Article
  17. Multiplex real-time PCR for diagnosing malaria in a non-endemic setting: a prospective comparison to conventional methods.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    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

10 authors at 1 institution in 1 country.

Adriana CalderaroDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy. adriana.calderaro@unipr.it.ORCID http://orcid.org/0000-0002-4308-3120
Giovanna PiccoloDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Sara MontecchiniDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Mirko ButtriniDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Sabina RossiDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Maria Loretana Dell'AnnaDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Valeria De RemigisDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Maria Cristina ArcangelettiDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Carlo ChezziDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
Flora De ContoDepartment of Medicine and Surgery, University of Parma, Viale A. Gramsci, 14, 43126, Parma, Italy.
University of Parma · IT

Funding

Bureau of the Council of Ministers - Italian National Committee for Biosafety, Biotechnology and Life Sciences The Biobank of microorganismsBureau of the Council of Ministers - Italian National Committee for Biosafety, Biotechnology and Life Sciences viruses pathogenic to humans as a starting point for the study of the infectious diseasesBureau of the Council of Ministers - Italian National Committee for Biosafety, Biotechnology and Life Sciences zoonosesMinistry of University and Scientific research FIL
6 · The paper itself

Abstract

backgroundMalaria is no longer endemic in Italy since 1970 when the World Health Organization declared Italy malaria-free, but it is now the most commonly imported disease. The aim of the study was to analyse the trend of imported malaria cases in Parma, Italy, during January 2013-June 2017, reporting also the treatment and the outcome of cases, exploring the comparison of the three diagnostic tests used for malaria diagnosis: microscopy, immunochromatographic assay (ICT) (BinaxNOW

resultsOf the 288 patients with suspected malaria, 87 were positive by microscopy: 73 P. falciparum, 2 P. vivax, 8 P. ovale, 1 P. vivax/P. ovale, 1 P. malariae and 2 Plasmodium sp. All samples were positive by ICT except 6. Plasmodial DNA was revealed in the 87 cases and in 2 additional cases showing P. falciparum-specific bands by ICT, as follows: 75 P. falciparum, 2 P. vivax, 6 P. ovale curtisi, 3 P. ovale wallikeri, 1 P. malariae, and 2 mixed infections. 72 patients were foreigners and 17 Italians travelling for tourism or business. The majority of these patients presented with fever at blood collection and did not have chemoprophylaxis. No fatal cases were observed and the drug mostly used was quinine observing a negative blood smear or a parasitaemia < 0.001% after 48-72 h' therapy.

conclusionsThe study shows an update and a thorough analysis of imported malaria cases in the area of Parma during 4.5 years from the point of view of the total case management, clinical and diagnostic. The prevalence of malaria in such area in the considered period was especially due to immigrants mostly from Africa. Molecular methods were more sensitive and specific than microscopy and ICT, both detecting additional cases of P. falciparum malaria missed by microscopy and correctly identifying the Plasmodium species of medical interest. The data reported in this study may stimulate the clinicians in non-endemic areas to suspect malaria also in cases, where the most typical symptoms are absent, and the parasitologists to confirm the results of microscopy, remaining the reference method, with molecular methods to avoid misdiagnosis.

Indexed as

AdolescentAdultAntimalarialsFemaleHumansImmunoassayItalyMalariaMaleMicroscopyMolecular Diagnostic TechniquesParasitologyPlasmodiumTravelTreatment OutcomeYoung AdultAntimalarialsDiagnosisEpidemiologyImmigrantsItalyMalariaOutcomeTherapyTools

Identifiers

PMID29402283
PMCPMC5800101
OpenAlexW2796666470

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.