Evidence map›Paper›PMID 30909912›Full record

ArticleMalaria journal2019

Field evaluation of malaria malachite green loop-mediated isothermal amplification in health posts in Roraima state, Brazil.

Heather M Kudyba, Jaime Louzada, Dragan Ljolje, Karl A Kudyba, Vasant Muralidharan, Joseli Oliveira-Ferreira, Naomi W Lucchi

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Molecular Characterization ofTropical medicine and infectious disease · 2025
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  6. Genetic diversity ofCurrent research in parasitology & vector-borne diseases · 2025
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  13. Diagnostic Methods for Non-Falciparum Malaria.Frontiers in cellular and infection microbiology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

7 authors at 3 institutions in 3 countries.

Heather M KudybaCenter for Tropical and Emerging Global Diseases (CTEGD), University of Georgia, Athens, USA.
Jaime LouzadaFederal University of Roraima, Boa Vista, Roraima, Brazil.
Dragan LjoljeMalaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, USA.
Karl A KudybaCenter for Tropical and Emerging Global Diseases (CTEGD), University of Georgia, Athens, USA.
Vasant MuralidharanCenter for Tropical and Emerging Global Diseases (CTEGD), University of Georgia, Athens, USA. vasant@uga.edu.ORCID http://orcid.org/0000-0001-6367-6284
Joseli Oliveira-FerreiraFederal University of Roraima, Boa Vista, Roraima, Brazil. lila@ioc.fiocruz.br.
Naomi W LucchiMalaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, USA. frd9@cdc.gov.
University of Georgia · USCenters for Disease Control and Prevention · USUniversidade Federal de Roraima · BR

Funding

Training in Tropical and Emerging Global Diseases - SupplementT32AI060546 · NIAID · UNIVERSITY OF GEORGIA (UGA) · PI Silvia N Moreno, Vasant Muralidharan · 2004 to 2026
$5.1M
National Institutes of Health T32AI060546NIAID NIH HHS T32 AI060546
6 · The paper itself

Abstract

backgroundMicroscopic detection of malaria parasites is the standard method for clinical diagnosis of malaria in Brazil. However, malaria epidemiological surveillance studies specifically aimed at the detection of low-density infection and asymptomatic cases will require more sensitive and field-usable tools. The diagnostic accuracy of the colorimetric malachite green, loop-mediated, isothermal amplification (MG-LAMP) assay was evaluated in remote health posts in Roraima state, Brazil.

methodsStudy participants were prospectively enrolled from health posts (healthcare-seeking patients) and from nearby villages (healthy participants) in three different study sites. The MG-LAMP assay and microscopy were performed in the health posts. Two independent readers scored the MG-LAMP tests as positive (blue/green) or negative (clear). Sensitivity and specificity of local microscopy and MG-LAMP were calculated using results of PET-PCR as a reference.

resultsA total of 91 participants were enrolled. There was 100% agreement between the two MG-LAMP readers (Kappa = 1). The overall sensitivity and specificity of MG-LAMP were 90.0% (95% confidence interval (CI) 76.34-97.21%) and 94% (95% CI 83.76-98.77%), respectively. The sensitivity and specificity of local microscopy were 83% (95% CI 67.22-92.66%) and 100% (95% CI 93.02-100.00%), respectively. PET-PCR detected six mixed infections (infection with both Plasmodium falciparum and Plasmodium vivax); two of these were also detected by MG-LAMP and one by microscopy. Microscopy did not detect any Plasmodium infection in the 26 healthy participants; MG-LAMP detected Plasmodium in five of these and PET-PCR assay detected infection in three. Overall, performing the MG-LAMP in this setting did not present any particular challenges.

conclusionMG-LAMP is a sensitive and specific assay that may be useful for the detection of malaria parasites in remote healthcare settings. These findings suggest that it is possible to implement simple molecular tests in facilities with limited resources.

Indexed as

BrazilHumansMalaria, FalciparumMalaria, VivaxNucleic Acid Amplification TechniquesPlasmodium falciparumPlasmodium vivaxPopulation SurveillanceRosaniline DyesSensitivity and Specificitymalachite greenRosaniline DyesDiagnosisMalachite green loop-mediated isothermal amplificationMalariaPlasmodium

Identifiers

PMID30909912
PMCPMC6434790
OpenAlexW2941602928

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.