Evidence map›Paper›PMID 33526038›Full record

ArticleMalaria journal2021

Multiplex-RT-PCR-ELISA panel for detecting mosquito-borne pathogens: Plasmodium sp. preserved and eluted from dried blood spots on sample cards.

Philip Koliopoulos, Neema Mathias Kayange, Tim Daniel, Florian Huth, Britta Gröndahl, Grey Carolina Medina-Montaño, Leah Pretsch, Julia Klüber, Christian Schmidt, Antke Züchner and 4 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-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

9 citing papers in PubMed, 12 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

14 authors at 6 institutions in 3 countries.

Philip KoliopoulosCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Neema Mathias KayangeDepartment of Pediatric and Adolescent Medicine, Bugando Medical Centre, Mwanza, Tanzania.
Tim DanielCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Florian HuthDepartment of Infectiology and Tropical Medicine, University Medical Center Hamburg-Eppendorf, Eppendorf, Germany.
Britta GröndahlCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany. groendahl@uni-mainz.de.ORCID http://orcid.org/0000-0001-6149-7274
Grey Carolina Medina-MontañoCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Leah PretschCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Julia KlüberCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Christian SchmidtDepartment of Pediatric and Adolescent Medicine, St. Vinzenz-Hospital, Dinslaken, Germany.
Antke ZüchnerDepartment of Pediatric and Adolescent Medicine, Bugando Medical Centre, Mwanza, Tanzania.
Sebastian UlbertFraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany.
Steven E MshanaDepartment of Microbiology and Immunology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Marylyn AddoDepartment of Infectiology and Tropical Medicine, University Medical Center Hamburg-Eppendorf, Eppendorf, Germany.
Stephan GehringCenter of Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany.
Johannes Gutenberg University Mainz · DEBugando Medical Centre · TZUniversität Hamburg · DECatholic University of Health and Allied Sciences · TZFraunhofer Institute for Cell Therapy and Immunology · DEProsper Hospital · DE

Funding

Else Kröner-Fresenius-Stiftung 1601079
6 · The paper itself

Abstract

backgroundChildren are the most vulnerable group affected by malaria and other tropical, vector-borne diseases in low-resource countries. Infants presenting with acute onset fever represent a major sector of outpatient care in the Lake Victoria region. Misclassification and overuse of antibiotics and anti-malarial medications are consistent problems. Identifying the prevalent mosquito-borne pathogens in the region will reduce the prescription of non-indicated medicines.

methodsThe literature was reviewed focusing on the mosquito-borne pathogens most prevalent in sub-Saharan Africa. Accordingly, an assay comprised of a multiplex-reverse transcriptase-polymerase chain reaction and an enzyme-linked immunosorbent assay (multiplex-RT-PCR-ELISA) was designed and validated in its ability to identify and differentiate nine human mosquito-borne pathogens including eight arboviruses and Plasmodium sp., the aetiologic agents of malaria. Blood samples obtained from 132 children suspected of having malaria were spotted and preserved on Whatman

resultsNine out of nine pathogens were amplified specifically by the multiplex-RT-PCR-ELISA panel. Twenty-seven out of 132 paediatric patients presenting with acute fever were infected with Plasmodium sp., confirmed by multiplex-RT-PCR. The results of blood smear microscopy were only 40% sensitive and 92.8% specific. The malaria RDT, on the other hand, detected acute Plasmodium infections with 96.3% sensitivity and 98.1% specificity. The preservation of Plasmodium sp. in clinical sera and whole blood samples spotted on sample cards was evaluated. The duration of successful, sample card storage was 186 to 312 days.

conclusionsReliable, easy-to-use point of care diagnostic tests are a powerful alternative to laboratory-dependent gold standard tests. The multiplex-RT-PCR-ELISA amplified and identified nine vector-borne pathogens including Plasmodium sp. with great accuracy. Translation of improved diagnostic approaches, i.e., multiplex-RT-PCR-ELISA, into effective treatment options promises to reduce childhood mortality and non-indicated prescriptions.

Indexed as

ChildChild, PreschoolDiagnostic Tests, RoutineDried Blood Spot TestingHumansInfantMosquito VectorsMultiplex Polymerase Chain ReactionPlasmodiumReverse Transcriptase Polymerase Chain ReactionSensitivity and SpecificityTanzaniaAcute febrile diseasesDengue virusDried blood spotsMalaria rapid diagnostic testMosquito-borne diseasesMultiplex-RT-PCR-ELISAPlasmodium falciparumSub-Saharan-AfricaTanzaniaWhatman filter cards

Identifiers

PMID33526038
PMCPMC7851927
OpenAlexW3126583587

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.