Evidence map›Paper›PMID 39689361›Full record

ArticleThe American journal of tropical medicine and hygiene2025

Performance of the Bioline™ Malaria Ag Pf/Pan and Bioline™ Malaria Ag Pf/Pv for Malaria Diagnostics: Madagascar In-Country Evaluation.

Malalanandrianina A Rakotoarisoa, Tovo A Rakotomanga, Jocia Fenomanana, Laurent Musango, Oméga Raobela, Julien Salava, Andry M Andrianarivelo, Maximilienne Kialozafy, Fanambinantsoa C Andrianaivoniaina, Fanirisoa Rasolozakandrainibe and 7 more

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Malalanandrianina A RakotoarisoaNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.
Tovo A RakotomangaMalagasy Medical Analysis Laboratory, Antananarivo, Madagascar.
Jocia FenomananaFaculty of Medicine, University of Fianarantsoa, Fianarantsoa, Madagascar.
Laurent MusangoWorld Health Organization, Antananarivo, Madagascar.
Oméga RaobelaNational Malaria Control Program, Antananarivo, Madagascar.
Julien SalavaFaculty of Economics, Management and Sociology, University of Antananarivo, Antananarivo, Madagascar.
Andry M AndrianariveloMalagasy Medical Analysis Laboratory, Antananarivo, Madagascar.
Maximilienne KialozafyNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.
Fanambinantsoa C AndrianaivoniainaNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.
Fanirisoa RasolozakandrainibeFaculty of Medicine, University of Fianarantsoa, Fianarantsoa, Madagascar.
Vatsiharizandry MandrosovololonaWorld Health Organization, Antananarivo, Madagascar.
Antsa RakotondrandrianaNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.
Armel RazanatsilaFaculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
Hajalalaina RabarisoaFaculty of Medicine, University of Antananarivo, Antananarivo, Madagascar.
Didier MenardPathogens Host Arthropods Vectors Interactions Unit, University of Strasbourg, Strasbourg, France.
Rianasoambolanoro RakotosaonaNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.
Arsène RatsimbasoaNational Center for Pharmaceutical Research and Applications, Antananarivo, Madagascar.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Malaria remains a significant public health concern in Madagascar. The WHO recommends using parasitological methods to confirm Plasmodium infection before treatment. This study evaluated the performance of two rapid diagnostic tests (RDTs), Bioline™ Malaria Ag Pf/Pan (Abbott Point of Care, Princeton, NJ) and Bioline™ Malaria Ag Pf/Pv (Abbott Point of Care, Princeton, NJ), compared with microscopy and polymerase chain reaction (PCR) as reference methods. A prospective, diagnostic performance study was conducted in two malaria-endemic districts with different epidemiological contexts: Ifanadiana (Plasmodium falciparum [P. falciparum] transmission) and Mandoto (Plasmodium vivax transmission). Symptomatic patients and asymptomatic individuals aged 3-81 years were enrolled between April and July 2023. Finger prick blood samples were used for RDTs, Giemsa-stained blood films, and molecular analysis. Among 675 participants (401 symptomatic, 274 asymptomatic), the performance for detecting P. falciparum and non-falciparum/vivax malaria in symptomatic patients for Bioline™ Malaria Ag Pf/Pan was 96.5% (95% CI: 93.4-98.4%) and 91.5% (95% CI: 82.5-96.8%) sensitivity and 76.0% (95% CI: 64.7-85.1%) specificity, and the performance for Bioline™ Malaria Ag Pf/Pv was 95.0% and 91.5% sensitivity and 76.0% specificity. In asymptomatic individuals, the performance was 90.3% (95% CI: 83.4-95.0%) and 33.3% (95% CI: 4.3-77.7%) sensitivity and 85.4% (95% CI: 78.9-90.6%) specificity for Bioline™ Malaria Ag Pf/Pan and 80.6% (95% CI: 80.1-93.1%) and 0% (95% CI: 0-84.2%) sensitivity and 86.0% (95% CI: 79.7-91.0%) and 86.1% (95% CI: 79.7-91.0%) specificity for Bioline™ Malaria Ag Pf/Pv. Rapid diagnostic test performance varies with local epidemiology in symptomatic patients. The results emphasize the need for careful consideration of RDT use based on local epidemiology and clinical context. Both RDTs could be used when microscopy and PCR are unavailable.

Indexed as

Antigens, ProtozoanDiagnostic Tests, RoutineMalaria, FalciparumMalaria, VivaxPlasmodium falciparumReagent Kits, DiagnosticAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansMadagascarMaleAntigens, ProtozoanReagent Kits, Diagnostic

Identifiers

PMID39689361
PMCPMC11884285

What OpenQuestion holds

Textmetadata
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.