Publication: A validation study of microscopy versus quantitative PCR for measuring Plasmodium falciparum parasitemia
Issued Date
2019-08-27
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ISSN
13494147
13488945
13488945
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2-s2.0-85071645400
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Mahidol University
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SCOPUS
Bibliographic Citation
Tropical Medicine and Health. Vol.47, No.1 (2019)
Suggested Citation
Emma Ballard, Claire Y.T. Wang, Tran Tinh Hien, Nguyen Thanh Tong, Louise Marquart, Zuleima Pava, Joel Tarning, Peter O'Rourke, James S. McCarthy A validation study of microscopy versus quantitative PCR for measuring Plasmodium falciparum parasitemia. Tropical Medicine and Health. Vol.47, No.1 (2019). doi:10.1186/s41182-019-0176-3 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/51458
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Title
A validation study of microscopy versus quantitative PCR for measuring Plasmodium falciparum parasitemia
Abstract
© 2019 The Author(s). Microscopy and 18S qPCR are the most common and field-friendly methods for quantifying malaria parasite density, and it is important that these methods can be interpreted as giving equivalent results. We compared results of quantitative measurement of Plasmodium falciparum parasitemia by microscopy and by 18S qPCR in a phase 2a study. Microscopy positive samples (n = 355; median 810 parasites/μL [IQR 40-10,471]) showed close agreement with 18S qPCR in mean log10/mL transformed parasitemia values by paired t test (difference 0.04, 95%CI - 0.01-0.10, p = 0.088). Excellent intraclass correlation (0.97) and no evidence of systematic or proportional differences by Passing-Bablok regression were observed. 18S qPCR appears to give equivalent parasitemia values to microscopy, which indicates 18S qPCR is an appropriate alternative method to quantify parasitemia in clinical trials.