Diagnosis of gestational, congenital, and placental malaria in Colombia: Comparison of the efficacy of microscopy, nested polymerase chain reaction, and histopathology
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The technical capability of different methods to diagnose Plasmodium in maternal peripheral blood, placenta, and umbilical cord blood has not been assessed in Colombia and seldom explored in other malaria-endemic regions. We designed a study to compare the technical and the operational-economical performances of light microscopy (LM), nested polymerase chain reaction (nPCR), and histopathology (HP). In maternal blood, LM had 41% sensitivity and 100% specificity and in placental blood, 35% and 100%, respectively, compared with nPCR. In placental tissue, LM had 33% sensitivity and 95% specificity; and nPCR 47% and 77%, respectively; compared with HP. Light microscopy had the best operational-economical qualification. We concluded that nPCR and HP performed better compared with LM, but field implementation of these two techniques remains a problem. Therefore, LM is recommended as the gold standard for diagnosis of gestational malaria and placental blood infection in the field.
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- Authors
- Campos, I. M., Uribe, M. L., Cuesta, C., Franco-Gallego, A., Carmona-Fonseca, J., & Maestre, A.
- Affiliations
- Universidad de Antioquia (CO)
- ORCID
- Uribe, Mary L.
- Venue
- The American Society of Tropical Medicine and Hygiene
- Published
- 2011-06-01
- Volume
- 84
- Issue
- 6
- Pages
- 929-935
- ISSN
- 0002-9637 (ISSN-L)
- 1476-1645
- PMC
- PMC3110370
- OpenAlex
- W2098115629
- Cited by
- 59
- References
- 41
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 15 · 2012: 8
- FWCI
- 10.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repository University of Antioquia (University of Antioquia) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Life Sciences › Immunology and Microbiology › Parasitology › Bird parasitology and diseases
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Digital Imaging for Blood Diseases
- Keywords
- malaria in pregnancy, congenital malaria, placental malaria, Plasmodium, malaria diagnosis, optical microscopy, nested PCR, histopathology, sensitivity and specificity, operating costs, maternal blood, placental blood, umbilical cord blood, Colombia
- MeSH terms
- Adult, Colombia, Female, Fetal Blood, Humans, Microscopy, Placenta, Plasmodium falciparum, Pregnancy, Prospective Studies, Sensitivity and Specificity, Pregnancy Complications, Parasitic, DNA, Protozoan, Polymerase Chain Reaction, Malaria, Falciparum, Young Adult
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