Cited by 59Malaria Research and ControlBird parasitology and diseasesDigital Imaging for Blood Diseases

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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Campos, Ivón M., Uribe, Mary L., Cuesta, Carolina, Franco-Gallego, Alexander, Carmona-Fonseca, Jaime, Maestre, Amanda·2011·The American Society of Tropical Medicine and Hygiene

Abstract

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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Crossref · 10.4269/ajtmh.2011.10-0507

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Research works printed but not linked: 21

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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)
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
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
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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