Sensitivity of HIV Rapid Diagnostic Test Kits in Detecting HIV-2 in HIV Care and Support Centres in Ghana

2020 ◽  
Author(s):  
Hanna Antwiwaa Offih ◽  
David Nana Adjei ◽  
Seth Agyemang ◽  
Christopher Zen Abana ◽  
Alexander Martin-Odoom
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Venous Blood ◽  
Hiv Care ◽  
Confirmatory Test ◽  
First Response ◽  
Care And Support ◽  
Study Results ◽  
Two Samples ◽  
Hiv 1

Abstract BackgroundAmong Human Immunodeficiency Virus (HIV) infected people in Ghana, the prevalence of HIV-2 is low compared with HIV-1. There is a paucity of reliable data on HIV-2 prevalence in Ghana which may justify targeted routine HIV-2 testing for all people for whom HIV-1 testing is required. Prevention and treatment of AIDS depends on accurate laboratory diagnosis of HIV infection. HIV Rapid diagnostic Test (RDT) kits are the preferred preliminary screening assay type in many resource-constrained countries. The study sought to determine whether the RDT kits used in screening for HIV positive patients are missing capturing HIV-2 in the patients.MethodsVenous blood was aseptically collected from 100 HIV-1 infected patients reporting to the Fevers Unit of the Korle-Bu Teaching Hospital for antiretroviral therapy. Using Plasma the HIV 1 status was reassessed with Oraquick® Advance Rapid HIV-1/2 kit, First Response HIV-1-2 RDT kit and Multisure MP Diagnostics, the RDTs in use at the care and support centre. ResultsOf the 100 patients previously determined as HIV-1 positive at the HIV Care and Support Centre, 88 tested positive for HIV-1, 10 tested positive for HIV-1 & 2, 2 tested negative and no patient tested positive for HIV-2 using First Response RDT kit and Multisure RDT kit, and OraQuick kit which gave qualitative results of 98 positives and 2 negatives. The twelve (12) samples with different study results from the known, prior to the study(10 HIV 1& 2 and 2 negative), were subjected to confirmatory test at the Noguchi Memorial Institute for Medical Research (NMIMR) with INNO-LIA HIV Score kit, a standard confirmatory protocol. When INNO-LIA HIV Score kit was used as confirmatory test for the 12 samples, 9 tested positive for HIV-1, one patient tested negative and two patients tested positive for HIV-2.ConclusionAll the rapid diagnostic test kits in use missed classifying the two samples correctly as HIV-2 infection.

scholarly journals Performance evaluation of the Simtomax® CoronaCheck rapid diagnostic test

2020 ◽  
Author(s):  
P. J. Ducrest ◽  
A. Freymond ◽  
J.-M. Segura
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Diagnostic Performance ◽  
High Sensitivity ◽  
High Specificity ◽  
Negative Control ◽  
List Type ◽  
Plasma Samples ◽  
Rt Pcr ◽  
Two Samples

AbstractThe aim of this study was to evaluate the diagnostic performance of Simtomax® CoronaCheck, a serology rapid diagnostic test (RDT) for the detection of IgG and IgM against SARS-CoV-2. 48 plasma samples positive for SARS-CoV-2 based on RT-PCR and 98 negative control samples were studied. Diagnostic performance of the IgG/IgM RDT was assessed against RT-PCR and the electro-chemiluminescence immunoassay (ECLIA) Elecsys® Anti-SARS-CoV-2 total Ig. Overall, the RDT sensitivity was 92% (95% confidence interval [95%CI]: 79-97), specificity 97% (95% CI: 91-99%), PPV 94% (95% CI: 81-98) and the NPV 96% (95% CI: 89-99). When considering only samples collected ≥ 15 days post-symptoms (DPS), the sensitivity increased to 98% (95%CI: 86-100) and the specificity was 97% (95% CI: 91-99%). Two samples with 180 DPS were still positive for IgG. Globally, this IgG/IgM RDT displayed a high diagnostic accuracy for SARS-CoV-2 IgG/IgM detection in plasma samples in high COVID-19 prevalence settings. It could be effectively used, in absence of facilities for routine diagnostic serology, for samples with a DPS between 15 and 180 days.Highlights–The rapid diagnostic test Simtomax CoronaCheck displays a high sensitivity of 98% and a high specificity of 97% for SARS-CoV-2 IgG/IgM detection in plasma samples after 15 days post-symptoms.–The rapid diagnostic test Simtomax CoronaCheck can detect SARS-CoV-2 antibodies in plasma up to 180 days after symptom onset.–The rapid diagnostic test Simtomax CoronaCheck could be effectively used as an alternative to serological analysis using laboratory facilities.

scholarly journals Imported Malaria confirmed by immuno-assay

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
S S Abdelgawad ◽  
E Y Abusarea ◽  
R M Shaapan ◽  
M A Ghieth
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Parasitic Infection ◽  
Blood Film ◽  
Antigen Detection ◽  
Imported Malaria ◽  
Confirmatory Test ◽  
Endemic Region ◽  
Malaria Antigen ◽  
Kappa Agreement

Abstract Background Malaria is the most clinically critical parasitic infection worldwide with undesirable morbidity and mortality. Aim of the Study This study detected the efficacy of rapid diagnostic test for detection of imported malaria among patients with history of fever and/or had travelled to malaria endemic region. Subjects and Methods Blood samples were collected through a year from 732 patients attending three medical laboratories at El Wasta city, Beni-Suef, Egypt. Malaria was tested using thin and thick Geimsa stained blood film and rapid diagnostic test (RDTs) for immunological detection of malaria antigen. Results Microscopy reveled malaria in 4 samples (0.5%) distributed as follow, P. vivax, P. falciparum, mixed P. falciparum and P. vivax infection (0.5%, 0.25%, 0.25%, respectively). Antigen detection was positive in 7 cases (0.9%) with maximum sensitivity, satisfied specificity (100%, 98.5%, respectively) and substantial Kappa agreement (0.677). All positive samples for malaria by microscopy were confirmed by malaria antigen detection. All positive samples by microscopy and/or immune-assay were traveled to Sudan (71.4%) or Yemen (28.6%). Conclusion Sudan is considered a major focus for imported malaria in Egypt, much restriction rules are needed for travellers and immigrants. Antigen detection using RDTs is a satisfied confirmatory test for suspected cases with fever history.

scholarly journals Diagnostic performance of HRP2-only malaria rapid diagnostic test in Ghanaian pregnant women with asymptomatic peripheral blood infection: the case of First Response® test kit

2020 ◽  
Vol 1 (2) ◽  
pp. 86-92
Author(s):  
Joseph Osarfo ◽  
Harry Tagbor ◽  
Michael Alifragis ◽  
Pascal Magnuess
Keyword(s):  
Pregnant Women ◽  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Peripheral Blood ◽  
Diagnostic Performance ◽  
False Negative ◽  
Malaria Rapid Diagnostic Test ◽  
First Response ◽  
Test Kit ◽  
In Pregnancy

Background: The use of malaria rapid diagnostic test(RDT) enables targeted treatment that mitigates against the development of parasite drug resistance. With detection thresholds at ≥200 parasites/μL, their diagnostic performance in pregnant women may be challenging as asymptomatic infections with low parasite densities are common. Few data exist on the performance of histidine-rich protein-2 (HRP2) RDTs in Ghanaian pregnant women considering commonly occurring low parasite densities. Objective: The study sought to contribute more knowledge on test performance on First Response® test kit to guide the continuous evaluation of HRP2 RDTs in pregnancy. Methods: As part of an antimalarial drug trial in pregnancy, First Response® RDT results were compared to microscopy of peripheral blood slides in 1664 women. The diagnostic performance indicators were computed as proportions with 95% confidence intervals. The risk of having a positive RDT result was computed for age, gravidity and parasite density using binomial regression methods. Results: Parasitaemia prevalence by microscopy was 5.71%(n =95/1664) while that by RDT was 21.57%(n = 359/1664). Sensitivity was 82.11% (n=78/95), specificity was 82.09% (n=1288/1569), positive predictive value was 21.73% (n=78/359), and the likelihood ratio for a positive test was 4.58. False-negative RDT results were recorded for low parasite densities as well as densities ≥ 200/ μL while false-positive results were recorded in 281of 1664 tests. Primigravidae and younger aged women were more likely to have positive RDT results compared to multigravidae and women aged ≥ 30 yr. Conclusion: The moderate sensitivity, specificity and other diagnostic parameters reported suggest the First Response® malaria RDT is useful for detecting peripheral parasitaemia in pregnant women but the use of HRP2-only RDTs is limited by the existence of parasites with HRP2 gene deletion. The use of RDTs based on combined antigens continues to be recommended. Further research is needed on RDT performance in pregnant women with declining malaria transmission.

scholarly journals Diagnostic performance of an ultrasensitive HRP2-based malaria rapid diagnostic test kit used in surveys of afebrile people living in Southern Ghana

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Festus K. Acquah ◽  
Dickson Donu ◽  
Evans K. Obboh ◽  
Dorcas Bredu ◽  
Bernice Mawuli ◽  
...  
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Diagnostic Performance ◽  
Venous Blood ◽  
Malaria Rapid Diagnostic Test ◽  
Treatment Interventions ◽  
Enhanced Sensitivity ◽  
Test Kit ◽  
Blood Smears ◽  
Study Participants

Abstract Background The Alere™ Malaria Ag P.f Ultra-sensitive RDT (UsmRDT) kit is an HRP2-based malaria rapid diagnostic test (RDT) with enhanced sensitivity relative to the SD Bioline Malaria Ag P.f RDT (mRDT) kit. However, the diagnostic performance of the UsmRDT kit has not been evaluated in Ghana. Methods A total of 740 afebrile participants aged between 3 and 88 years old were recruited from the Central and Greater Accra Regions of Ghana during the off-peak malaria season. Axillary body temperature was measured, and a volume of 1 ml venous blood was drawn from each participant. Prior to separating the blood into plasma and packed cell pellets via centrifugation, the blood was spotted onto one UsmRDT and one mRDT kit and also used to prepare thick and thin blood smears as well as filter paper blood spots. Plasmodium falciparum specific polymerase chain reaction (PCR) was performed on gDNA extracted from 100 µl of the whole blood. Results The overall positivity rate for microscopy, PCR, UsmRDT and mRDT kit were 20.4%, 40.8%, 31.3% and 30.8%, respectively. Overall, the UsmRDT identified 9.3% (28/302) more PCR positive samples than the mRDT kits. All samples that were negative by the UsmRDT kit were also negative by the mRDT kit. Overall, the sensitivity and specificity of the UsmRDT was 73% (221/302) and 89% (388/436), respectively, while that for the mRDT kit was 58% and 90%, respectively. Conclusion Although the UsmRDT kit was not as sensitive as PCR at detecting asymptomatic P. falciparum carriage, it correctly identified P. falciparum in 9.3% of the study participants that were not captured by the mRDT kit. In malaria endemic settings, the UsmRDT would provide an added advantage by identifying more asymptomatic P. falciparum carriers than the mRDT kit for targeted treatment interventions.

scholarly journals The usefulness of a new rapid diagnostic test, the First Response® Malaria Combo (pLDH/HRP2) card test, for malaria diagnosis in the forested belt of central India

2008 ◽  
Vol 7 (1) ◽  
pp. 126 ◽  
Author(s):  
Praveen K Bharti ◽  
Nipun Silawat ◽  
Pushpendra P Singh ◽  
Mrigendra P Singh ◽  
Manmohan Shukla ◽  
...  
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Central India ◽  
Malaria Diagnosis ◽  
First Response ◽  
Card Test

scholarly journals Comparative study of diagnostic methods for determining the incidence of malaria parasite among children attending the State Specialist Hospital Ikare-Akoko, Ondo State, Nigeria

2019 ◽  
Vol 5 (1) ◽  
pp. 8
Author(s):  
Festus Abiose Olajubu ◽  
Esther Olubunmi Ojo
Keyword(s):  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Malaria Parasite ◽  
Statistical Difference ◽  
Venous Blood ◽  
Age Distribution ◽  
Diagnostic Methods ◽  
Sub Saharan Africa ◽  
Adequate Treatment ◽  
Ondo State

Malaria is an endemic disease in Sub-Saharan Africa, and it accounts for the death of more than 1million children annually. The objective of this study was to determine the incidence of malaria parasite among children between 2-15 years of age visiting State Specialist Hospital Ikare-Akoko, Ondo State, Nigeria, using Rapid diagnostic test kits and staining methods. The study does from July to December 2017. Two millimeters of venous blood samples were collected from each of the 300 enlisted children and stored in an anticoagulated specimen bottle. Thick and thin blood films prepared from the collected samples, stained and examined for the presence of malaria parasite use the Microscope. Three Rapid diagnostic test kits were also used. Two hundred and thirty-six (78.68%) of the 300 children investigated were found to have malaria parasite infection. Gender distribution showed that more male (45.67%) were infected than females (33.01%). Infections due to age distribution revealed that children within the ages of 2-5 years were more infected (39.3%) than children in other age range (6-10 years, 23.34% and 11-15 years, 17%). There was no statistical difference in the results obtained from the various techniques used (p<0.05) even though Carestart kit appeared less sensitive. Plasmodium falciparum was found to be the cause of malaria infection in Ikare-Akoko. Since there was no statistical difference in the two methods examined, the use of rapid diagnostic kits should be encouraged while more awareness campaign and efforts geared towards the prompt and adequate treatment of infected individuals.

SKRINING MALARIA DENGAN RAPID DIAGNOSTIC TEST DAN PERILAKU PENGOBATAN MALARIA PADA ORANG RIMBA DI DESA BUKIT SUBAN DAN DESA SEKAMIS KABUPATEN SAROLANGUN TAHUN 2016

2018 ◽  
Vol 6 (1) ◽  
pp. 20-35
Author(s):  
Maria Estela Karolina ◽  
Oktovia Rezka Nurmaajid ◽  
Armaidi Darmawan ◽  
Solha Elfrida
Keyword(s):  
Traditional Medicine ◽  
Diagnostic Test ◽  
Rapid Diagnostic Test ◽  
Random Sampling ◽  
Descriptive Study ◽  
Malaria Treatment ◽  
Systematic Random Sampling

Abstract Backgrounds : Rapid Diagnostic Test (RDT) is a imunologic methode to diagnose malaria. Mostly, Orang Rimba hunt nomadically. Orang Rimba have traditional medicine to cure malaria. The purposes of this research are to know the incident of malaria based on RDT and malaria treatment behaviour of Orang Rimba. Methode :  This research was descriptive study. The populations of this research were Orang Rimba in Desa Bukit Suban and Sekamis, Kabupaten Sarolangun. The number of samples in this research is 49 respondents. The sample was taken by systematic random sampling. Data were analyzed with univariat analysis. Result : The result showed that 16,7 % had malaria positive, P. vivax was the dominat species of plasmodium (62,5%). Mostly the aged of respondent was 5-11 years old (41,7%), the gender was male (58,3%), occupation was doesn’t work (56,3%), marriage status was marriage (56,3%). Most of Orang Rimba had worse knowladge level (53,6%), the mostly used term in Orang Rimba was demam kuro (50%), only (42,9%) respondents knew the trias of malaria, only 9 respondents knew that cause of malaria was mosquito’s bites, Orang Rimba mostly knew the danger of malaria (85,7%) and the complication of malaria (89,3%), and knew that malaria could be cured (82,1%). The users of modern combined with traditional medicine were as much as 57,1%, Orang Rimba mostly used ≥ 3 kinds of traditional medicine 53,6%, traditional medicine was mostly processed by boiling (24 respondents) and mostly knew one way of processing the traditional medicine  (57,1%), traditional medicine was mostly for being eaten or drunk and external medicine  (50%), the duration of using  traditional medicine was mostly  2-3 days (46,4%), Orang Rimba mostly said that traditional medicine was efficacious (92,9%). Conclusions : The incident number of malaria was 16,7% and the mostly users of modern combined with traditional medicine were as much as 57,1%. Keywords : Malaria, RDT, orang rimba, malaria treatment behaviour   Abstrak Latar Belakang : Rapid Diagnostic Test (RDT) merupakan metoda imunologik untuk mendiagnosis malaria. Lokasi berburu Orang Rimba cenderung berpindah-pindah. Orang Rimba memiliki kearifan lokal dalam mengobati malaria. Tujuan penelitian ini adalah untuk mengetahui skrining malaria berdasarkan RDT dan perilaku pengobatan malaria pada Orang Rimba. Metode : Penelitian ini merupakan penelitian deskriptif. Populasi penelitian seluruh Orang Rimba yang berada di Desa Bukit Suban dan Sekamis. Jumlah sampel pada penelitian ini adalah 48 responden. Pengambilan sampel menggunakan teknik Systematic Random Sampling. Data dianalisis dengan analisis univariat. Hasil : Dari hasil penelitian didapatkan 16,7% positif malaria, jenis plasmodium yang dominan adalah P. vivax (62,5%). Sebagian besar responden berusia 5-11 tahun (41,7%), sebagian besar berjenis kelamin laki-laki (58,3%), sebagian besar pekerjaan responden tidak bekerja (56,3%), sebagian besar berstatus kawin (56,3%). Sebagian besar Orang Rimba memiliki tingkat pengetahuan kurang baik (53,6%), sebagian besar menggunakan istilah demam kuro untuk menyebutkan malaria (50%), hanya 42,9% yang mengetahui trias malaria, hanya 9 responden yang menjawab penyebab malaria adalah gigitan nyamuk, sebagian besar mengetahui bahaya malaria 85,7%, jenis bahaya malaria 89,3%, dan mengetahui bahwa malaria dapat disembuhkan 82,1%. Pengguna pengobatan modern dikombinasi dengan pengobatan tradisional sebanyak 57,1%, sebagian besar menggunakan ≥ 3 jenis obat tradisional (53,6%), cara pengolahan yang paling banyak dengan cara direbus (24 responden) dan mengetahui 1 cara pengolahan (57,1%), cara pemakaian yang paling banyak dengan dimakan atau diminum dan obat luar (50%), lama penggunaan yang paling banyak selama 2-3 hari (46,4%), sebagian besar mengatakan obat tradisional berkhasiat (92,9%). Kesimpulan : Angka kejadian malaria sebesar 16,7% dan upaya pengobatan malaria terbanyak adalah dengan pengobatan modern dikombinasi dengan pengobatan tradisional (57,1%).   Kata Kunci :  Malaria, RDT, orang rimba, perilaku pengobatan malaria

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