2019
DOI: 10.1186/s12936-019-2743-9
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Sensitive real-time PCR detection of Plasmodium falciparum parasites in whole blood by erythrocyte membrane protein 1 gene amplification

Abstract: Background Malaria remains a global public health problem responsible for 445,000 deaths in 2016. While microscopy remains the mainstay of malaria diagnosis, highly sensitive molecular methods for detection of low-grade sub-microscopic infections are needed for surveillance studies and identifying asymptomatic reservoirs of malaria transmission. Methods The Plasmodium falciparum genome sequence was analysed to identify high copy number genes t… Show more

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Cited by 15 publications
(14 citation statements)
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References 34 publications
(37 reference statements)
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“…Blood film microscopy and rapid diagnostic tests are the mainstay of malaria diagnosis that can adequately detect Plasmodium infections in patients with high levels of parasitaemia [3,4]. However, both methods lack the sensitivity to detect the infection in individuals carrying low parasite density [5,6]. Given that low-grade parasitaemia in asymptomatic individuals can persist for a year or more, important sources of further transmission must be considered.…”
Section: Introductionmentioning
confidence: 99%
“…Blood film microscopy and rapid diagnostic tests are the mainstay of malaria diagnosis that can adequately detect Plasmodium infections in patients with high levels of parasitaemia [3,4]. However, both methods lack the sensitivity to detect the infection in individuals carrying low parasite density [5,6]. Given that low-grade parasitaemia in asymptomatic individuals can persist for a year or more, important sources of further transmission must be considered.…”
Section: Introductionmentioning
confidence: 99%
“…For example, for Plasmodium falciparum , a study determined by PCR the limit of detection at 6.5 parasites/µL in fecal samples from NHPs from the Brazilian Amazon [ 9 ]. In human blood samples, the limit of detection of Plasmodium falciparum ranges from 0.03 parasites/µL to 9 parasites/ml using methods such as qPCR [ 352 ] and RT-PCR [ 353 ]. The sensitivity of parasite DNA extraction for both stool and blood samples will depend on sample storage [ 354 ], DNA extraction methods [ 355 ] and parasite densities in the population and in individuals [ 356 , 357 ].…”
Section: Discussionmentioning
confidence: 99%
“…The studies mentioned above were performed by detecting the Rep marker by conventional PCR. In the last decade, the detection of parasite DNA in the blood has been enhanced with the development of different real-time PCR systems [18][19][20]. Real-time PCR has several advantages over conventional PCR and includes speed, simplicity, reproducibility and quantitative capacity [21].…”
Section: Design Of Primersmentioning
confidence: 99%