Predominance of Plasmodium malariae-falciparum Co-Infection by Molecular Speciation in Bangolan, North West Region of Cameroon
Predominance of Plasmodium malariae-falciparum Co-Infection by Molecular Speciation in Bangolan, North West Region of Cameroon作者机构:The Bioteehnology Center University of Yaounde I Yaounde Center Region Cameroon
出 版 物:《Journal of Life Sciences》 (生命科学(英文版))
年 卷 期:2013年第7卷第6期
页 面:599-606页
学科分类:090502[农学-动物营养与饲料科学] 081704[工学-应用化学] 07[理学] 0905[农学-畜牧学] 08[工学] 0817[工学-化学工程与技术] 070305[理学-高分子化学与物理] 09[农学] 080501[工学-材料物理与化学] 0805[工学-材料科学与工程(可授工学、理学学位)] 0703[理学-化学]
主 题:Plasmodium sp. microscopy rapid diagnostic tests PCR children pregnant women.
摘 要:Although microscopy still remains the gold standard for the diagnosis of malaria, rapid diagnostic tests (RDTs) and PCR assays have been shown to be sensitive and specific. Very few comparative studies have been reported of the three diagnostic methods on the same samples in vulnerable groups. Microscopy, RDTs and PCR assays were used for detection and speciation of Plasmodium falciparum (P)'), Plasmodium malariae (Pm) and Plasmodium ovale (Po) in patients in a rice culture savanna ecotype. Fifty four children and 16 pregnant women presenting with a fever were recruited. Bloods collected was used for thin and thick smears, perform RDTs and spotted blood on filter paper for DNA extraction and performance of a PCR. Mean parasitaemia was 37,619.06 (+ 33,599.04) p/pL and 7,512.5 (+ 12,446.11) p/μL for children and pregnant women, respectively. A total of 87.14% were positive by microscopy, 85.71% by RDTs and 90% by PCR. Distribution of Plasmodium species as identified by PCR was 72.86% Pf/Pm, 11.43% Pf/Pm/Po and 5.43% Pm while 10% were negative. Cohen's Kappa value for PCR and RDTs was K = 0.75 (CI = 0.28-1.22) while PCR and microscopy was K = 0.64 (CI = 0.18-1.10). Malaria infection in Bangolan was mostly due to mix infection predominantly P. falciparum/P, malariae.