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dc.contributor.authorCuadros, Juan
dc.contributor.authorPérez-Tanoira, Ramón
dc.contributor.authorPrieto-Pérez, Laura
dc.contributor.authorMartin-Martin, Ines 
dc.contributor.authorBerzosa, Pedro 
dc.contributor.authorGonzalez-Mora, Vicenta 
dc.contributor.authorTisiano, Gebre
dc.contributor.authorBalcha, Seble
dc.contributor.authorRamos, José Manuel
dc.contributor.authorGórgolas, Miguel
dc.identifier.citationPLoS One. 2015 Nov 10;10(11):e0142842es_ES
dc.description.abstractBACKGROUND: In up to one third of the hospitals in some rural areas of Africa, laboratory services in malaria diagnosis are limited to microscopy by thin film, as no capability to perform thick film exists (gold standard in terms of sensitivity for malaria diagnosis). A new rapid molecular malaria diagnostic test called Loop-mediated isothermal DNA amplification (LAMP) has been recently validated in clinical trials showing exceptional sensitivity and specificity features. It could be a reliable diagnostic tool to be implemented without special equipment or training. OBJECTIVE: The objective of this proof of concept study was to confirm the feasibility of using LAMP technique for diagnosis of malaria in a rural Ethiopian hospital with limited resources. METHODOLOGY/PRINCIPAL FINDINGS: This study was carried out in Gambo General Hospital, West Arsi Province (Ethiopia), from November 1st to December 31st 2013. A total of 162 patients with a non-focal febrile syndrome were investigated. The diagnostic capability (sensitivity, specificity, positive predictive and negative predictive values) of rapid malaria tests and microscopy by thin film was evaluated in comparison with LAMP. Eleven (6.79%) out of the 162 patients with fever and suspected malaria, tested positive for LAMP, 3 (1.85%) for rapid malaria tests and none of the eleven cases was detected by thin film microscopy. CONCLUSIONS/SIGNIFICANCE: LAMP can be performed in basic rural laboratories without the need for specialized infrastructure and it may set a reliable tool for malaria control to detect a low level parasitemia.es_ES
dc.description.sponsorshipThe study was funded by the Master of Tropical diseases of Department of Medicine, Universidad Autónoma de Madrid and Rural Gambo Hospital, Ethiopia. The RDTs were provided by the government of Ethiopia.es_ES
dc.publisherPublic Library of Science (PLOS) es_ES
dc.subject.meshAdolescent es_ES
dc.subject.meshAdult es_ES
dc.subject.meshAged es_ES
dc.subject.meshChild es_ES
dc.subject.meshDNA, Protozoan es_ES
dc.subject.meshEthiopia es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMalaria, Falciparum es_ES
dc.subject.meshMale es_ES
dc.subject.meshPlasmodium falciparum es_ES
dc.subject.meshHospitals, Rural es_ES
dc.titleField Evaluation of Malaria Microscopy, Rapid Malaria Tests and Loop-Mediated Isothermal Amplification in a Rural Hospital in South Western Ethiopiaes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderAutonomous University of Madrid (España) 
dc.contributor.funderRural Gambo Hospital (Etiopia)
dc.identifier.journalPloS onees_ES
dc.repisalud.centroISCIII::Centro Nacional de Microbiologíaes_ES
dc.rights.accessRightsopen accesses_ES

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