Central African Journal of Public Health

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Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital

Received: 19 February 2020    Accepted: 3 March 2020    Published: 17 March 2020
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Abstract

Background: Post-transfusion malaria in children under five years is associated with increased morbidity and mortality. The RDTs currently are used to supplement microscopy in the diagnosis of malaria in many endemic countries. However their efficiency as a screening tool for the detection of malaria in donors or in transfusion recipients has not been well evaluated. This study aimed to determine the efficiency of malaria RDT in the detection of post transfusion malaria. Material and methods: The study was conducted from November 2014 to April 2015. Blood samples from 179 patients and their corresponding donors were tested for Plasmodium parasitaemia using RDT and microscopy. The recipients’ blood samples were obtained within 48 hours after transfusion for malaria diagnosis. To determine the incidence of post transfusion malaria, 32 patients were purposefully selected. Their pre-transfusion, post transfusion and donor blood samples were tested for malaria using PCR. Results: Approximately 52% of the study population were within the age group of 0 - < 1 year. Prevalence of malaria in blood donors was 27% by RDT and 7% by microscopy. Prevalence at pre-transfusion was 34% by RDT and 13% by microscopy. Prevalence at post transfusion was 59% by RDT and 4% by microscopy. Incidence of post transfusion malaria by PCR was 57%. The sensitivity of RDT in detecting malaria at post transfusion was 100%. Conclusion: Efficiency of malaria RDT as a tool for malaria diagnosis at post transfusion, among children under five years old is good. Clinicians should consider implementing the use of malaria RDT at post transfusion.

DOI 10.11648/j.cajph.20200603.13
Published in Central African Journal of Public Health (Volume 6, Issue 3, June 2020)
Page(s) 122-130
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Under-Five, Blood Transfusion-Associated Malaria, Post-Transfusion, RDT, PCR, Kumasi

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Cite This Article
  • APA Style

    Djeneba Bouare, Owusu Ofori Alex, Mohammed Abdul-Rahim, Der Muonir Edmund. (2020). Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital. Central African Journal of Public Health, 6(3), 122-130. https://doi.org/10.11648/j.cajph.20200603.13

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    ACS Style

    Djeneba Bouare; Owusu Ofori Alex; Mohammed Abdul-Rahim; Der Muonir Edmund. Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital. Cent. Afr. J. Public Health 2020, 6(3), 122-130. doi: 10.11648/j.cajph.20200603.13

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    AMA Style

    Djeneba Bouare, Owusu Ofori Alex, Mohammed Abdul-Rahim, Der Muonir Edmund. Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital. Cent Afr J Public Health. 2020;6(3):122-130. doi: 10.11648/j.cajph.20200603.13

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  • @article{10.11648/j.cajph.20200603.13,
      author = {Djeneba Bouare and Owusu Ofori Alex and Mohammed Abdul-Rahim and Der Muonir Edmund},
      title = {Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital},
      journal = {Central African Journal of Public Health},
      volume = {6},
      number = {3},
      pages = {122-130},
      doi = {10.11648/j.cajph.20200603.13},
      url = {https://doi.org/10.11648/j.cajph.20200603.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200603.13},
      abstract = {Background: Post-transfusion malaria in children under five years is associated with increased morbidity and mortality. The RDTs currently are used to supplement microscopy in the diagnosis of malaria in many endemic countries. However their efficiency as a screening tool for the detection of malaria in donors or in transfusion recipients has not been well evaluated. This study aimed to determine the efficiency of malaria RDT in the detection of post transfusion malaria. Material and methods: The study was conducted from November 2014 to April 2015. Blood samples from 179 patients and their corresponding donors were tested for Plasmodium parasitaemia using RDT and microscopy. The recipients’ blood samples were obtained within 48 hours after transfusion for malaria diagnosis. To determine the incidence of post transfusion malaria, 32 patients were purposefully selected. Their pre-transfusion, post transfusion and donor blood samples were tested for malaria using PCR. Results: Approximately 52% of the study population were within the age group of 0 - < 1 year. Prevalence of malaria in blood donors was 27% by RDT and 7% by microscopy. Prevalence at pre-transfusion was 34% by RDT and 13% by microscopy. Prevalence at post transfusion was 59% by RDT and 4% by microscopy. Incidence of post transfusion malaria by PCR was 57%. The sensitivity of RDT in detecting malaria at post transfusion was 100%. Conclusion: Efficiency of malaria RDT as a tool for malaria diagnosis at post transfusion, among children under five years old is good. Clinicians should consider implementing the use of malaria RDT at post transfusion.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Determining the Efficiency of Malaria Rapid Diagnostic Test to Diagnose Post Transfusion Malaria in Children Under Five Years Old at Komfo Anokye Teaching Hospital
    AU  - Djeneba Bouare
    AU  - Owusu Ofori Alex
    AU  - Mohammed Abdul-Rahim
    AU  - Der Muonir Edmund
    Y1  - 2020/03/17
    PY  - 2020
    N1  - https://doi.org/10.11648/j.cajph.20200603.13
    DO  - 10.11648/j.cajph.20200603.13
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 122
    EP  - 130
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20200603.13
    AB  - Background: Post-transfusion malaria in children under five years is associated with increased morbidity and mortality. The RDTs currently are used to supplement microscopy in the diagnosis of malaria in many endemic countries. However their efficiency as a screening tool for the detection of malaria in donors or in transfusion recipients has not been well evaluated. This study aimed to determine the efficiency of malaria RDT in the detection of post transfusion malaria. Material and methods: The study was conducted from November 2014 to April 2015. Blood samples from 179 patients and their corresponding donors were tested for Plasmodium parasitaemia using RDT and microscopy. The recipients’ blood samples were obtained within 48 hours after transfusion for malaria diagnosis. To determine the incidence of post transfusion malaria, 32 patients were purposefully selected. Their pre-transfusion, post transfusion and donor blood samples were tested for malaria using PCR. Results: Approximately 52% of the study population were within the age group of 0 - < 1 year. Prevalence of malaria in blood donors was 27% by RDT and 7% by microscopy. Prevalence at pre-transfusion was 34% by RDT and 13% by microscopy. Prevalence at post transfusion was 59% by RDT and 4% by microscopy. Incidence of post transfusion malaria by PCR was 57%. The sensitivity of RDT in detecting malaria at post transfusion was 100%. Conclusion: Efficiency of malaria RDT as a tool for malaria diagnosis at post transfusion, among children under five years old is good. Clinicians should consider implementing the use of malaria RDT at post transfusion.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • School of Medicine and Health Sciences, University for Developement Studies, Tamale, Ghana

  • Kumasi Centre for Collaborative Research (KCCR), Kumasi, Ghana

  • Kumasi Centre for Collaborative Research (KCCR), Kumasi, Ghana

  • Department of Pathology, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana

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