Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 12 / No. 3 / Published : 2006-07
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Original Article :
Diagnostic test of plasmodium malaria by immunochromatographic method compared to microscopic examination
Author :
- Ima Arum L*1
- Purwanto AP*2
- Arfi S*3
- Tetrawindu H,*4
- M Octora*5
- Mulyanto*6
- Surayah K*7
- Amanukarti*8
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
- Bagian Patologi Klinik FK UNDIP/RS Dr Kariadi Jl. Dr Sutomo 16-18 Semarang
Abstract :
Microscopic examination is still a gold standard for malaria diagnostic tests. Immunochromatographic (IC) technique can be used as an alternative examination. The aim is to compare the identification value of immunochromatographic method diagnostic test to microscopic examination of malaria in laboratory examination. Cross sectional diagnostic study approach was applied to those with symptoms of: (1) fever (temperature > 38°C) or intermittent fever lasting for two days or more (2) cephalgia/myalgia, 604 samples were taken consecutively in January to July 2005 from primary health centres of Sukaraja and Keruak, as well as Clinic Nugraha at Lombok Timur district , province of Nusa Tenggara Barat . From these samples, there were 37 samples with P.vivax, 45 samples with P. falciparum, 5 samples with mixed infection and 517 samples without Plasmodium sp. From IC examination, results were reserved for 36 samples with P. vivax, 69 samples with P. falciparum, 5 samples with mixed infection and 503 samples without Plasmodium sp. Diagnostic test data analysis showed that the immunochromatographic test revealed 100% sensitivity, 96.7% specificity, 83.2% positive predictive value and 100% negative predictive value. It can be concluded that malaria IC test is reliable to be used as a routine malaria test.
Keyword :
plasmodium malaria, immunochromatographic, diagnostic test, microscopic examination,
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