Detection and Identification of Malaria Parasites: A Review of Proficiency Test Results and Laboratory Practices
Detection and Identification of Malaria Parasites: A Review of Proficiency Test Results and Laboratory Practices
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DOI:
10.1309/lm0kc4beyhgdszcu
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发表时间:
2010-12-01
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影响因子:
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通讯作者:
Massey, Laura D.
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文献类型:
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作者:
Edson, Daniel C.;Glick, Teri;Massey, Laura D.
Background This study assesses proficiency test (PT) performance in detecting and identifying malaria parasites and examines malaria screening practices in laboratories in the United StatesMethod We reviewed PT data from 1999 to 2008 to determine the rates of unacceptable responses for detecting and identifying Plasmodium sp We also surveyed current PT participants to assess malaria screening practicesResults Laboratories were most proficient at detecting and identifying P falciparum and substantially less proficient at identifying P malariae, P vivax and P ovale Half of the surveyed laboratories failed to offer a complete diagnostic workup 25 0% failed to screen both thick and thin slides, and 36 1% failed to issue a final report within 24 hoursConclusion Educational programs should focus on identifying Plasmodium sp and distinguishing artifacts from parasites Laboratories should offer a complete diagnostic workup, either in house or by referral and ensure final results within 24 hours