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Table 1 Sensitivity of different malaria tests as a factor of parasite density or antigen concentration

From: Multiplex malaria antigen detection by bead-based assay and molecular confirmation by PCR shows no evidence of Pfhrp2 and Pfhrp3 deletion in Haiti

Test

Probability of test positivity

50%

75%

90%

95%

Parasite density thresholds (Pf p/μL)

 HRP2 RDT+

–

6.1 (2.1–11)

27.7 (12–53)

77.5 (31–177)

 Bead-based HRP2+

–

–

–

3.2 (1.5–130)

 Bead-based pAldo+

2.5 (1.5–6.7)

30.8 (12–60)

377.1 (147–1073)

2056 (520–8527)

 Bead-based pLDH+

18.3 (6.6–37)

266.1 (135–576)

3901 (1190–14,589)

–

Parasite density thresholds (Pf p/μL)

 Positivity to any one antigen

1.7 (1.3–2.2)

3.0 (2.2–4.4)

5.5 (3.3–8.5)

8.3 (4.1–13)

 Positivity to any two antigens

6.7 (4.5–9.8)

27.3 (18–42)

110.2 (60–190)

285.3 (130–540)

 Positivity to all three antigens

57.1 (37–87)

375.0 (224–648)

2464 (1119–5210)

8909 (3109–NA)

HRP2 concentration thresholds (HRP2 pg/mL)

 HRP2 RDT+

561.5 (305–899)

1609 (925–2472)

4548 (2438–7806)

9346 (4185–17,432)

  1. HRP2 histidine-rich protein 2, RDT rapid diagnostic test, pAldo pan-Plasmodium aldolase, pLDH pan-Plasmodium lactate dehydrogenase