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Table 5 Performance of uRDT and cRDT against qPCR, according to the trimester of pregnancy, gravidity, and presence of fever

From: Prevalence and clinical impact of malaria infections detected with a highly sensitive HRP2 rapid diagnostic test in Beninese pregnant women

 

URDT

CRDT

P-valuea

Sensitivity (95% CI)

 1st trimester

57.0% (47.1–66.5)

38.3% (29.1–48.2)

< 10−3

 3rd trimester

64.9% (47.5–79.8)

54.1% (36.9–70.5)

0.05

 Delivery (peripheral blood)

83.3% (58.6–96.4)

61.1% (35.7–82.7)

0.05

 Delivery (placental blood)

40.0% (12.2 –73.8)

40.0% (12.2–73.8)

 Primi and Secundigravidae

56.5% (41.1–71.1)

43.5% (28.9–58.9)

0.01

 Multigravidae (3 +)

63.6% (54.2–72.2)

44.9% (35.7–54.3)

< 10−3

 Asymptomatic

60.8% (52.3–68.9)

43.4% (35.1–51.9)

< 10−3

 Symptomatic*

66.7% (41.0 –86.7)

50.0% (26.0–74.0)

0.08

Specificity (95% CI)

 1st trimester

91.5% (86.9–94.9)

95.7% (92.1 –98.0)

0.003

 3rd trimester

95.7% (92.0–98.0)

97.1% (93.8–99.0)

0.08

 Delivery (peripheral blood)

96.4% (92.2–98.7)

97.6%(94.0–99.3)

0.16

 Delivery (placental blood)

91.3% (86.3–94.9)

92.4% (87.6–95.8)

0.41

 Primi and Secundigravidae

93.9% (88.4–97.3)

97.0% (92.4–99.2)

0.05

 Multigravidae (3 +)

94.5% (92.1–96.3)

96.3% (94.3–97.8)

0.007

 Asymptomatic

94.6% (92.3–96.4)

97.1% (95.3–98.4)

< 10−3

 Symptomaticb

92.2% (82.7–97.4)

93.7% (84.8–98.3)

0.32

  1. RECIPAL study, 2014–017
  2. aComparison of uRDT and cRDT performance using McNemar test for matched pairs. Exact binomial confidence intervals were computed
  3. bPresence of fever (axillary temperature ≥ 37.5 °C) or history of fever in the preceding 24 h, whether or not infected with malaria