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Table 2 Proportion of pfhrp2 and pfhrp3 gene deletion overall, by RDT−/microscopy+/PCR+, RDT+/microscopy+/PCR+ and by geographical location

From: Molecular surveillance reveals the presence of pfhrp2 and pfhrp3 gene deletions in Plasmodium falciparum parasite populations in Uganda, 2017–2019

Gene deletion

Overall proportions and stratified by RDT/microscopy results

Total (N = 300), Proportion

n (%, 95% CI)

RDT-/micro+/PCR+

N = 165

n (%, 95% CI)

RDT+/micro+/PCR+

N = 135

n (%, 95% CI)

Prevalence ratio

(RDT-/RDT+)

n (95% CI)

p value

Any deletion

29 (9.7, 6.6–13.6)

24 (14.5, 9.5–20.9)

5 (3.7, 1.2–8.4)

3.9 (1.5–10.0)

0.002

pfhrp2/pfhrp3+

10 (3.3, 1.6–6.0)

9 (5.5, 2.5–10.1)

1 (0.7, 0.0–4.1)

7.4 (1.0–57.4)

0.021

pfhrp2 +/pfhrp3

9 (3.0, 1.4-5.6)

5 (3.0, 1.0–6.9)

4 (3.0, 0.8–7.4)

1.02 (0.3–3.7)

1.000

pfhrp2/pfhrp3

10 (3.3, 1.6–6.0)

10 (6.1, 2.9–10.9)

0 (0.0, 0.0–2.7)

N/A

0.004

pfhrp2 +/pfhrp3+

185 (61.7, 55.9–67.2)

61 (37.0, 29.6–44.8)

124 (91.9, 85.9–95.9)

0.4 (0.3–0.5)

0.001

Deletions by geographical location

Gene deletion

Eastern (N = 170), n (%, 95% CI)

Western (N = 130),

n (%, 95% CI)

Prevalence ratio

(Eastern/Western)

n (95% CI)

p-value

Any deletion

25 (14.7, 9.7–20.0)

4 (3.1, 0.8–7.7)

4.8 (1.7–13.4)

0.001

pfhrp2/pfhrp3+

8 (4.7, 2.1–9.1)

2 (1.5, 0.2–5.4)

3.1 (0.7–14.2)

0.125

pfhrp2+/pfhrp3

8 (4.7, 2.1–9.1)

1 (0.8, 0.0–4.2)

6.1 (0.8–48.3)

0.050

pfhrp2/pfhrp3

9 (5.3, 2.4–9.8)

1 (0.8, 0.0–4.2)

6.9 (0.9–53.6)

0.032

pfhrp2+/pfhrp3+

102 (60.0, 52.2–67.4)

83 (63.8, 55.0–72.1)

0.9 (0.8–1.1)

0.502

  1. Parasite isolates were categorized as those in which the pfhrp2 gene was deleted but pfhrp3 gene present (pfhrp2/pfhrp3+), the pfhrp3 gene deleted but pfhrp2 gene present (pfhrp2+/pfhrp3−), those in which both genes were deleted (pfhrp2/pfhrp3−) and those where both pfhrp2 and pfhrp3 genes were present (pfhrp2+/pfhrp3+). Any deletion means total (overall) number of samples where deletion of any type was detected (summation of pfhrp2/pfhrp3+, pfhrp2+/pfhrp3− and pfhrp2/pfhrp3−)