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资源有限环境下疟疾诊断方法的进展:一项系统评价

Advances in Malaria Diagnostic Methods in Resource-Limited Settings: A Systematic Review.

作者信息

Yalley Akua K, Ocran Joyous, Cobbinah Jacob E, Obodai Evangeline, Yankson Isaac K, Kafintu-Kwashie Anna A, Amegatcher Gloria, Anim-Baidoo Isaac, Nii-Trebi Nicholas I, Prah Diana A

机构信息

Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Korle Bu, Accra P.O. Box KB 143, Ghana.

Department of Biomedical Sciences, School of Allied Health Sciences, University of Cape Coast, PMB, Cape Coast, Ghana.

出版信息

Trop Med Infect Dis. 2024 Aug 23;9(9):190. doi: 10.3390/tropicalmed9090190.


DOI:10.3390/tropicalmed9090190
PMID:39330879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11435979/
Abstract

Malaria continues to pose a health challenge globally, and its elimination has remained a major topic of public health discussions. A key factor in eliminating malaria is the early and accurate detection of the parasite, especially in asymptomatic individuals, and so the importance of enhanced diagnostic methods cannot be overemphasized. This paper reviewed the advances in malaria diagnostic tools and detection methods over recent years. The use of these advanced diagnostics in lower and lower-middle-income countries as compared to advanced economies has been highlighted. Scientific databases such as Google Scholar, PUBMED, and Multidisciplinary Digital Publishing Institute (MDPI), among others, were reviewed. The findings suggest important advancements in malaria detection, ranging from the use of rapid diagnostic tests (RDTs) and molecular-based technologies to advanced non-invasive detection methods and computerized technologies. Molecular tests, RDTs, and computerized tests were also seen to be in use in resource-limited settings. In all, only twenty-one out of a total of eighty (26%) low and lower-middle-income countries showed evidence of the use of modern malaria diagnostic methods. It is imperative for governments and other agencies to direct efforts toward malaria research to upscale progress towards malaria elimination globally, especially in endemic regions, which usually happen to be resource-limited regions.

摘要

疟疾继续在全球范围内构成健康挑战,其消除工作一直是公共卫生讨论的主要话题。消除疟疾的一个关键因素是早期准确检测疟原虫,尤其是在无症状个体中,因此强化诊断方法的重要性再怎么强调也不为过。本文回顾了近年来疟疾诊断工具和检测方法的进展。文中强调了与发达经济体相比,这些先进诊断方法在低收入和中低收入国家的使用情况。对谷歌学术、PubMed和多学科数字出版研究所(MDPI)等科学数据库进行了检索。研究结果表明,疟疾检测取得了重要进展,从使用快速诊断检测(RDT)和基于分子的技术到先进的非侵入性检测方法和计算机技术。分子检测、RDT和计算机检测也在资源有限的环境中得到应用。总体而言,在总共80个低收入和中低收入国家中,只有21个(26%)显示出使用现代疟疾诊断方法的证据。政府和其他机构必须将努力方向转向疟疾研究,以推动全球消除疟疾工作取得更大进展,特别是在通常资源有限的流行地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe3/11435979/508976218fdb/tropicalmed-09-00190-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe3/11435979/a817c9940a72/tropicalmed-09-00190-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe3/11435979/508976218fdb/tropicalmed-09-00190-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe3/11435979/a817c9940a72/tropicalmed-09-00190-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe3/11435979/508976218fdb/tropicalmed-09-00190-g002.jpg

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Advances in Malaria Diagnostic Methods in Resource-Limited Settings: A Systematic Review.

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引用本文的文献

[1]
Mini-review and situation report on the role and usefulness of nuclear medicine imaging for malaria.

Eur J Nucl Med Mol Imaging. 2025-8-20

[2]
China's Malaria R&D Innovations: A Scoping Review from 2013-2023.

China CDC Wkly. 2025-5-2

[3]
Aptamers as innovative tools for malaria diagnosis and treatment: advances and future perspectives.

Biol Methods Protoc. 2025-3-27

本文引用的文献

[1]
Prevalence of malaria resistance-associated mutations in circulating in 2017-2018, Bo, Sierra Leone.

Front Microbiol. 2022-12-2

[2]
Evaluation of an ultrasensitive HRP2-based rapid diagnostic test for detection of asymptomatic Plasmodium falciparum parasitaemia among children in western Kenya.

Malar J. 2022-11-16

[3]
Malaria Detection Accelerated: Combing a High-Throughput NanoZoomer Platform with a ParasiteMacro Algorithm.

Pathogens. 2022-10-14

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A Systematic Review on Suitability of Molecular Techniques for Diagnosis and Research into Infectious Diseases of Concern in Resource-Limited Settings.

Curr Issues Mol Biol. 2022-9-21

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PLoS One. 2022

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Mem Inst Oswaldo Cruz. 2022

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Diagnostics (Basel). 2022-8-20

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Front Cell Infect Microbiol. 2022

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Malar J. 2022-6-27

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Sensors (Basel). 2022-6-8

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