Abstract:
:This opinion article deals with the diagnostic clinical challenges faced by clinicians or health care workers in malaria-endemic areas when a severely sick child presents to the clinic with fever, coma or respiratory distress. Indeed, the coexistence of malaria with other severe infections like meningitis, invasive bacterial infection or pneumonia makes appropriate treatment allocation a matter of life and death. The use of biomarkers has been proposed as a potential solution to this problem. The arrival of high-throughput technologies allowed thousands of molecules (transcripts, proteins and metabolites) to be been screened in clinical samples from large cohorts of well/characterised patients. The major aim of these studies was to identify biomarkers that inform important decisions: should this child be referred to hospital? Should antibiotics, anti-malarials, or both, be administered? There is a large discrepancy between the number of biomarker discovery studies published and the number of biomarkers that have been clinically validated, let alone implemented. This article reflects on the many opportunities and obstacles encountered in biomarker research in malaria-endemic areas.
journal_name
Malar Jjournal_title
Malaria journalauthors
Ackerman H,Casals-Pascual Cdoi
10.1186/s12936-018-2533-9subject
Has Abstractpub_date
2018-10-22 00:00:00pages
378issue
1issn
1475-2875pii
10.1186/s12936-018-2533-9journal_volume
17pub_type
杂志文章相关文献
MALARIA JOURNAL文献大全abstract:BACKGROUND:Slash and burn cultivators are a significant risk group for malaria in South-East Asia. As envisaged in the National Strategic Plan for Malaria Elimination, Bangladesh aims to achieve zero indigenous malaria transmission by 2030. For the national plan to move from malaria control to malaria elimination, targ...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-019-2849-0
更新日期:2019-06-25 00:00:00
abstract:BACKGROUND:Plasmodium ovale, considered the rarest of the malaria parasites of humans, consists of two morphologically identical but genetically distinct sympatric species, Plasmodium ovale curtisi and Plasmodium ovale wallikeri. These parasites resemble morphologically to Plasmodium vivax with which they also share a ...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-015-0985-8
更新日期:2015-11-14 00:00:00
abstract::Artesunate (AS) is a clinically versatile artemisinin derivative utilized for the treatment of mild to severe malaria infection. Given the therapeutic significance of AS and the necessity of appropriate AS dosing, substantial research has been performed investigating the pharmacokinetics of AS and its active metabolit...
journal_title:Malaria journal
pub_type: 杂志文章,评审
doi:10.1186/1475-2875-10-263
更新日期:2011-09-13 00:00:00
abstract:BACKGROUND:In south-eastern Senegal, malaria and onchocerciasis are co-endemic. Onchocerciasis in this region has been controlled by once or twice yearly mass drug administration (MDA) with ivermectin (IVM) for over fifteen years. Since laboratory-raised Anopheles gambiae s.s. are susceptible to ivermectin at concentra...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-9-365
更新日期:2010-12-20 00:00:00
abstract:BACKGROUND:The potential emergence and spread of resistance to artemisinins in the Plasmodium falciparum malaria parasite constitutes a major global health threat. Hence, improving the efficacy of artemisinins and of artemisinin-based combination therapy (ACT) represents a major short-term goal in the global fight agai...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-016-1317-3
更新日期:2016-05-06 00:00:00
abstract:BACKGROUND:Despite the abundance of studies conducted on the role of mosquitoes in malaria transmission, the biology and interaction of Plasmodium with its insect host still holds many mysteries. This paper provides the first study to follow the sporogonic cycle of Plasmodium vivax in a wild insecticide-resistant mysor...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-7-131
更新日期:2008-07-15 00:00:00
abstract:BACKGROUND:Artemisinin-based combination therapy is the first-line anti-malarial treatment for uncomplicated Plasmodium falciparum infection in Angola. To date, the prevalence of polymorphisms in the pfk13 gene, associated with artemisinin resistance, and pfmdr1, associated with lumefantrine resistance, have not been s...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-018-2233-5
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:The close relationship between vector-borne diseases and their environment is well documented, especially for diseases with water-dependent vectors such as avian malaria. Mosquitoes are the primary vectors of avian malaria and also the definitive hosts in the disease life cycle. Factors pertinent to mosquito...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-12-370
更新日期:2013-10-25 00:00:00
abstract:BACKGROUND:The massive deployment of life saving malaria interventions has not only resulted in a decline in disease burden but a change in the risk of infection and disease. The study reassesses the importance of known risk factors and reviews demographic and socio-economic determinants of malaria risk in the populati...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-13-306
更新日期:2014-08-08 00:00:00
abstract:BACKGROUND:Malaria is seasonal and this may influence the number of children being treated as outpatients in hospitals. The objective of this study was to investigate the degree of seasonality in malaria in lakeshore and highland areas of Zomba district Malawi, and influence of climatic factors on incidence of malaria....
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-017-1913-x
更新日期:2017-07-03 00:00:00
abstract:BACKGROUND:Standard methods for defining clinical malaria in intervention trials in endemic areas do not guarantee that efficacy estimates will be unbiased, and do not indicate whether the intervention has its effect by modifying the force of infection, the parasite density, or the risk of pathology at given parasite d...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-6-53
更新日期:2007-05-02 00:00:00
abstract:BACKGROUND:This analysis examined how the proportion of children less than 5-years-old who slept under a bed net the previous night changed during and after a national long-lasting insecticidal net (LLIN) distribution campaign in Sierra Leone in November-December 2010. METHODS:A citywide cross-sectional study in 2010-...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-015-0990-y
更新日期:2015-11-18 00:00:00
abstract:BACKGROUND:Molecular tools are very sensitive and specific and could be an alternative for the diagnosis of malaria. The complexity and need for expensive equipment may hamper implementation and, therefore, simplifications to current protocols are warranted. METHODS:A PCR detecting the different Plasmodium species and...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-11-279
更新日期:2012-08-17 00:00:00
abstract:BACKGROUND:The current status of insecticide resistance and the underlying resistance mechanisms were studied in the major vector of malaria, Anopheles culicifacies, and the secondary vector, Anopheles subpictus in five districts (Anuradhapura, Kurunegala, Moneragala, Puttalam and Trincomalee) of Sri Lanka. Eight other...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-7-168
更新日期:2008-08-28 00:00:00
abstract:BACKGROUND:Interest in the use of fungal entomopathogens against malaria vectors is growing. Fungal spores infect insects via the cuticle and can be applied directly on the insect to evaluate infectivity. For flying insects such as mosquitoes, however, application of fungal suspensions on resting surfaces is more reali...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-9-27
更新日期:2010-01-20 00:00:00
abstract:BACKGROUND:A key component of malaria elimination campaigns is the identification and targeting of high risk populations. To characterize high risk populations in north central Namibia, a prospective health facility-based case-control study was conducted from December 2012-July 2014. Cases (n = 107) were all patients p...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-017-1719-x
更新日期:2017-02-10 00:00:00
abstract:BACKGROUND:As South Africa strives to achieve malaria elimination by 2018 (zero local cases) the country needs to strengthen its disease surveillance system by reducing the timeliness from case diagnosis to notification of key stakeholders in the malaria programme. This study evaluated the feasibility of a 24-h mobile ...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-018-2451-x
更新日期:2018-08-23 00:00:00
abstract:BACKGROUND:Mosquitoes of the Anopheles gambiae species complex are the primary vectors of human malaria in sub-Saharan Africa. Many host genes have been shown to affect Plasmodium development in the mosquito, and so are expected to engage in an evolutionary arms race with the pathogen. However, there is little conclusi...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-8-117
更新日期:2009-06-04 00:00:00
abstract:BACKGROUND:Recent studies have demonstrated the deletion of the histidine-rich protein 2 (PfHRP2) gene (pfhrp2) in field isolates of Plasmodium falciparum, which could result in false negative test results when PfHRP2-based rapid diagnostic tests (RDTs) are used for malaria diagnosis. Although primary diagnosis of mala...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-014-0537-7
更新日期:2015-01-21 00:00:00
abstract:BACKGROUND:Rosetting is associated with severe malaria and a primary cause of death in Plasmodium falciparum infections. Detailed understanding of this adhesive phenomenon may enable the development of new therapies interfering with rosette formation. For this, it is crucial to determine parameters such as rosetting an...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-016-1243-4
更新日期:2016-04-18 00:00:00
abstract:BACKGROUND:Regular anti-malarial therapy in pregnancy, a pillar of malaria control, may affect malaria immunity, with therapeutic implications in regions of reducing transmission. METHODS:Plasma antibodies to leading vaccine candidate merozoite antigens and opsonizing antibodies to endothelial-binding and placental-bi...
journal_title:Malaria journal
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12936-015-0736-x
更新日期:2015-05-26 00:00:00
abstract::Malaria currently causes more harm to human beings than any other parasitic disease, and disproportionally affects low-income populations. The ethical issues raised by efforts to control or eliminate malaria have received little explicit analysis, in comparison with other major diseases of poverty. While some ethical ...
journal_title:Malaria journal
pub_type: 杂志文章,评审
doi:10.1186/s12936-015-1042-3
更新日期:2015-12-22 00:00:00
abstract:BACKGROUND:Subsistence rice farmers in south-eastern Tanzania are often migratory, spending weeks or months tending to crops in distant fields along the river valleys and living in improvised structures known as Shamba huts, not fully protected from mosquitoes. These farmers also experience poor access to organized pre...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-016-1616-8
更新日期:2016-11-22 00:00:00
abstract:BACKGROUND:Malaria is a widespread infectious disease that threatens a large proportion of the population in tropical and subtropical areas. Given the emerging resistance against the current standard anti-malaria chemotherapeutics, the development of alternative drugs is urgently needed. New anti-malarials representing...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-017-1839-3
更新日期:2017-05-15 00:00:00
abstract:BACKGROUND:For future eradication strategies of malaria it is important to control the transmission of gametocytes from humans to the anopheline vector which causes the spread of the disease. Sensitive, non-invasive methods to detect gametocytes under field conditions can play a role in monitoring transmission potentia...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-12-438
更新日期:2013-12-04 00:00:00
abstract:BACKGROUND:Given the risk of artemisinin resistance spreading from the Greater Mekong sub-region, prospective monitoring in sub-Saharan Africa should be expedited. Molecular biology techniques used for monitoring rely on the detection of k13 validated mutants by using PCR and Sanger sequencing approach, usually not ava...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/s12936-018-2329-y
更新日期:2018-04-24 00:00:00
abstract:BACKGROUND:Previous efforts to eradicate malaria parasites, particularly Plasmodium falciparum, have failed in part due to the emergence of drug resistant parasites and mosquitoes resistant to insecticides. Using an artemisinin-based combination therapy (ACT) that kills parasites quickly, a strategy was designed to eli...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-9-57
更新日期:2010-02-23 00:00:00
abstract:BACKGROUND:Malaria treatment policy recommends regular monitoring of drug utilization to generate information for ensuring effective use of anti-malarial drugs in Nigeria. This information is currently limited in the retail sector which constitutes a major source of malaria treatment in Nigeria, but are characterized b...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-13-243
更新日期:2014-06-24 00:00:00
abstract:BACKGROUND:The diagnosis of malaria can be difficult in non-endemic areas, such as the United States, and delays in diagnosis and errors in treatment occur too often. METHODS:A nationwide survey of laboratories in the United States and its nine dependent territories was conducted in 2010 to determine factors that may ...
journal_title:Malaria journal
pub_type: 杂志文章
doi:10.1186/1475-2875-10-340
更新日期:2011-11-10 00:00:00
abstract:BACKGROUND:Several anti-malarial drugs are associated with adverse cardiovascular effects. These effects may be exacerbated when different anti-malarials are used in combination. There has been no report yet on the potential cardiac effects of the combination artesunate-amodiaquine. METHODS:Electrocardiographic (ECG) ...
journal_title:Malaria journal
pub_type: 临床试验,杂志文章
doi:10.1186/1475-2875-11-420
更新日期:2012-12-17 00:00:00