Paper II
2025 March (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Rapid diagnostic methods of Malaria

Q122 marksShort Notes

Answer

Rapid diagnostic methods of malaria:

  • Rapid Diagnostic Tests (RDTs) — immunochromatographic tests detecting parasite antigens: histidine-rich protein-2 (HRP-2) (specific for P. falciparum) or lactate dehydrogenase (pLDH)/aldolase (pan-species); results within 15–20 minutes, useful in field settings without microscopy access.
  • QBC (Quantitative Buffy Coat) method — fluorescence-based concentration technique using acridine orange staining, more sensitive than routine smear but does not allow precise species identification; results available within minutes.
  • PCR — highly sensitive/specific for detecting low-level/mixed infections, though turnaround time is longer than RDTs/QBC and it is not truly a “rapid” bedside test.

Comparison with conventional method: peripheral blood smear microscopy remains the gold standard for definitive species identification and parasitaemia quantification, but RDTs and QBC offer faster results, particularly valuable in resource-limited or high-throughput field settings.

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