Skip to main content
. 2011 Jul 6;2011(7):CD008122. doi: 10.1002/14651858.CD008122.pub2

Willcox 2009b.

Clinical features and settings Presenting signs and symptoms: Symptoms of uncomplicated malaria, primarily fever
Previous treatment for malaria: No exclusion criteria based on previous antimalarial use, and no data presented on the numbers that previously used antimalarials
Clinical setting: Village health worker
Country: Mali
Malaria endemicity: Mesoendemic
Malaria endemic species: mainly P. falciparum
Participants Sample size: 143 aged five or over (301 total)
Age: All ages included in the study. Refers only to the analysis of participants over the age of five years.
Sex: Both males and females eligible.
Co‐morbidities and pregnancy: No exclusion criteria based on co‐morbidities. No details of the frequency of these conditions in the participant population is presented.
Parasite density of microscopy positive cases: Geometric mean 267 parasites per μl, 95% CI 172 to 413
Study design Enrollment was consecutive and prospective. One RDT was tested.
Target condition and reference standard(s) Target condition: Malaria parasitaemia
Reference standard: Microscopy thick and thin blood smears
Person(s) performing microscopy: Experienced microscopists
Microscopy setting: Field laboratory
Number of high power fields examined before declaring negative: 100
Number of observer or repeats: Two independent microscopists
Resolution of discrepancies between observers: Cross checked until both microscopists agreed.
Index and comparator tests Commerical name of RDT: Paracheck Pf (Orchid Biomedical Systems, Goa, India)
Parasite(s) designed to detect:P. falciparum
Designated Type: Type 1
Batch numbers: Not stated
Transport and storage conditions: Stored at room temperatures of up to 40°C
Person(s) performing RDT: A clinician and a laboratory technician from the research team
RDT setting: Field laboratory
Follow‐up Not applicable
Notes Source of funding: Swiss Agency for Development and Co‐operation. Orchid Biomedical Systems supplied the Paracheck Pf tests free of charge.
Table of Methodological Quality
Item Authors' judgement Description
Representative spectrum? 
 All tests Yes Participants were a consecutive series of patients presenting with suspected malaria
Acceptable reference standard? 
 All tests Yes Two experienced microscopists viewed 100 high power fields before declaring a slide negative
Partial verification avoided? 
 All tests Yes All participants who received the index test also received the reference test
Differential verification avoided? 
 All tests Yes The same reference test was used regardless of the index test results
Incorporation avoided? 
 All tests Yes The index test does not form part of the reference standard
Reference standard results blinded? 
 All tests Yes Reported that microscopists were blinded to the results of the RDTs
Index test results blinded? 
 All tests Yes Dipsticks were labelled with random numbers so that the people recording the results did not know which people the tests belonged to
Uninterpretable results reported? 
 All tests Yes There were no uninterpretable test results (the control line was positive in all cases)
Withdrawals explained? 
 All tests Yes The number of participants enrolled was explicitly stated and corresponded to the number presented in the analysis; therefore there were no withdrawals