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. 2011 Jul 6;2011(7):CD008122. doi: 10.1002/14651858.CD008122.pub2

Gerstl 2009.

Clinical features and settings Presenting signs and symptoms: Fever (axillary temperature >37.5 °C) or history of fever in the previous 72 h and no signs of severe disease
Previous treatment for malaria: Not mentioned, either as an inclusion criteria or characteristic of included participants
Clinical setting: MSF community health centre
Country: Sierra Leone (Bo District, Eastern Sierra Leone)
Malaria endemicity: Hyperendemic
Malaria endemic species:P. falciparum
Participants Sample size: 345
Age: Inclusion criteria 2 to 59 months
Sex: Both males and females eligible
Co‐morbidities: No exclusions based on co‐morbidities; no information presented about the frequency of co‐morbid conditions in the study sample
Parasite density of microscopy positive cases: Not presented
Study design Enrollment was consecutive and prospective. One test was evaluated.
Target condition and reference standard(s) Target condition: Malaria parasitaemia
Reference standard: Microscopy
Person(s) performing microscopy: Not stated
Microscopy setting: Not stated
Number of high power fields examined before declaring negative: Not stated
Number of observer or repeats: Not stated
Resolution of discrepancies between observers: Not applicable
Index and comparator tests Commerical name of RDT:
ParaCheck‐Pf (Orchid Biomedical Systems, Goa, India)
Carestart Pf/Pan
Parasite(s) designed to detect:
ParaCheck‐Pf ‐ P. falciparum
Carestart Pf/Pan ‐ P. falciparum or mixed infection, non‐falciparum malaria species only
Designated Type:
ParaCheck‐Pf ‐ Type 1
Carestart 3 line ‐ Type 4
Batch numbers: Not stated
Transport and storage conditions: Not described
Person(s) performing RDT: Not stated
RDT setting: Not stated
Follow‐up Not applicable
Notes Source of funding: Not stated
Table of Methodological Quality
Item Authors' judgement Description
Representative spectrum? 
 All tests Yes Participants were a consecutive sample of children presenting to a community health centre with fever
Acceptable reference standard? 
 All tests Unclear No information was provided about the microscopy process
Partial verification avoided? 
 All tests Unclear Not enough information presented to assess this
Differential verification avoided? 
 All tests Unclear 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 Unclear Blinding not described
Index test results blinded? 
 All tests Unclear Blinding not described
Uninterpretable results reported? 
 All tests Unclear Not enough information presented to enable assessment of this
Withdrawals explained? 
 All tests Unclear Not enough information presented to enable assessment of this