Validity of Rapid Diagnostic Test for Malaria Screening at Puskesmas Harapan Jayapura Regency

Zusana Lena Tulak
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Abstract

Malaria is an infectious disease caused by five types of Plasmodium and can cause death. Type of plasmodium that is infecting a malaria patient, should be diagnosis exactly in order to treat it properly, and can avoid death. This Malaria RDT iin Sentani Jayapura Regency, Papua Province, which is used in diagnosing malaria in the area. The aims of this study is to determine the specificity and sensitivity of the malaria RDT that used at the Harapan Public Health Center in Jayapura Regency compared to the gold standard (microscopic). This study is an survey descriptive study that describes factually the quality of the used RDT. The tools and materials used were the malaria RDT, slides, microscopes and other supporting materials for malaria microscopic examination. The sample used was finger blood from public health care visitors who had clinical symptoms of malaria. The test results showed that of the 19 samples examined there were 4 true positive samples (RDT and microscopic), and 13 true negative samples (RDT and microscopic), and 2 samples read invalid on RDT, but on microscopic examination it read negative. From the results of these readings, the sensitivity and specificity values ​​were obtained at 100%. The conclusion of this activity is that RDT is still effective as a malaria diagnostic tool that can detect it quickly and accurately, especially in high endemic areas such as Papua.
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希望县疟疾筛查快速诊断试验的有效性
疟疾是由五种疟原虫引起的传染病,可致人死亡。感染疟疾患者的疟原虫类型,应准确诊断,以便适当治疗,并可避免死亡。这是巴布亚省Sentani Jayapura县的疟疾RDT,用于诊断该地区的疟疾。本研究的目的是确定在Jayapura Regency的Harapan公共卫生中心使用的疟疾RDT与金标准(显微镜)相比的特异性和敏感性。本研究是一项调查描述性研究,实际描述了使用RDT的质量。使用的工具和材料为疟疾RDT、载玻片、显微镜等疟疾显微检查辅助材料。所使用的样本是来自有疟疾临床症状的公共卫生保健访问者的手指血。检测结果显示,19个样品中,真阳性样品(RDT和显微镜)4个,真阴性样品(RDT和显微镜)13个,2个样品在RDT上读无效,但在显微镜下读阴性。根据这些读数的结果,灵敏度和特异性值均为100%。这项活动的结论是,RDT仍然是一种有效的疟疾诊断工具,可以快速准确地发现它,特别是在巴布亚等高流行地区。
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