Malaria
Conditions
Brief summary
This is a diagnostic efficacy study to evaluate a set of biomarkers in human breath indicative of an acute malaria infection. The investigators plan to enroll 75 malaria patients and 175 febrile non-malaria patients in Ethiopia. Upon enrollment, blood for malaria RDT, microscopy and PCR will be collected as well as a breath sample to assess the presence of biomarkers at a reference center. Malaria patients identified by microscopy are revisited at day 2 and 7 to collect a further samples. G6PD testing will be performed concurrently to identify prevalent G6PD variants.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Malaria cohort * Age ≥5 years of age * Malaria microscopy and / or Malaria RDT confirmed malaria infection * Fever (axillary temperature ≥37.5⁰C) or history of fever in preceding 48 hours * Written informed consent Febrile controls * Age ≥5 years of age * Fever (axillary temperature ≥37.5⁰C) or history of fever in preceding 48 hours * Absence of a malaria episode confirmed by malaria microscopy * Written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance of the VOC breathalyser | 7 days | Sensitivity and specificity of the VOC breathalyser compared to microscopy, rapid diagnostic tests (RDTs) and PCR for the diagnosis of clinical malaria. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of malaria parasite density with VOC concentrations | 7 days | The correlation of malaria parasite density with VOC concentrations in patients with clinical and subpatent malaria and the recovery profile of VOC following acute malaria. |
| G6PD variants | 1 day | G6PD variants within the local population |
| G6PD activity in U/gHb | 1 day | The distribution of G6PD enzyme activity in the local population measured in U/gHb. |
| Performance characteristics of qualitative and quantitative G6PD test formats. | 1 day | Sensitivity and specificity of other G6PD diagnostic assays compared to the gold standard spectrophotometry |