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American Journal of Public Health Research. 2022, 10(2), 36-41
DOI: 10.12691/AJPHR-10-2-1
Original Research

Diagnosis of Malaria: Comparing Malaria Rapid Diagnostic Test and Blood Film Microscopy among Febrile Children at a Tertiary Health Facility in Lafia Nasarawa State Nigeria

Aluku A1, Bello SO2, , Anazodo MC3, Aluku R1, Joshua A4, Tanze DY1, Kayode O5, Agbawu A1, Odonye CE3, Lawal AA6 and Hassan II3

1Department of Laboratory Sciences, Dalhatu Araf Specialist Hospital, Lafia Nasarawa State Nigeria

2Department of Paediatric, Dalhatu Araf Specialist Hospital, Lafia Nasarawa State Nigeria

3Department of Community Medicine, Dalhatu Araf Specialist Hospital, Lafia Nasarawa State Nigeria

4Department of Planning, Research and Statistics, Ministry of Health, Lafia Nasarawa State Nigeria

5Department of Medical Microbiology, Federal University Lafia, Nasarawa State Nigeria

6Department of Anatomy, Federal University Lafia, Nasarawa State Nigeria

Pub. Date: February 27, 2022
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Cite this paper

Aluku A, Bello SO, Anazodo MC, Aluku R, Joshua A, Tanze DY, Kayode O, Agbawu A, Odonye CE, Lawal AA and Hassan II. Diagnosis of Malaria: Comparing Malaria Rapid Diagnostic Test and Blood Film Microscopy among Febrile Children at a Tertiary Health Facility in Lafia Nasarawa State Nigeria. American Journal of Public Health Research. 2022; 10(2):36-41. doi: 10.12691/AJPHR-10-2-1

Abstract

Background: Malaria is an infectious disease caused by Plasmodium and transmitted by the bite of an infected female Anopheles mosquito. This study determined the knowledge of caregivers about malaria, prevalence of malaria and compares the results of testing for malaria using rapid diagnostic test (mRDT) and microscopy. Methods: A prospective study carried out among children < 15 years in Lafia Nigeria. Testing was done using the Histidine Rich Protein-2 RDT kit and blood film microscopy. Bivariate analysis was done. Significant p is < 0.05. Results: Mean age of this study population is 15.0 ± 4.6 years. The overall incidence of malaria using RDT was 45.4% while 16.5% was reported positive using microscopy. The positive RDT was highest among children aged 6 month to < 5 years. There was a statistically significant difference (p < 0.0001) between malaria diagnoses by RDT compared with the microscopy which implies that there is difference between the number of positive cases by mRDT and numbers of positive cases by microscopy. Overall 40 (14.1) participants were positive to both mRDT and microscopy in this study. Conclusions: There is high incidence of malaria in this study as one out of two febrile children seen had malaria. Rapid Diagnostic Test is a more efficient diagnostic tool for malaria compared with the microscopy. We therefore recommend; more efforts to be directed to halting the rising trend of new cases of malaria and RDT should be deployed at all levels of healthcare in diagnosing all febrile illness and prompt treatment based on the National guidelines.

Keywords

children, febrile, malaria, microscopy, rapid diagnostic test

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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