Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors
Abstract Background Transfusion with Plasmodium-infected blood represents a risk for malaria transmission, a rare but severe event. Several non-endemic countries implement a strategy for the screening of candidate blood donors including questionnaire for the identification of at-risk subjects and la...
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ftdoajarticles:oai:doaj.org/article:497a50fcdf53497897d3d0c3fb9e3486 2023-05-15T15:15:44+02:00 Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors Valentina D. Mangano Francesca Perandin Natalia Tiberti Massimo Guerriero Franca Migliaccio Marco Prato Lucia Bargagna Stefano Tais Monica Degani Federica Verra Zeno Bisoffi Fabrizio Bruschi 2019-01-01T00:00:00Z https://doi.org/10.1186/s12936-019-2650-0 https://doaj.org/article/497a50fcdf53497897d3d0c3fb9e3486 EN eng BMC http://link.springer.com/article/10.1186/s12936-019-2650-0 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2650-0 1475-2875 https://doaj.org/article/497a50fcdf53497897d3d0c3fb9e3486 Malaria Journal, Vol 18, Iss 1, Pp 1-9 (2019) Plasmodium Transfusion transmitted malaria ELISA IFAT Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-2650-0 2022-12-31T14:59:59Z Abstract Background Transfusion with Plasmodium-infected blood represents a risk for malaria transmission, a rare but severe event. Several non-endemic countries implement a strategy for the screening of candidate blood donors including questionnaire for the identification of at-risk subjects and laboratory testing of blood samples, often serology-based, with temporary deferral from donation for individuals with a positive result. In Italy, the most recent legislation, issued in November 2015, introduced the use of serological tests for the detection of anti-Plasmodium antibodies. Methods In the absence of a gold standard for malaria serology, the aim of this work was to evaluate five commercial ELISA kits, and to determine their accuracy (sensitivity and specificity) in comparison to immuno-fluorescence antibody test (IFAT), and their agreement (concordance of results). Serum samples from malaria patients or from subjects with malaria history (N = 64), malaria naïve patients with other parasitic infections (N = 15), malaria naïve blood donors (N = 8) and malaria exposed candidate blood donors (N = 36) were tested. Results The specificity of all ELISA kits was 100%, while sensitivity ranged between 53 and 64% when compared to IFAT on malaria patients samples. When tested on candidate blood donors’ samples, ELISA kits showed highly variable agreement (42–94%) raising the possibility that the same individual could be included or excluded from donation depending on the test in use by the transfusion centre. Conclusions These preliminary results indicate how the lack of a gold standard for malaria serology must be taken into account in the application and future revision of current legislation. There is need of developing more sensitive serological assays. Moreover, the adoption of a unique serological test at national level is recommended, as well as the development of screening algorithms based on multiple laboratory tests, including molecular assays. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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Plasmodium Transfusion transmitted malaria ELISA IFAT Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Plasmodium Transfusion transmitted malaria ELISA IFAT Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Valentina D. Mangano Francesca Perandin Natalia Tiberti Massimo Guerriero Franca Migliaccio Marco Prato Lucia Bargagna Stefano Tais Monica Degani Federica Verra Zeno Bisoffi Fabrizio Bruschi Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
topic_facet |
Plasmodium Transfusion transmitted malaria ELISA IFAT Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Transfusion with Plasmodium-infected blood represents a risk for malaria transmission, a rare but severe event. Several non-endemic countries implement a strategy for the screening of candidate blood donors including questionnaire for the identification of at-risk subjects and laboratory testing of blood samples, often serology-based, with temporary deferral from donation for individuals with a positive result. In Italy, the most recent legislation, issued in November 2015, introduced the use of serological tests for the detection of anti-Plasmodium antibodies. Methods In the absence of a gold standard for malaria serology, the aim of this work was to evaluate five commercial ELISA kits, and to determine their accuracy (sensitivity and specificity) in comparison to immuno-fluorescence antibody test (IFAT), and their agreement (concordance of results). Serum samples from malaria patients or from subjects with malaria history (N = 64), malaria naïve patients with other parasitic infections (N = 15), malaria naïve blood donors (N = 8) and malaria exposed candidate blood donors (N = 36) were tested. Results The specificity of all ELISA kits was 100%, while sensitivity ranged between 53 and 64% when compared to IFAT on malaria patients samples. When tested on candidate blood donors’ samples, ELISA kits showed highly variable agreement (42–94%) raising the possibility that the same individual could be included or excluded from donation depending on the test in use by the transfusion centre. Conclusions These preliminary results indicate how the lack of a gold standard for malaria serology must be taken into account in the application and future revision of current legislation. There is need of developing more sensitive serological assays. Moreover, the adoption of a unique serological test at national level is recommended, as well as the development of screening algorithms based on multiple laboratory tests, including molecular assays. |
format |
Article in Journal/Newspaper |
author |
Valentina D. Mangano Francesca Perandin Natalia Tiberti Massimo Guerriero Franca Migliaccio Marco Prato Lucia Bargagna Stefano Tais Monica Degani Federica Verra Zeno Bisoffi Fabrizio Bruschi |
author_facet |
Valentina D. Mangano Francesca Perandin Natalia Tiberti Massimo Guerriero Franca Migliaccio Marco Prato Lucia Bargagna Stefano Tais Monica Degani Federica Verra Zeno Bisoffi Fabrizio Bruschi |
author_sort |
Valentina D. Mangano |
title |
Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
title_short |
Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
title_full |
Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
title_fullStr |
Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
title_full_unstemmed |
Risk of transfusion-transmitted malaria: evaluation of commercial ELISA kits for the detection of anti-Plasmodium antibodies in candidate blood donors |
title_sort |
risk of transfusion-transmitted malaria: evaluation of commercial elisa kits for the detection of anti-plasmodium antibodies in candidate blood donors |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-2650-0 https://doaj.org/article/497a50fcdf53497897d3d0c3fb9e3486 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-9 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-019-2650-0 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2650-0 1475-2875 https://doaj.org/article/497a50fcdf53497897d3d0c3fb9e3486 |
op_doi |
https://doi.org/10.1186/s12936-019-2650-0 |
container_title |
Malaria Journal |
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18 |
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1 |
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1766346080239222784 |