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RDT Quiz A Q3: Difference between revisions

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Revision as of 12:28, 24 November 2024

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RDT Quiz A Q3

When comparing RDT tests and morphology in the diagnosis of malaria which statements are true?

RDT tests offer superior species identification compared with microscopy
Well-trained microscopists diagnose malaria with equivalent or better sensitivity than RDT
MDT tests offer a more rapid initial diagnosis
RDT tests may be a preferred choice in some low-income countries
RDT tests provide a more accurate assessment of the % of infected red cells


Explanation of correct answer (click "Expand")
In ideal conditions a well-trained microscopist with experience in malaria, viewing a well-prepared thick blood film using a good quality microscope may detect with equal or better sensitivity than an RDT test.

In less ideal conditions where equipment, staining quality, or microscopic experience is less good, then RDTs may have equivalent or superior sensitivity to microscopy (including many malarial endemic regions where microscopy may be unavailable or where the sensitivity of microscopy is limited by training, equipment or facilities). RDTs aso provide a more rapid turnaround time allowing emergency use and rapid decision-making.


For species identification thin films are preferred to thick films or RTDS (including mixed infections), as they also allow more accurate identification of sepecies and the % of infected red-cells (for P.falciparum or P.knowlesi).


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