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Table 1 Performance of Plasmodium detection tests in endemic populations: a) detection of the presence of parasites, b) diagnosis of a malaria. The parameters considered include the specificity of the test for the detection of parasites in blood (Snp), the corresponding specificity (Spp), the prevalence of malaria infection in the general population (x), and the pre-test probability of a malaria attack in a patient with fever (m)

From: Utility of the detection of Plasmodiumparasites for the diagnosis of malaria in endemic areas

a) Detection of parasites

 

Disease status

 

Malaria

Other febrile illness, parasites present

Other febrile illness, parasites absent

Positive parasite detection test

Snp

Snp

1-Spp

Negative parasite detection test

1-Snp

1-Snp

Spp

Column totals

1

1

1

Prevalence of infection in the general population

-

x

1-x

b) Detection of malaria (disease)

 

Malaria

Other febrile illness

Positive parasite detection test

Snp

Snp·x + (1-Spp)·(1-x)

Negative parasite detection test

1-Snp

(1-Snp)·x + Spp·(1-x)

Column totals

1

1

Pre-test probability of malaria

m

1-m