Quality Control of Microscopic Diagnosis of Malaria in Healthcare Facilities and Submicroscopic Infections in Mossendjo, the Department of Niari, the Republic of the Congo
Grâce Petula Urielle Fila-Fila,
Felix Koukouikila-Koussounda,
Fabien Roch Niama,
Lauriate Prudencie Bissombolo Madingou,
Jordy Exaucé Demboux,
Aldi Fred Mandiangou,
Stéphane Vembe Mahounga,
Ahmed Jordy Doniama,
Louis Régis Dossou-Yovo,
Prisca Nadine Casimiro,
Pembe Issamou Mayengue
Affiliations
Grâce Petula Urielle Fila-Fila
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Felix Koukouikila-Koussounda
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Fabien Roch Niama
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Lauriate Prudencie Bissombolo Madingou
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Jordy Exaucé Demboux
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Aldi Fred Mandiangou
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Stéphane Vembe Mahounga
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Ahmed Jordy Doniama
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Louis Régis Dossou-Yovo
Laboratoire National de Santé Publique, Brazzaville P.O. Box 120, Congo
Prisca Nadine Casimiro
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
Pembe Issamou Mayengue
Département de Biologie Cellulaire et Moléculaire, Faculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville P.O. Box 69, Congo
The control and management of malaria are linked to the quality of diagnosis. We sought to estimate the performance of routine microscopy for malaria diagnosis and assess the prevalence of submicroscopic Plasmodium (P.) falciparum infection among febrile patients in two healthcare facilities in Mossendjo, the Republic of the Congo. A cross-sectional study was conducted between January and December 2022. A total of 650 and 234 patients with signs of uncomplicated malaria were enrolled at the Centre de Sante Intégré (CSIMSJ) and Hôpital de Base (HBMSJ), respectively. Two thick blood smears were performed for each patient, one analyzed by routine microscopists and the other by an expert. The msp-1 and msp-2 genes were genotyped to detect submicroscopic P. falciparum infection. At the CSIMSJ, the sensitivity was 49.5% and the specificity was 88.6%. The positive and negative predictive values were 77.7% and 68.7%, respectively. At the HBMSJ, the sensitivity was 32.9% and the specificity was 79.4%. The positive and negative predictive values were 44.8% and 69.5%, respectively. P. falciparum was the only species detected by routine microscopists, while experts identified some cases with P. malariae and P. ovale. The proportion of submicroscopic infections was 35.75%. Children under 5 years old had higher rates of parasitemia. However, submicroscopic infections were more pronounced in the adult group. The performance of routine malaria microscopists at Mossendjo was inaccurate at both sites. With the large proportion of submicroscopic infection, malaria management at Mossendjo requires the improvement of microscopists’ skills and the concomitant use of RDTs.
