Malaria Antigen Report Format

Pathology
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What is the Malaria Antigen Test?

The Malaria Antigen test is a rapid diagnostic test (RDT) that detects specific proteins (antigens) released by Plasmodium parasites in the blood. It helps in the quick diagnosis of malaria, particularly Plasmodium falciparum and Plasmodium vivax.

What is a Malaria Antigen Report Format?

A malaria antigen report presents the result of a rapid immunochromatographic test or ELISA, confirming the presence or absence of malarial infection. It may also differentiate between species, especially in dual antigen kits.

Tests Included in Malaria Antigen Report

Test

Description

HRP2 (P. falciparum)

Detects Histidine-Rich Protein 2 antigen specific to P. falciparum.

pLDH (Pan or Pv)

Detects parasite lactate dehydrogenase; Pan detects all species, Pv targets P. vivax.

Key Parts of a Malaria Antigen Report

Key Part

Description

Sample Type

Whole blood or EDTA blood.

Test Method

Immunochromatographic card test (Rapid Test) or ELISA.

Result

Reported as Positive, Negative, or Invalid for each antigen type.

Interpretation

Indicates active infection and the species involved.

Reference Range for Malaria Antigen Report

Antigen

Result

HRP2 (Pf)

Negative: No P. falciparum antigen detected

pLDH (Pan/Pv)

Negative: No malaria parasite antigen detected

Parameters to Consider in Malaria Antigen Report

Parameter

Interpretation

HRP2 Positive

Confirms infection with P. falciparum.

pLDH Positive (Pan)

Indicates malaria infection; species identification may require microscopy.

pLDH Positive (Pv)

Confirms infection with P. vivax.

Dual Positivity

May suggest mixed infection—requires further confirmation.

Guidelines for Malaria Antigen Report Format

Guideline

Description

Test Timing

Most reliable during symptomatic febrile phase.

Sample Handling

Ensure proper blood collection and timely testing.

Species Differentiation

Report species if the kit supports it. Use microscopy or PCR if needed.

What Do the Results Mean?

Result Type

Interpretation

HRP2 Positive

Indicates active P. falciparum infection.

pLDH Pan Positive

Suggests malaria infection—species not differentiated.

pLDH Pv Positive

Indicates P. vivax infection.

All Negative

No malaria antigen detected; infection unlikely or below detection limit.

Malaria Antigen Report Interpretation

Test

Interpretation

HRP2 / pLDH

Confirms presence of malaria antigen; differentiates between P. falciparum, P. vivax, or mixed infections. Best used for rapid screening in febrile patients.

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Structure of the DoraysLIS Report

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