Table 1 Dynamics of infections detected by microscopy/RDT and PCR during longitudinal studies

From: The temporal dynamics and infectiousness of subpatent Plasmodium falciparum infections in relation to parasite density

Country, year

Follow-up frequency

Follow-up duration

% sub- microscopic out of infected samples (N)

% of ever infected individuals only having sub- microscopic samples, n/Nb

Odds ratio of any future slide-positive samples in sub- microscopic infected people versus PCR-negatives (95% CI)

Number of consecutive sub- microscopic samples per sub- microscopic episodeb

Infection status before and after sub- microscopic periods % (n) *b

Senegal, 200562

1 week

9 weeks

29.7 (277)

13.0%

22/169

2.03 (0.83, 6.48)

1: 96% (64)

2: 3% (2)

3: 1% (1)

M, SM, M: 5% (2)

M, SM, Neg: 25% (10)

Neg, SM, M: 5% (2)

Neg, SM, Neg: 65% (26)

Senegal, 200462

1 week

9 weeks

3.4 (269)

0.8%

3/369

N/A

1: 100% (10)

M, SM, M: 0%

M, SM, Neg: 0%

Neg, SM, M: 0%

Neg, SM, Neg: 100% (4)

Papua New Guinea, 200665

8 weeks, some time points with two surveys 24 h apart

16 months

36.1 (1128)

6.3%

15/239

1.72 (0.53, 5.57)

(variable follow-up)

M, SM, M: 30% (105)

M, SM, Neg: 25% (87)

Neg, SM, M: 16% (58)

Neg, SM, Neg: 30% (105)

Ghana, 1994–199564

4 weeks

12 months

25.6 (776)

17.5%

21/120

3.13 (1.52, 7.61)

1: 83% (143)

2: 16% (28)

3: 0.6% (1)

M, SM, M: 22% (22)

M, SM, Neg: 8% (8)

Neg, SM, M: 19% (19)

Neg, SM, Neg:50% (49)

Senegal, 200363 a

8 times in 3 days

3 days

0.0 (168)

0%

0/21

N/A

0

M, SM, M: 0%

M, SM, Neg: 0%

Neg, SM, M: 0%

Neg, SM, Neg: 0%

Ghana, 200032

2 months

12 months

27.4 (1436)

9.1%

30/328

1.0 (0.36, 2.77)

1: 81% (116)

2: 22% (25)

3: 1% (2)

M, SM, M: 62% (89)

M, SM, Neg: 17% (25)

Neg, SM, M: 7% (10)

Neg, SM, Neg: 13% (19)

Tanzania 199666

1 month

6 months

20.7 (338)

8%

5/60

3.09 (0.92, 10.36)

1: 76% (52)

2: 18% (12)

3: 4% (3)

4: 0% (0)

5: 1% (1)

M, SM, M: 40% (27)

M, SM, Neg: 24% (16)

Neg, SM, M: 6% (4)

Neg, SM, Neg: 30% (20)

  1. Details of these studies are given in Supplementary Table 2. Note: the relative densities of different parasite genotypes were not measured, and individuals may have contracted superinfections during the study
  2. *Only includes submicroscopic periods with non-missing samples before and afterwards.
  3. M, SM, M = microscopy-positive sample, followed by submicroscopic sample(s), followed by microscopy-positive sample
  4. M, SM, Neg = microscopy-positive sample, followed by submicroscopic sample(s), followed by sample negative by PCR and microscopy
  5. Neg, SM, M = sample negative by PCR and microscopy, followed by submicroscopic sample(s), followed by microscopy-positive sample
  6. Neg, SM, Neg = sample negative by PCR and microscopy, followed by submicroscopic sample(s), followed by sample negative by PCR and microscopy
  7. aIndividuals were selected based on being slide-positive at the initial time point
  8. bResults from different studies are not fully equivalent since they depend on sampling frequency, the sensitivity of the different methods, and treatment