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BinaxNOW Malaria rapid diagnostic test in returning travellers

Report by: Nicholas Kuhl MD, Resident Physician

Search checked by: Jeff Jones MD, Research Director, Emergency Physician

Institution: Grand Rapids Medical Education and Research, Michigan State University, Grand Rapids, Michigan, USA

Three-part question

In (recent travellers or migrants with fever and a history of exposure to malaria endemic areas) does the (BinaxNOW Malaria rapid diagnostic test) have (adequate diagnostic accuracy to guide initial treatment decisions)?

Clinical scenario

A 28-year-old woman presents to the emergency department with fever, influenza-like symptoms, and diarrhoea. History reveals she has recently returned from a 2-week trip to rural Kenya. You consider malaria in your differential and wonder if using the BinaxNOW Malaria rapid diagnostic test (RDT) has sufficient accuracy to guide your treatment decision and hasten disposition.

Search strategy

Ovid MEDLINE(R) 1950 to August Week 3 2010; Embase 1980 to 2010 Week …

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