Volume 21, Number 7—July 2015
Dispatch
Asymptomatic Malaria and Other Infections in Children Adopted from Ethiopia, United States, 2006–2011
Senait M. Adebo, Judith K. Eckerle, Mary E. Andrews, Cynthia R. Howard, and Chandy C. John
Table 1
Value of certain characteristics or findings for predicting asymptomatic malaria parasitemia in children adopted from Ethiopia who were seen at the University of Minnesota International Adoption Clinic, Minneapolis, Minnesota, USA, 2006–2011*
| Characteristic or finding | Malaria, no. (%) |
Sensitivity, % | Specificity, % | PPV, % | NPV, % | |
|---|---|---|---|---|---|---|
| Positive, n = 7† | Negative, n = 45 | |||||
| History of hepatomegaly | 0 | 1 (2.2) | 0 | 97.8 | 0 | 86.3 |
| History of splenomegaly | 3 (42.8) | 2 (4.4) | 42.8 | 95.6 | 60.0 | 91.5 |
| Presence of splenomegaly during examination | 2 (28.6) | 3 (6.7) | 28.6 | 92.3 | 40.0 | 89.4 |
| Presence of hepatomegaly during examination | 1 (14.3) | 7 (15.6) | 14.3 | 84.4 | 12.5 | 86.4 |
| History of splenomegaly or presence during examination | 3 (42.8) | 4 (8.9) | 42.8 | 91.1 | 42.9 | 91.1 |
| Hemoglobin level of <11 g/dL | 2 (28.6) | 6 (13.3) | 28.6 | 87.7 | 25.0 | 88.7 |
*NPV, negative predictive value; PPV, positive predictive value.
†Children who were malaria-positive by blood smear or PCR testing.
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