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Fig 1.

Workflow of the study.

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Fig 2.

The one-dimensional (1D) ddPCR results from Bio-Rad QX100TM Droplet Reader of 18S rRNA Plasmodium genus detection and quantification assay.

The different amplitudes of positive droplets were observed when different PCR annealing temperatures were applied (A10: 65°C, D10: 62°C, E10: 60°C, F10: 59°C, H10: 57°C, F09: 60°C for negative control). Threshold for positive detection is 2500.

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Fig 3.

Probit analysis.

The 95% probability of detecting parasitaemia as low as 10.674 parasites/mL when high volume of blood samples was applied with Plasmodium genus ddPCR assay.

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Fig 4.

The linearity of ddPCR assays for 18S rRNA Plasmodium genus detection and quantification.

Linearity of ddPCR assay is shown using 5-fold serially diluted FACS concentrated DNA (from 2,000, 400, 80, 16 parasites/mL, respectively) and 18S rRNA concentration from ddPCR assay (copies/mL); R2 = 0.9986.

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Fig 5.

The column bar graphs show 18S rRNA copies/mL of blood obtained from single reaction ddPCR and duplex ddPCR assays.

Mean 95% CI of 18S rRNA of P. falciparum (5a), P. vivax (5b), P. malariae (5c) and P. ovale (5d).

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Table 1.

Identification of mixed infection by duplex ddPCR assay in comparison to real-time (performed in quadruplicate).

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Table 1 Expand

Table 2.

Diagnosis sensitivity and specificity of ddPCR assay for Plasmodium genus and species detection.

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Table 2 Expand