Evidence map›Paper›PMID 11825961›Full record

ArticleJournal of clinical microbiology2002

Development and evaluation of a quantitative, touch-down, real-time PCR assay for diagnosing Pneumocystis carinii pneumonia.

Hans Henrik Larsen, Henry Masur, Joseph A Kovacs, Vee J Gill, Victoria A Silcott, Palaniandy Kogulan, Janine Maenza, Margo Smith, Daniel R Lucey, Steven H Fischer

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 172 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. The Brief Case: False-negativeJournal of clinical microbiology · 2024
    Article
  5. Axenic Long-Term Cultivation ofJournal of fungi (Basel, Switzerland) · 2023
    Article
  6. Journal of fungi (Basel, Switzerland) · 2023
    Article
  7. The Pathogenesis and Diagnosis ofJournal of fungi (Basel, Switzerland) · 2022
    Review
  8. Usefulness of ß-d-Glucan Assay for the First-Line Diagnosis ofJournal of fungi (Basel, Switzerland) · 2022
    Article
  9. Article
  10. Short Communication: Prevalence ofVeterinary medicine international · 2022
    Article
  11. Is It Possible to DifferentiateJournal of fungi (Basel, Switzerland) · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Comparison of three cost effective staining methods for detection ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Hans Henrik LarsenDepartment of Laboratory Medicine, National Institutes of Health, Bethesda, MD 20892, USA.
Henry Masur
Joseph A Kovacs
Vee J Gill
Victoria A Silcott
Palaniandy Kogulan
Janine Maenza
Margo Smith
Daniel R Lucey
Steven H Fischer
National Institutes of Health Clinical Center · USJohns Hopkins University · USNational Institutes of Health · US

Funding

MOLECULAR STUDIES OF HUMAN PNEUMOCYSTIS CARINIIZ01CL000192 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 1998 to 2008
$170k
Real-time PCR Assay For Diagnosis Of Pcp Using Oral WashZ01CL010331 · CLC · CLINICAL CENTER · PI FISCHER, STEVEN H · 2002 to 2007
$5k
The Utility-Oral Washes-Diagnose Pneumocytis PneumoniaZ01CL000189 · CLC · CLINICAL CENTER · PI MASUR, HENRY · 1998 to 2008
$0k
Study To Assess The Utility Of Oral Washes To Diagnose Pneumocystis PneumoniaZIACL000189 · CLC · CLINICAL CENTER · PI MASUR, HENRY · 2009 to 2014
$0k
Molecular Studies Of Human Pneumocystis CariniiZIACL000192 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 2009 to 2025
$0k
6 · The paper itself

Abstract

A rapid (time to completion, <4 h, including DNA extraction) and quantitative touch-down (QTD) real-time diagnostic Pneumocystis carinii PCR assay with an associated internal control was developed, using fluorescence resonance energy transfer (FRET) probes for detection. The touch-down procedure significantly increased the sensitivity of the assay compared to a non-touch-down procedure. Tenfold serial dilutions of a cloned target were used as standards for quantification. P. carinii DNA has been detected in respiratory specimens from patients with P. carinii pneumonia (PCP) and from patients without clinical evidence of PCP. The latter probably represents colonization or subclinical infection. It is logical to hypothesize that quantification might prove helpful in distinguishing between infected and colonized patients: the latter group would have lower copy numbers than PCP patients. A blinded retrospective study of 98 respiratory samples (49 lower respiratory tract specimens and 49 oral washes), from 51 patients with 24 episodes of PCP and 34 episodes of other respiratory disease, was conducted. PCR-positive samples from colonized patients contained a lower concentration of P. carinii DNA than samples from PCP patients: lower respiratory tract samples from PCP and non-PCP patients contained a median of 938 (range, 2.4 to 1,040,000) and 2.6 (range, 0.3 to 248) (P < 0.0004) copies per tube, respectively. Oral washes from PCP and non-PCP patients contained a median of 49 (range, 2.1 to 2,595) and 6.5 (range, 2.2 to 10) (P < 0.03) copies per tube, respectively. These data suggest that this QTD PCR assay can be used to determine if P. carinii is present in respiratory samples and to distinguish between colonization and infection.

Indexed as

Bronchoalveolar Lavage FluidDNA, BacterialHumansPneumocystisPneumonia, PneumocystisPolymerase Chain ReactionReproducibility of ResultsSensitivity and SpecificitySputumDNA, Bacterial

Identifiers

PMID11825961
PMCPMC153364
OpenAlexW2136616064

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.