Evidence map›Paper›PMID 15814983›Full record

ArticleJournal of clinical microbiology2005

Utility of pooled urine specimens for detection of Chlamydia trachomatis and Neisseria gonorrhoeae in men attending public sexually transmitted infection clinics in Mumbai, India, by PCR.

Christina Lindan, Meenakshi Mathur, Sameer Kumta, Hermangi Jerajani, Alka Gogate, Julius Schachter, Jeanne Moncada

Abstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Article
  6. Review
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  8. Article
  9. Determination of Varying Group Sizes for Pooling Procedure.Computational and mathematical methods in medicine · 2019
    Article
  10. Detection ofThe Indian journal of medical research · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Recommendations for the laboratory-based detection of Chlamydia trachomatis and Neisseria gonorrhoeae--2014.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2014
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Bias, efficiency, and agreement for group-testing regression models.Journal of statistical computation and simulation · 2009
    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

7 authors.

Christina LindanInstitute for Global Health, Department of Epidemiology, Center for AIDS Prevention Studies, San Francisco, CA 94110, USA.
Meenakshi Mathur
Sameer Kumta
Hermangi Jerajani
Alka Gogate
Julius Schachter
Jeanne Moncada

Funding

AN INTERVENTION FOR MALE STD PATIENTS IN INDIAR01AI043914 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LINDAN, CHRISTINA P · 2000 to 2006
$3.9M
NIAID NIH HHS R01 AI043914NIAID NIH HHS R01-AI43914
6 · The paper itself

Abstract

Pooling urogenital specimens for the detection of Chlamydia trachomatis and Neisseria gonorrhoeae by nucleic acid amplification tests is an attractive alternative to individual testing. As pooling can reduce the costs of testing as well as labor, it has been advocated for use in resource-poor settings. However, it has neither been widely adopted nor evaluated for use in developing countries. We evaluated the practical use of pooling first-catch urine (FCU) specimens for the detection of C. trachomatis and N. gonorrhoeae from 690 men in Mumbai, India, by PCR. FCU, urethral smears, and swabs were collected from men seen at two sexually transmitted infection (STI) clinics. All laboratory testing was done at the Lokmanya Tilak General Hospital. Gram stain smears and culture isolation for N. gonorrhoeae were performed. Each FCU was tested individually and in pools using the Roche Amplicor PCR for C. trachomatis and N. gonorrhoeae with an internal control for inhibition. Specimen pools consisted of aliquots from five consecutively processed FCUs combined into an amplification tube. An optical density reading of > or =0.20 indicated a pool for which subsequent testing of individual samples was required. Prevalence by PCR on single specimens was 2.2% (15/690) for C. trachomatis and 5.4% (37/690) for N. gonorrhoeae. Compared to individual FCU results, pooling for C. trachomatis and N. gonorrhoeae had an overall sensitivity of 96.1% (50/52). Specificity was 96.5% (83/86) in that three pools required single testing that failed to identify a positive specimen. Pooling missed two positive specimens, decreased the inhibition rate, and saved 50.3% of reagent costs. In this resource-limited setting, the use of pooling to detect C. trachomatis and N. gonorrhoeae by PCR proved to be a simple, accurate, and cost-effective procedure compared to individual testing.

Indexed as

Ambulatory Care FacilitiesChlamydia InfectionsChlamydia trachomatisGonorrheaHumansIndiaMaleNeisseria gonorrhoeaePolymerase Chain ReactionSensitivity and SpecificitySexually Transmitted DiseasesSpecimen HandlingUrine

Identifiers

PMID15814983
PMCPMC1081387

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.