Evidence map›Paper›PMID 17251395›Full record

ArticleJournal of clinical microbiology2007

Multicenter beta trial of the GeneXpert enterovirus assay.

Christine B Kost, Beverly Rogers, M Steven Oberste, Christine Robinson, Brenda L Eaves, Kristi Leos, Susan Danielson, Malini Satya, Fred Weir, Frederick S Nolte

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. New Developments in Rapid Diagnostic Testing for Children.Infectious disease clinics of North America · 2018
    Review
  6. Article
  7. Review
  8. Article
  9. Laboratory diagnosis of viral infection.Handbook of clinical neurology · 2014
    Review
  10. Early-onset neonatal sepsis.Clinical microbiology reviews · 2014
    Review
  11. Article
  12. Review
  13. Article
  14. Evaluation of the Xpert Flu A Panel nucleic acid amplification-based point-of-care test for influenza A virus detection and pandemic H1 subtyping.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2010
    Article
  15. Article
  16. Detection of respiratory viruses by molecular methods.Clinical microbiology reviews · 2008
    Review
  17. 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 6 institutions in 1 country.

Christine B KostEmory University Hospital, 1365 Clifton Road N.E., Atlanta, GA 30322, USA.
Beverly Rogers
M Steven Oberste
Christine Robinson
Brenda L Eaves
Kristi Leos
Susan Danielson
Malini Satya
Fred Weir
Frederick S Nolte
Emory University · USCenters for Disease Control and Prevention · USChildren's Hospital Colorado · USChildren's Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The GeneXpert Dx system (Cepheid, Sunnyvale, CA) is a fully integrated and automated nucleic acid sample preparation, amplification, and real-time detection system. It consists of an instrument, a personal computer, and disposable fluidic cartridges. The analytical sensitivity and specificity of the GeneXpert enterovirus assay (GXEA) were determined with a panel of 63 different enterovirus serotypes and 24 other microorganisms, respectively. The potential for blood, hemoglobin, white blood cells, and excess protein to interfere with the assay was also assessed. The performance parameters of the GXEA were determined at three sites with 102 cerebrospinal fluid (CSF) samples obtained from patients with suspected meningitis. All samples were tested for enterovirus RNA with locally developed reverse transcription-PCR (RT-PCR) assays at the trial sites and with a seminested RT-PCR and an analyte-specific reagent (Cepheid) at a reference laboratory. The 5' nontranslated region was the target for all of the PCR assays except the seminested RT-PCR, which amplified a VP1 sequence. The VP1 amplicon was sequenced to identify the enterovirus types. Consensus reference laboratory RT-PCR results were used to classify cases of enteroviral meningitis. The GXEA detected all of the enterovirus serotypes and none of the other microorganisms tested except rhinovirus 16. The assay was unaffected by moderate amounts of blood or blood components. Thirty-six (35%) of the CSF samples tested had at least one positive PCR result. Eleven different enterovirus serotypes were identified in the positive samples. The GXEA had a sensitivity of 97.1% (95% confidence interval [CI], 84.7 to 99.9%) and a specificity of 100% (95% CI, 94.6 to 100%) for the diagnosis of enteroviral meningitis.

Indexed as

5' Untranslated RegionsBloodCerebrospinal FluidEnterovirusEnterovirus InfectionsHumansMeningitisMolecular Diagnostic TechniquesReverse Transcriptase Polymerase Chain ReactionRhinovirusRNA, ViralSensitivity and SpecificitySequence Analysis, DNAViral Proteins5' Untranslated RegionsRNA, ViralViral Proteins

Identifiers

PMID17251395
PMCPMC1865814
OpenAlexW2168278684

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.