Evidence map›Paper›PMID 17267635›Full record

ArticleJournal of clinical microbiology2007

Real-time PCR assay for detection of quinolone-resistant Neisseria gonorrhoeae in urine samples.

Mark J Siedner, Mark Pandori, Lina Castro, Pennan Barry, William L H Whittington, Sally Liska, Jeffrey D Klausner

Registry-linked trialAbstract readComparative StudyEvaluation 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. It is linked to trial NCT05286931 (Evaluation of SpeeDx's Ciprofloxacin gyrA Assay for Clinical Care of STD Clinic Patients With Neisseria Gonorrhea), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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.

NCT05286931 narecruitingnot on this mapstarted 2022, after this paper: background citation

Evaluation of SpeeDx's Ciprofloxacin gyrA Assay for Clinical Care of STD Clinic Patients With Neisseria Gonorrhea

TypeinterventionalSponsorUniversity of WashingtonRan2022 to 2026Enrolled1,800ConditionsNeisseria Gonorrhoeae InfectionArmsCiprofloxacin 500 mg
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Resistance-Guided Treatment of Gonorrhea: A Prospective Clinical Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  3. Maximizing theJournal of clinical microbiology · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Resistance-Guided Therapy for Neisseria gonorrhoeae.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. The Laboratory Diagnosis ofPathogens (Basel, Switzerland) · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Molecular Antimicrobial Resistance ofInfectious diseases in obstetrics and gynecology · 2018
    Article
  19. Article
  20. Real-Time PCR Targeting theAntimicrobial agents and chemotherapy · 2017
    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.

Mark J SiednerJohns Hopkins School of Public Health, Baltimore, Maryland, USA.
Mark Pandori
Lina Castro
Pennan Barry
William L H Whittington
Sally Liska
Jeffrey D Klausner

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A need exists for the development of applicable surveillance tools to detect fluoroquinolone-resistant Neisseria gonorrhoeae (QRNG) in urine samples. We describe here a real-time PCR assay for detecting mutations in the Ser91 codon of the gyrA gene of N. gonorrhoeae in urine specimens. We tested 96 urine samples collected along with Gonorrhea Isolate Surveillance Project (GISP) urethral swab samples and compared the results with matched MICs of ciprofloxacin, as reported by the regional GISP laboratory. We then tested 100 urine specimens, known to be gonorrhea positive by nucleic acid amplification testing, provided by females to challenge the real-time PCR assay with urine specimens containing potentially less target DNA content than specimens from symptomatic males. With an MIC threshold of 0.125 mug of ciprofloxacin/ml, our assay correctly identified resistance in 41 of 44 (93.2%; 95% confidence interval [CI] = 81.3 to 98.6%) corresponding resistant culture specimens and correctly identified 51 of 51 (100%; 95% CI = 93.0 to 100%) susceptible specimens. One specimen did not amplify. The assay successfully amplified the gyrA amplicon and determined a susceptibility genotype in 72 of 100 (72%) urine specimens collected from female patients. We developed an assay for detecting QRNG in urine specimens that correlated well with MIC results of cultured specimens and had moderate sensitivity with urine specimens. This methodology might fulfill the need for a QRNG detection system for urine specimens, a useful characteristic in the age of nucleic acid amplification testing for gonococcal infection.

Indexed as

Amino Acid SubstitutionAnti-Bacterial AgentsDNA GyraseDrug Resistance, BacterialFemaleFluoroquinolonesGonorrheaHumansMaleMicrobial Sensitivity TestsMutation, MissenseNeisseria gonorrhoeaePolymerase Chain ReactionSensitivity and SpecificityUrethraUrineAnti-Bacterial AgentsDNA GyraseFluoroquinolones

Identifiers

PMID17267635
PMCPMC1865802

What OpenQuestion holds

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Registered trials

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.