Evidence map›Paper›PMID 23175252›Full record

ArticleJournal of clinical microbiology2013

Interlaboratory and interstudy reproducibility of a novel lateral-flow device and influence of antifungal therapy on detection of invasive pulmonary aspergillosis.

Nathan P Wiederhold, Laura K Najvar, Rosie Bocanegra, William R Kirkpatrick, Thomas F Patterson, Christopher R Thornton

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Lateral Flow DeviceOpen forum infectious diseases · 2025
    Article
  3. The Novel Monoclonal IgGJournal of fungi (Basel, Switzerland) · 2023
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. TheCurrent fungal infection reports · 2020
    Review
  9. Performance of Galactomannan Antigen, Beta-d-Glucan, andIndian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2017
    Article
  10. Review
  11. Rodent Models of Invasive Aspergillosis due toFrontiers in microbiology · 2017
    Review
  12. ImmunoPET/MR imaging allows specific detection of Aspergillus fumigatus lung infection in vivo.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Article
  13. Article
  14. Article
  15. Review
  16. Diagnosis and treatment of invasive fungal infections in the cancer patient: recent progress and ongoing questions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Nathan P WiederholdUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. wiederholdn@uthscsa.edu
Laura K Najvar
Rosie Bocanegra
William R Kirkpatrick
Thomas F Patterson
Christopher R Thornton
The University of Texas Health Science Center at San Antonio · USAustin College · USSouth Texas Veterans Health Care System · USUniversity of Exeter · GB

Funding

Invasive Aspergillosis Diagnosis by Antigen Capture with Lateral-Flow TechnologyR21AI085393 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI THORNTON, CHRISTOPHER ROWLAND, WIEDERHOLD, NATHAN P · 2010 to 2011
$324k
NIAID NIH HHS HHSN272201000038INIAID NIH HHS N01 AI030041NIAID NIH HHS R21 AI085393NIAID NIH HHS R21AI085393
6 · The paper itself

Abstract

Interest in lateral-flow devices (LFDs) as potential point-of-care assays for the diagnosis of infectious diseases has increased. Our objective was to evaluate the interlaboratory and interstudy reproducibility and the effects of antifungal therapy on an LFD developed for invasive pulmonary aspergillosis (IPA) detection. An established neutropenic guinea pig model of IPA caused by Aspergillus fumigatus was used. At predetermined time points (1 h and 3, 5, and 7 days postinoculation), blood and bronchoalveolar lavage (BAL) fluid were collected from infected and uninfected animals. In a separate experiment, guinea pigs were treated with posaconazole (10 mg/kg of body weight orally [p.o.] twice a day [BID]), voriconazole (10 mg/kg p.o. BID), liposomal amphotericin B (10 mg/kg intraperitoneally [i.p.] once a day [QD]), or caspofungin (2 mg/kg i.p. QD), and samples were collected on days 7 and 11. Each laboratory independently evaluated the IgG monoclonal antibody-based LFD. Galactomannan and (1 → 3)-β-D-glucan were also measured using commercially available kits. Good interlaboratory agreement was observed with the LFD, as the results for 97% (32/33) of the serum and 78.8% (26/33) of the BAL fluid samples from infected animals were in agreement. Good interstudy agreement was also observed. The serum sensitivity of each surrogate-marker assay was reduced in animals treated with antifungals. In contrast, these markers remained elevated within the BAL fluids of treated animals, which was consistent with the fungal burden and histopathology results. These results demonstrate that the LFD assay is reproducible between different laboratories and studies. However, the sensitivity of this assay and other markers of IPA may be reduced with serum in the presence of antifungal therapy.

Indexed as

Point-of-Care SystemsAnimalsAntifungal AgentsAspergillusBronchoalveolar Lavage FluidColony Count, MicrobialDisease Models, AnimalGalactoseGlucansGuinea PigsHumansInvasive Pulmonary AspergillosisMaleMannansReproducibility of ResultsTime FactorsAntifungal AgentsgalactomannanGalactoseGlucansMannans

Identifiers

PMID23175252
PMCPMC3553898
OpenAlexW1969704029

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.