Evidence map›Paper›PMID 23631664›Full record

ArticleBMC research notes2013

Single-platform, volumetric, CD45-assisted pan-leucogating flow cytometry for CD4 T lymphocytes monitoring of HIV infection according to the WHO recommendations for resource-constrained settings.

Donato Koyalta, Mohammad-Ali Jenabian, Ngamasra Nadjiouroum, Barou Djouater, Noël Djemadji-Oudjeil, Angélique Ndjoyi-Mbiguino, Laurent Bélec

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

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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 at 6 institutions in 6 countries.

Donato KoyaltaMinistère de la Santé Publique, N'Djamena BP 407, Chad. koyaltad@yahoo.fr
Mohammad-Ali Jenabian
Ngamasra Nadjiouroum
Barou Djouater
Noël Djemadji-Oudjeil
Angélique Ndjoyi-Mbiguino
Laurent Bélec
University of N'Djamena · TDComité National de Lutte contre le SIDA · CMHôpital Européen Georges-Pompidou · FRMcGill University Health Centre · CAMinistère de la Santé Publique · NEUniversité des Sciences de la Santé · GA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValidation of new affordable CD4 T cell measurement technologies is crucial specifically in resource-poor countries for antiretroviral treatment eligibility and immunologic CD4 monitoring of HIV-infected patients.

methodsThe absolute and percentage CD4 T cell counts of 258 HIV-1-infected blood samples (182 adults and 76 children), living in N'Djamena, Chad, were performed by single-platform, volumetric, CD45-assisted pan-leucogating Auto40 flow cytometer (Apogee Flow Systems Ltd, Hemel Hempstead, UK) comparing to the FACSCalibur flow cytometer as a reference method.

resultsAbsolute and percentage CD4 T cell counts obtained by Auto40 and FACSCalibur of 258 HIV-1-infected blood samples were highly correlated (r = 0.99 and r = 0.96, respectively). The mean absolute bias and percent bias between Apogee Auto40 and FACSCalibur absolute CD4 T cell counts, were -9.4 cells/μl with limits of agreement from -15 to 93 cells/μl, and +2.0% with limits of agreement from -0.9 to 4.9%, respectively. The mean of absolute bias and percent bias between Apogee Auto40 and FACSCalibur of CD4 percentage results were +0.4% (95% CI: -0.02 - 0.86) with limits of agreement from -2.4 to 0.3%, and +3.0% with limits of agreement from -6.6 to 0.6%, respectively. The Auto40 counting allowed to identify the majority of adults with CD4 T cells below 200 cells/μl (sensitivity: 89%; specificity: 99%) or below 350 cells/μl (sensitivity: 94%; specificity:98%); and of children below 750 cells/μl (sensitivity: 99%; specificity: 96%) or below 25% CD4+ (sensitivity: 94%; specificity: 98%).

conclusionThe Auto40 analyzer is an alternative flow cytometer for CD4 T lymphocyte enumeration to be used in routine for immunological monitoring according to the current WHO recommendations in HIV-infected adults as well as children living in resource-constrained settings like Chad.

Indexed as

CD4 Lymphocyte CountCD4-Positive T-LymphocytesFlow CytometryHIV InfectionsHumansLeukocyte Common AntigensMonitoring, PhysiologicWorld Health OrganizationLeukocyte Common Antigens

Identifiers

PMID23631664
PMCPMC3653683
OpenAlexW2115881688

What OpenQuestion holds

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LicenceCC BY
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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.