Evidence map›Paper›PMID 23953744›Full record

ArticleDiagnostic microbiology and infectious disease2014

Use of quantitative 16S rRNA PCR to determine bacterial load does not augment conventional cerebrospinal fluid (CSF) cultures among children undergoing treatment for CSF shunt infection.

Tamara D Simon, Brian Van Yserloo, Kevin Nelson, David Gillespie, Randy Jensen, James P McAllister, Jay Riva-Cambrin, Chris Stockmann, Judy A Daly, Anne J Blaschke

Open access · hybridAbstract read
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.4field-weighted citation impact, top 41% 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, 35 citations in OpenAlex.

  1. Evaluation of 415-nm Blue Light and Hypochlorous Acid on the Rhesus Macaque (Macaca mulatta) Cranial Implant Microbiota.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
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  6. A Novel Adult Murine Model of Typical EnteroaggregativeFrontiers in cellular and infection microbiology · 2022
    Article
  7. Infection and immunity · 2021
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  15. Review
  16. Observational
  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 3 institutions in 1 country.

Tamara D SimonDepartment of Pediatrics, Division of Hospital Medicine, University of Washington/Seattle Children's Hospital, Seattle, WA, USA. Electronic address: Tamara.Simon@seattlechildrens.org.
Brian Van YserlooVirus, Molecular Biology and Cell Core, Diabetes and Endocrinology Research Center, University of Washington, Seattle, WA, USA.
Kevin NelsonDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
David GillespieDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Randy JensenDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
James P McAllisterDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Jay Riva-CambrinDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Chris StockmannDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Judy A DalyMicrobiology Laboratory, Primary Children's Medical Center, Salt Lake City, UT, USA; Department of Pathology, University of Utah, Salt Lake City, UT, USA.
Anne J BlaschkeDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
University of Utah · USPrimary Children's Hospital · USUniversity of Washington · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
Multi-center Studies of Pediatric CSF Shunt InfectionsK23NS062900 · NINDS · UNIVERSITY OF UTAH · PI SIMON, TAMARA DANIELLE · 2009 to 2013
$893k
Rapid Molecular Testing for Neonatal Antibiotic-Resistant PathogensK23AI079401 · NIAID · UNIVERSITY OF UTAH · PI BLASCHKE, ANNE J. · 2009 to 2012
$549k
Reducing infections and blockage associated with long-term implantation of ventriculoperitoneal and related shuntsR44NS139774 · NINDS · WYNNVISION, LLC · PI HARRIS, CAROLYN A, MCALLISTER, JAMES PATTERSON · 2025 to 2025
$306k
NCRR NIH HHS UL1 RR025014NCRR NIH HHS UL1 RR025764NIAID NIH HHS K23 AI079401NIDDK NIH HHS P30 DK017047NINDS NIH HHS K23 NS062900NINDS NIH HHS R44 NS139774
6 · The paper itself

Abstract

The aim of this study was to develop a quantitative 16S rRNA assay for determination of bacterial nucleic acid load in cerebrospinal fluid (CSF) shunt infection and to compare quantitative 16S rRNA polymerase chain reaction (PCR) findings to those of conventional bacterial culture in patients treated for CSF shunt infection. We developed a quantitative 16S rRNA PCR assay that detected bacterial load across a range of 2.5 × 10(9) down to 2.5 × 10(4) 16S copies/mL CSF under experimental conditions for numerous Gram-positive and Gram-negative organisms. However, when applied to archived CSF samples from 25 shunt infection episodes, correlations between positive bacterial culture and 16S rRNA levels were seen in only half of infections, and 16S rRNA levels dropped precipitously after an initial peak on the first day of sample collection. Bacterial load measured using 16S rRNA PCR does not provide sufficient information beyond bacterial culture to inform CSF shunt infection treatment.

Indexed as

Bacterial LoadRNA, Ribosomal, 16SAdolescentAnti-Bacterial AgentsBacteriaBacterial InfectionsCerebrospinal FluidCerebrospinal Fluid ShuntsChildHumansReal-Time Polymerase Chain ReactionAnti-Bacterial AgentsRNA, Ribosomal, 16SBacterial loadCerebrospinalChildrenInfectionShunt

Identifiers

PMID23953744
PMCPMC3946991
OpenAlexW2091147589

What OpenQuestion holds

Textmetadata
LicenceTDM
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.