Evidence map›Paper›PMID 24473765›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

Detection of Mycobacterium tuberculosis complex by nested polymerase chain reaction in pulmonary and extrapulmonary specimens.

Adriana Antônia da Cruz Furini, Heloisa da Silveira Paro Pedro, Jean Francisco Rodrigues, Lilian Maria Lapa Montenegro, Ricardo Luiz Dantas Machado, Célia Franco, Haiana Charifker Schindler, Ida Maria Foschiani Dias Batista, Andrea Regina Baptista Rossit

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Rapid molecular test for tuberculosis: impact of its routine use at a referral hospital.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2018
    Article
  3. Article
  4. Identification ofFrontiers in cellular and infection microbiology · 2017
    Article
  5. Current use and acceptability of novel diagnostic tests for active tuberculosis: a worldwide survey.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    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

9 authors at 8 institutions in 1 country.

Adriana Antônia da Cruz FuriniSão José do Rio Preto School of Medicine, São José do Rio Preto, Brazil.
Heloisa da Silveira Paro PedroAdolfo Lutz Institute, Department of Mycobacteria, São José do Rio Preto, Brazil.
Jean Francisco RodriguesRio Preto University Center, São José do Rio Preto, Brazil.
Lilian Maria Lapa MontenegroOswaldo Cruz Foundation, Aggeu Magalhães Research Center, Recife, Brazil.
Ricardo Luiz Dantas MachadoEvandro Chagas Institute, Belém, Brazil.
Célia FrancoRegional Foundation School of Medicine, São José do Rio Preto, Brazil.
Haiana Charifker SchindlerOswaldo Cruz Foundation, Aggeu Magalhães Research Center, Recife, Brazil.
Ida Maria Foschiani Dias BatistaLauro de Souza Lima Institute, Bauru, Brazil.
Andrea Regina Baptista RossitFluminense Federal University, Niterói, Brazil.
Centro Universitário de Rio Preto · BRFaculdade de Medicina de São José do Rio Preto · BRFaculdades Oswaldo Cruz · BRFundação Oswaldo Cruz · BRInstituto Adolfo Lutz · BRInstituto Evandro Chagas · BRInstituto Lauro de Souza Lima · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the performance of nested polymerase chain reaction (NPCR) with that of cultures in the detection of the Mycobacterium tuberculosis complex in pulmonary and extrapulmonary specimens.

methodsWe analyzed 20 and 78 pulmonary and extrapulmonary specimens, respectively, of 67 hospitalized patients suspected of having tuberculosis. An automated microbial system was used for the identification of Mycobacterium spp. cultures, and M. tuberculosis IS6110 was used as the target sequence in the NPCR. The kappa statistic was used in order to assess the level of agreement among the results.

resultsAmong the 67 patients, 6 and 5, respectively, were diagnosed with pulmonary and extrapulmonary tuberculosis, and the NPCR was positive in all of the cases. Among the 98 clinical specimens, smear microscopy, culture, and NPCR were positive in 6.00%, 8.16%, and 13.26%, respectively. Comparing the results of NPCR with those of cultures (the gold standard), we found that NPCR had a sensitivity and specificity of 100% and 83%, respectively, in pulmonary specimens, compared with 83% and 96%, respectively, in extrapulmonary specimens, with good concordance between the tests (kappa, 0.50 and 0.6867, respectively).

conclusionsAlthough NPCR proved to be a very useful tool for the detection of M. tuberculosis complex, clinical, epidemiological, and other laboratory data should also be considered in the diagnosis and treatment of pulmonary and extrapulmonary tuberculosis.

Indexed as

Polymerase Chain ReactionAdolescentAdultAgedAged, 80 and overFemaleHumansLungMaleMiddle AgedMycobacterium tuberculosisSensitivity and SpecificityTreatment OutcomeTuberculosisYoung Adult

Identifiers

PMID24473765
PMCPMC4075904
OpenAlexW2033769321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.