Evidence map›Paper›PMID 24564748›Full record

ArticleActa orthopaedica2014

Efficacy of a novel PCR- and microarray-based method in diagnosis of a prosthetic joint infection.

Leena Metso, Minna Mäki, Päivi Tissari, Ville Remes, Pasi Piiparinen, Juha Kirveskari, Eveliina Tarkka, Veli-Jukka Anttila, Martti Vaara, Kaisa Huotari

Open access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Review
  3. Rapid Diagnostics of Joint Infections Using IS-Pro.Journal of clinical microbiology · 2023
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Editorial.Acta orthopaedica · 2016
    Article
  9. Microarray identification of bacterial species in peritonsillar abscesses.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2015
    Article
  10. Article
  11. Molecular diagnostics.The Journal of the American Academy of Orthopaedic Surgeons · 2015
    Article
  12. Article
  13. Article
  14. 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.

Leena MetsoDepartment of Orthopedics , Peijas Hospital, Helsinki University Central Hospital.
Minna Mäki
Päivi Tissari
Ville Remes
Pasi Piiparinen
Juha Kirveskari
Eveliina Tarkka
Veli-Jukka Anttila
Martti Vaara
Kaisa Huotari
Helsinki University Hospital · FIPeijas Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePolymerase chain reaction (PCR) methods enable detection and species identification of many pathogens. We assessed the efficacy of a new PCR and microarray-based platform for detection of bacteria in prosthetic joint infections (PJIs).

methodsThis prospective study involved 61 suspected PJIs in hip and knee prostheses and 20 negative controls. 142 samples were analyzed by Prove-it Bone and Joint assay. The laboratory staff conducting the Prove-it analysis were not aware of the results of microbiological culture and clinical findings. The results of the analysis were compared with diagnosis of PJIs defined according to the Musculoskeletal Infection Society (MSIS) criteria and with the results of microbiological culture.

results38 of 61 suspected PJIs met the definition of PJI according to the MSIS criteria. Of the 38 patients, the PCR detected bacteria in 31 whereas bacterial culture was positive in 28 patients. 15 of the PJI patients were undergoing antimicrobial treatment as the samples for analysis were obtained. When antimicrobial treatment had lasted 4 days or more, PCR detected bacteria in 6 of the 9 patients, but positive cultures were noted in only 2 of the 9 patients. All PCR results for the controls were negative. Of the 61 suspected PJIs, there were false-positive PCR results in 6 cases.

interpretationThe Prove-it assay was helpful in PJI diagnostics during ongoing antimicrobial treatment. Without preceding treatment with antimicrobials, PCR and microarray-based assay did not appear to give any additional information over culture.

Indexed as

AgedAged, 80 and overBacteriological TechniquesCase-Control StudiesCohort StudiesFemaleHip ProsthesisHumansKnee ProsthesisMaleMiddle AgedPolymerase Chain ReactionProspective StudiesProsthesis-Related InfectionsSensitivity and SpecificityStaphylococcal Infections

Identifiers

PMID24564748
PMCPMC3967259
OpenAlexW2164587880

What OpenQuestion holds

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LicenceCC BY-NC
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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.