Evidence map›Paper›PMID 24789182›Full record

ArticleJournal of clinical microbiology2014

Multicenter feasibility study to assess external quality assessment panels for Xpert MTB/RIF assay in South Africa.

Lesley Scott, Heidi Albert, Chris Gilpin, Heather Alexander, Kyle DeGruy, Wendy Stevens

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Molecular detection of rifampicin-resistantFrontiers in medicine · 2024
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Development and validation of external quality assessment panels for mycobacterial culture testing to diagnose tuberculosis in China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Article
  10. Article
  11. Review
  12. Rolling Out XpertAfrican journal of laboratory medicine · 2017
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Evaluation of the Cepheid Xpert MTB/RIF assay.Expert review of molecular diagnostics · 2015
    Review
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

6 authors.

Lesley ScottDepartment of Molecular Medicine and Haematology, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa lesley.scott@nhls.ac.za.
Heidi AlbertFoundation for Innovative New Diagnostics (FIND), Geneva, Switzerland.
Chris GilpinGlobal TB Programme, World Health Organization, Geneva, Switzerland.
Heather AlexanderDivision of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Kyle DeGruyDivision of Global HIV/AIDS, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Wendy StevensDepartment of Molecular Medicine and Haematology, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa National Health Laboratory Service, Johannesburg, South Africa.

Funding

PS08-868, S. Africa: EXPANSION OF HIV/AIDS, STD AND TB LABORATORY ACTIVITIES AT THE NATIONAL INSTITUTEU2GPS001328 · PS · NATIONAL HEALTH LABORATORY SERVICE · PI VAN HEERDEN, DR. JOHAN · 2008 to 2012
$44.4M
NCHHSTP CDC HHS U2G PS001328PEPFARWorld Health Organization 001
6 · The paper itself

Abstract

External quality assessment (EQA) for the Xpert MTB/RIF assay is part of the quality system required for clinical and laboratory practice. Five newly developed EQA panels that use different matrices, including a lyophilized sample (Vircell, Granada, Spain), a dried tube specimen (CDC), liquid (Maine Molecular Quality Control, Inc. [MMQCI], Scarborough, ME), artificial sputum (Global Laboratory Initiative [GLI]), and a dried culture spot (National Health Laboratory Services [NHLS]), were evaluated at 11 GeneXpert testing sites in South Africa. The panels comprised Mycobacterium tuberculosis complex (MTBC)-negative, MTBC-positive (including rifampin [RIF] susceptible and RIF resistant), and nontuberculosis mycobacterial material that was inactivated and safe for transportation. Twelve qualitative and quantitative variables were scored as acceptable (1) or unacceptable (0); the overall panel performance score for the Vircell, CDC, GLI, and NHLS panels was 9 of 12, while the MMQCI panel scored 6 of 12 (owing to the need for cold chain maintenance). All panels showed good compatibility with Xpert MTB/RIF testing, and none showed PCR inhibition. The use of a liquid or dry matrix did not appear to be a distinguishing criterion, as both matrices had reduced scores on insufficient volumes, a need for extra consumables, and the ability to transfer to the Xpert MTB/RIF cartridge. EQA is an important component of the quality system required for diagnostic testing programs, but it must be complemented by routine monitoring of performance indicators and instrument verification. This study aims to introduce EQA concepts for Xpert MTB/RIF testing and evaluates five potential EQA panels.

Indexed as

Antitubercular AgentsFeasibility StudiesHumansLaboratory Proficiency TestingMolecular Diagnostic TechniquesQuality ControlRifampinSouth AfricaTuberculosis, Multidrug-ResistantAntitubercular AgentsRifampin

Identifiers

PMID24789182
PMCPMC4097739

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.