Evidence map›Paper›PMID 25111885›Full record

ArticleParasitology2014

Sensitive diagnosis of cutaneous leishmaniasis by lesion swab sampling coupled to qPCR.

Emily R Adams, Maria Adelaida Gomez, Laura Scheske, Ruby Rios, Ricardo Marquez, Alexandra Cossio, Audrey Albertini, Henk Schallig, Nancy Gore Saravia

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Parasitology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04500873 (Diagnostic Performance of a Recombinant Polymerase Amplification Test - Lateral Flow), which is not on this map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 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.

NCT04500873 completednot on this mapstarted 2018, after this paper: background citation

Diagnostic Performance of a Recombinant Polymerase Amplification Test - Lateral Flow (RPA-LF) for Cutaneous Leishmaniasis in an Endemic Setting of Colombia

TypeobservationalSponsorCentro Internacional de Entrenamiento e Investigaciones MédicasRan2018 to 2019Enrolled128ConditionsCutaneous Leishmaniasis (Diagnosis)
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Persistence ofBiomedicines · 2025
    Article
  14. Article
  15. Comparative Gut Proteome ofMicroorganisms · 2025
    Article
  16. High detection rate of parasitic load by qPCR targeting 18S rDNA in blood of patients with active leishmaniasis lesions.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  17. Detection ofPathogens (Basel, Switzerland) · 2025
    Article
  18. RT-qPCR Testing and Performance Metrics in the COVID-19 Era.International journal of molecular sciences · 2024
    Review
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  20. 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.

Emily R AdamsDepartment of Parasitology,Royal Tropical Institute,Meibergdreef 39, 1105 AZ Amsterdam,The Netherlands.
Maria Adelaida GomezCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM),Cra 125 # 19-225, Cali,Colombia.
Laura ScheskeDepartment of Parasitology,Royal Tropical Institute,Meibergdreef 39, 1105 AZ Amsterdam,The Netherlands.
Ruby RiosCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM),Cra 125 # 19-225, Cali,Colombia.
Ricardo MarquezCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM),Cra 125 # 19-225, Cali,Colombia.
Alexandra CossioCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM),Cra 125 # 19-225, Cali,Colombia.
Audrey AlbertiniFoundation for Innovative New Diagnostics,Geneva,Switzerland.
Henk SchalligDepartment of Parasitology,Royal Tropical Institute,Meibergdreef 39, 1105 AZ Amsterdam,The Netherlands.
Nancy Gore SaraviaCentro Internacional de Entrenamiento e Investigaciones Médicas (CIDEIM),Cra 125 # 19-225, Cali,Colombia.

Funding

Vector/Host-Parasite Interface of Leishmaniasis in ColombiaD43TW006589 · FIC · YALE UNIVERSITY · PI GORE SARAVIA, NANCY, TSCHUDI, CHRISTIAN · 2003 to 2024
$4.3M
Improved Treatment of American Cutaneous Leishmaniasis by ImmunomodulationR01AI093775 · NIAID · YALE UNIVERSITY · PI GORE SARAVIA, NANCY, MCMAHON PRATT, DIANE · 2011 to 2014
$2.6M
FIC NIH HHS D43 TW006589NIAID NIH HHS R01 AI093775
6 · The paper itself

Abstract

Variation in clinical accuracy of molecular diagnostic methods for cutaneous leishmaniasis (CL) is commonly observed depending on the sample source, the method of DNA recovery and the molecular test. Few attempts have been made to compare these variables. Two swab and aspirate samples from lesions of patients with suspected CL (n = 105) were evaluated alongside standard diagnosis by microscopic detection of amastigotes or culture of parasites from lesion material. Three DNA extraction methods were compared: Qiagen on swab and aspirate specimens, Isohelix on swabs and Boil/Spin of lesion aspirates. Recovery of Leishmania DNA was evaluated for each sample type by real-time polymerase chain reaction detection of parasitic 18S rDNA, and the diagnostic accuracy of the molecular method determined. Swab sampling combined with Qiagen DNA extraction was the most efficient recovery method for Leishmania DNA, and was the most sensitive (98%; 95% CI: 91-100%) and specific (84%; 95% CI: 64-95%) approach. Aspirated material was less sensitive at 80% (95% CI: 70-88%) and 61% (95% CI: 50-72%) when coupled to Qiagen or Boil-Spin DNA extraction, respectively. Swab sampling of lesions was painless, simple to perform and coupled with standardized DNA extraction enhances the feasibility of molecular diagnosis of CL.

Indexed as

AdolescentAdultAgedChildChild, PreschoolDNA, ProtozoanFeasibility StudiesFemaleHumansLeishmaniaLeishmaniasis, CutaneousMaleMiddle AgedMolecular Diagnostic TechniquesReal-Time Polymerase Chain ReactionReproducibility of ResultsDNA, Protozoan

Identifiers

PMID25111885
PMCPMC4654403

What OpenQuestion holds

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Registered trials

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.