Evidence map›Paper›PMID 25419279›Full record

ArticleThe Pan African medical journal2014

Rapid diagnosis of pulmonary tuberculosis.

José Mauricio Hernández Sarmiento, Natalia Builes Restrepo, Gloria Isabel Mejía, Elsa Zapata, Mary Alejandra Restrepo, Jaime Robledo

Open access · goldAbstract readComparative StudyEvaluation Study
In one paragraph

Article in The Pan African medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 91% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 2 institutions in 1 country.

José Mauricio Hernández SarmientoSchool of Health Sciences, Universidad Pontificia Bolivariana (UPB), Medellín, Colombia ; Bacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Natalia Builes RestrepoBacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Gloria Isabel MejíaSchool of Health Sciences, Universidad Pontificia Bolivariana (UPB), Medellín, Colombia ; Bacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Elsa ZapataBacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Mary Alejandra RestrepoBacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Jaime RobledoSchool of Health Sciences, Universidad Pontificia Bolivariana (UPB), Medellín, Colombia ; Bacteriology and Mycobacteriology Unit, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Corporación para Investigaciones Biológicas · COUniversidad Pontificia Bolivariana · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWorld Health Organization had estimated 9.4 million tuberculosis cases on 2009, with 1.7 million of deaths as consequence of treatment and diagnosis failures. Improving diagnostic methods for the rapid and timely detection of tuberculosis patients is critical to control the disease. The aim of this study was evaluating the accuracy of the cord factor detection on the solid medium Middlebrook 7H11 thin layer agar compared to the Lowenstein Jensen medium for the rapid tuberculosis diagnosis.

methodsPatients with suspected tuberculosis were enrolled and their sputum samples were processed for direct smear and culture on Lowenstein Jensen and BACTEC MGIT 960, from which positive tubes were subcultured on Middlebrook 7H11 thin layer agar. Statistical analysis was performed comparing culture results from Lowenstein Jensen and the thin layer agar, and their corresponding average times for detecting Mycobacterium tuberculosis. The performance of cord factor detection was evaluated determining its sensitivity, specificity, positive and negative predictive value.

results111 out of 260 patients were positive for M. tuberculosis by Lowenstein Jensen medium with an average time ± standard deviation for its detection of 22.3 ± 8.5 days. 115 patients were positive by the MGIT system identifying the cord factor by the Middlebrook 7H11 thin layer agar which average time ± standard deviation was 5.5 ± 2.6 days.

conclusionThe cord factor detection by Middlebrook 7H11 thin layer agar allows early and accurate tuberculosis diagnosis during an average time of 5 days, making this rapid diagnosis particularly important in patients with negative sputum smear.

Indexed as

Bacteriological TechniquesCord FactorsFalse Negative ReactionsHumansMycobacterium tuberculosisPredictive Value of TestsSensitivity and SpecificitySputumTuberculosis, PulmonaryCord FactorsCord FactorMGITthin layer agarTuberculosis

Identifiers

PMID25419279
PMCPMC4236790
OpenAlexW2057030354

What OpenQuestion holds

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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.