Evidence map›Paper›PMID 25588654›Full record

ArticleJournal of clinical microbiology2015

Development of a real-time PCR Assay for identification of Coccidioides immitis by use of the BD Max system.

Marilyn Mitchell, Dominic Dizon, Robert Libke, Michael Peterson, David Slater, Akashdeep Dhillon

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of clinical microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 34 citations in OpenAlex.

  1. Drug Discovery and Repurposing forJournal of fungi (Basel, Switzerland) · 2025
    Review
  2. Article
  3. Article
  4. Review
  5. Coccidioidomycosis: a growing global concern.The Journal of antimicrobial chemotherapy · 2025
    Review
  6. Overview of the Current Challenges in Pulmonary Coccidioidomycosis.Journal of fungi (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Coccidioides Species: A Review of Basic Research: 2022.Journal of fungi (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Skeletal Infections Caused byDiagnostics (Basel, Switzerland) · 2022
    Review
  12. Article
  13. Systemic coccidioidomycosis in a llama cria native to Missouri.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2021
    Article
  14. Early Events in Coccidioidomycosis.Clinical microbiology reviews · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. 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

6 authors at 2 institutions in 1 country.

Marilyn MitchellMicrobiology Department, Community Medical Centers-Fresno, Fresno, California, USA mmitchell@communitymedical.org.
Dominic DizonUniversity of California-San Francisco, Fresno, California, USA.
Robert LibkeUniversity of California-San Francisco, Fresno, California, USA.
Michael PetersonUniversity of California-San Francisco, Fresno, California, USA.
David SlaterMicrobiology Department, Community Medical Centers-Fresno, Fresno, California, USA.
Akashdeep DhillonMicrobiology Department, Community Medical Centers-Fresno, Fresno, California, USA.
Community Medical Centers · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid real-time PCR (RT-PCR) can be performed in a community hospital setting to identify Coccidioides species using the new Becton Dickinson molecular instrument BD Max. Following sample preparation, DNA extraction and PCR were performed on the BD Max using the BD Max extraction kit ExK-DNA-1 test strip and a master mix prepared by BioGX (Birmingham, AL). Sample preparation took 2 h, and testing on the BD Max took an additional 2 h. Method sensitivity and specificity were evaluated along with the limits of detection to confirm that this convenient method would provide medically useful information. Using serial dilutions, the lower limit of detection was determined to be 1 CFU/μl. Testing with this method was validated using samples from various body sites, including bronchial alveolar lavage (BAL) fluid; sputum and lung tissue samples; and pleural and spinal fluids. Safety protocols were established, and specimen preparation processes were developed for the various types of specimens. The range for the cycle threshold (CT) indicating adequate fluorescent signal to signify a positive result was established along with the acceptable range for the internal standard. Positive controls run with each batch were prepared by spiking a pooled BAL fluid specimen with a known dilution of Coccidioides immitis organism. Our experience with testing >330 patient samples shows that clinically relevant information can be available within 4 h using an RT-PCR method on the BD Max to identify Coccidioides spp., with sensitivity equivalent to culture.

Indexed as

Body FluidsCoccidioidesCoccidioidomycosisHumansMolecular Diagnostic TechniquesReal-Time Polymerase Chain ReactionSensitivity and SpecificityTime Factors

Identifiers

PMID25588654
PMCPMC4390671
OpenAlexW2145986184

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.