Evidence map›Paper›PMID 25991465›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Field Evaluation of Capillary Blood Samples as a Collection Specimen for the Rapid Diagnosis of Ebola Virus Infection During an Outbreak Emergency.

Thomas Strecker, Bernadett Palyi, Heinz Ellerbrok, Sylvie Jonckheere, Hilde de Clerck, Joseph Akoi Bore, Martin Gabriel, Kilian Stoecker, Markus Eickmann, Michel van Herp and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Operational Research during the Ebola Emergency.Emerging infectious diseases · 2017
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. The Point-of-Care Laboratory in Clinical Microbiology.Clinical microbiology reviews · 2016
    Review
  14. Article
  15. 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

13 authors at 5 institutions in 6 countries.

Thomas StreckerInstitute of Virology, Philipps University, Marburg European Mobile Laboratory Consortium, Hamburg, Germany.
Bernadett PalyiEuropean Mobile Laboratory Consortium, Hamburg, Germany National Center for Epidemiology, Hungarian National Biosafety Laboratory, Budapest.
Heinz EllerbrokEuropean Mobile Laboratory Consortium, Hamburg, Germany Robert Koch Institute, Berlin, Germany.
Sylvie JonckheereMédecins sans Frontières, Brussels, Belgium.
Hilde de ClerckMédecins sans Frontières, Brussels, Belgium.
Joseph Akoi BoreEuropean Mobile Laboratory Consortium, Hamburg, Germany Institut National de Santé Publique, Conakry, Guinea.
Martin GabrielEuropean Mobile Laboratory Consortium, Hamburg, Germany Bernhard-Nocht-Institute for Tropical Medicine, Hamburg.
Kilian StoeckerEuropean Mobile Laboratory Consortium, Hamburg, Germany Bundeswehr Institute of Microbiology, Munich, Germany.
Markus EickmannInstitute of Virology, Philipps University, Marburg European Mobile Laboratory Consortium, Hamburg, Germany.
Michel van HerpMédecins sans Frontières, Brussels, Belgium.
Pierre FormentyWorld Health Organization, Geneva, Switzerland.
Antonino Di CaroEuropean Mobile Laboratory Consortium, Hamburg, Germany Istituto Nazionale per le Malattie Infettive "L. Spallanzani," Rome, Italy.
Stephan BeckerInstitute of Virology, Philipps University, Marburg European Mobile Laboratory Consortium, Hamburg, Germany Centre for Infection Research, Partner Site Giessen-Marburg-Langen, Philipps University, Germany.
European Molecular Biology Laboratory · DEMédecins Sans Frontières · BEInstitut National de Santé Publique · GNUniversität der Bundeswehr München · DEWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundReliable reverse transcription polymerase chain reaction (RT-PCR)-based diagnosis of Ebola virus infection currently requires a blood sample obtained by intravenous puncture. During the current Ebola outbreak in Guinea, we evaluated the usability of capillary blood samples collected from fingersticks of patients suspected of having Ebola virus disease (EVD) for field diagnostics during an outbreak emergency.

methodsA total of 120 venous and capillary blood samples were collected from 53 patients admitted to the Ebola Treatment Centre in Guéckédou, Guinea, between July and August 2014. All sample specimens were analyzed by RT-PCR using the RealStar Filovirus Screen RT-PCR Kit 1.0 from altona Diagnostics (Germany). We compared samples obtained by venipuncture and those obtained by capillary blood sampling absorbed onto swab devices.

resultsThe resulting sensitivity and specificity of tests performed with capillary blood samples were 86.8% (95% confidence interval [CI], 71.9%-95.6%; 33/38 patients) and 100% (95% CI, 84.6%-100%; 22/22 patients), respectively.

conclusionsOur data suggest that capillary blood samples could serve as an alternative to venous blood samples for the diagnosis of EVD in resource-limited settings during a crisis. This can be of particular advantage in cases when venipuncture is difficult to perform-for example, with newborns and infants or when adult patients reject venipuncture for cultural or religious reasons.

Indexed as

Disease OutbreaksAdolescentAdultAgedAged, 80 and overBlood Specimen CollectionChildChild, PreschoolEmergenciesFeasibility StudiesFemaleGuineaHemorrhagic Fever, EbolaHumansInfantMaleRNA, Viralcapillary bloodEbola virusEbola virus diseasefield diagnostic

Identifiers

PMID25991465
PMCPMC4530726
OpenAlexW2127963124

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.