Evidence map›Paper›PMID 26364158›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2015

Clinical evaluation of a multi-parameter customized respiratory TaqMan(®) array card compared to conventional methods in immunocompromised patients.

Deborah Steensels, Marijke Reynders, Patrick Descheemaeker, Martin D Curran, Frédérique Jacobs, Olivier Denis, Marie-Luce Delforge, Isabel Montesinos

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Borderline Oxacillin-ResistantAntibiotics (Basel, Switzerland) · 2025
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  9. What is the risk of missing legionellosis relying on urinary antigen testing solely? A retrospective Belgian multicenter study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  10. Epidemiology ofFrontiers in cellular and infection microbiology · 2020
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  11. Article
  12. Article
  13. Development and Implementation of Multiplex TaqMan Array Cards for Specimen Testing at Child Health and Mortality Prevention Surveillance Site Laboratories.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Respiratory infections in elderly people: Viral role in a resident population of elderly care centers in Lisbon, winter 2013-2014.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2018
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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

8 authors.

Deborah SteenselsDepartment of Clinical Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. Electronic address: deborah.steensels@erasme.ulb.ac.be.
Marijke ReyndersDepartment of Clinical Microbiology, AZ St-Jan Brugge-Oostende Hospital, Brugge, Belgium.
Patrick DescheemaekerDepartment of Clinical Microbiology, AZ St-Jan Brugge-Oostende Hospital, Brugge, Belgium.
Martin D CurranPublic Health England, Clinical Microbiology and Public Health Laboratory, Addenbrooke's Hospital, Cambridge, United Kingdom.
Frédérique JacobsDepartment of Infectious Diseases, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Olivier DenisDepartment of Clinical Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Marie-Luce DelforgeDepartment of Clinical Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Isabel MontesinosDepartment of Clinical Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory viral infections can cause significant morbidity and mortality in immunocompromised patients. Conventional tests routinely available at most institutions are limited by the number of detectable pathogens, by a poor sensitivity and/or a long turnaround time.

objectivesTo compare the performance of routine conventional testing with direct fluorescent antibody assays and viral culture to a customized TaqMan® array card (TAC) real-time PCR method, targeting 24 viruses, 8 bacteria and 2 fungi simultaneously. STUDY

designWe collected 143 respiratory samples from 120 symptomatic immunocompromised patients. Samples for which conventional and TAC results were discordant underwent further verification testing.

resultsThe TAC assay identified viral pathogens in more samples than did conventional testing (77/143 versus 27/143; McNemar P<0.0001), even when TAC results for viruses that could not be detected by conventional testing were excluded from analysis (59/143 versus 26/143; P<0.0001). In addition, the TAC assay identified 18 samples with non-viral pathogens. Verification testing confirmed positive TAC results for 50 out of 55 samples for which conventional testing was negative. Two out of three samples with a positive conventional test but negative TAC result were confirmed positive. A viral and a total pathogen co-infection rate of 5.6% and 11.8% were found, respectively.

conclusionsThe customized TAC assay resulted in a significantly increased identification of respiratory viruses. This study provides a practical real-life assessment of the performance of the TAC assay in a population for whom rapid and accurate diagnosis of viral and atypical pathogens is crucial for appropriate clinical management.

Indexed as

Immunocompromised HostAdultAgedAged, 80 and overBacterial InfectionsFemaleFungiHumansLung Diseases, FungalMaleMicrobiological TechniquesMiddle AgedMolecular Diagnostic TechniquesRespiratory Tract InfectionsRetrospective StudiesSensitivity and SpecificityConventional methodsImmunocompromised patientsMulti-pathogen molecular assayRespiratory virus infections

Identifiers

PMID26364158
PMCPMC7106552

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Registered trials

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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.