Evidence map›Paper›PMID 26418350›Full record

ArticleEpidemiology and infection2015

Determination of cut-off cycle threshold values in routine RT-PCR assays to assist differential diagnosis of norovirus in children hospitalized for acute gastroenteritis.

N V Trang, M Choisy, T Nakagomi, N T M Chinh, Y H Doan, T Yamashiro, J E Bryant, O Nakagomi, D D Anh

Abstract read
In one paragraph

Article in Epidemiology and infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

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  10. Semi-quantitative assessment of gastrointestinal viruses in stool samples with Seegene Allplex gastrointestinal panel assays: a solution to the interpretation problem of multiple pathogen detection?European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
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  20. The impact of coronavirus SARS-CoV-2 (COVID-19) in water: potential risks.Environmental science and pollution research international · 2021
    Review
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.

N V TrangThe National Institute of Hygiene and Epidemiology,Hanoi,Vietnam.
M ChoisyMIVEGEC (UM1-UM2-CNRS 5290-IRD 224),Centre de Recherche IRD,Montpellier,France.
T NakagomiDivision of Molecular Epidemiology,Graduate School of Biomedical Science,Nagasaki University,Japan.
N T M ChinhThai Binh Paediatric Hospital,Vietnam.
Y H DoanDivision of Molecular Epidemiology,Graduate School of Biomedical Science,Nagasaki University,Japan.
T YamashiroCentre for Infectious Disease Research in Asia and Africa,Institute of Tropical Medicine,Nagasaki University,Japan.
J E BryantOxford University Clinical Research Unit,Hanoi,Vietnam.
O NakagomiDivision of Molecular Epidemiology,Graduate School of Biomedical Science,Nagasaki University,Japan.
D D AnhThe National Institute of Hygiene and Epidemiology,Hanoi,Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Norovirus (NV) is an important cause of acute gastroenteritis in children, but is also frequently detected in asymptomatic children, which complicates the interpretation of NV detection results in both the clinical setting and population prevalence studies. A total of 807 faecal samples from children aged <5 years hospitalized for acute gastroenteritis were collected in Thai Binh, Vietnam, from January 2011 to September 2012. Real-time RT-PCR was used to detect and quantify NV-RNA in clinical samples. A bimodal distribution of cycle threshold (Ct) values was observed in which the lower peak was assumed to represent cases for which NV was the causal agent of diarrhoea, whereas the higher peak was assumed to represent cases involving an alternative pathogen other than NV. Under these assumptions, we applied finite-mixture modelling to estimate a threshold of Ct <21·36 (95% confidence interval 20·29-22·46) to distinguish NV-positive patients for which NV was the likely cause of diarrhoea. We evaluated the validity of the threshold through comparisons with NV antigen ELISA results, and comparisons of Ct values in patients co-infected with rotavirus. We conclude that the use of an appropriate cut-off value in the interpretation of NV real-time RT-PCR results may improve differential diagnosis of enteric infections, and could contribute to improved estimates of the burden of NV disease.

Indexed as

Antigens, ViralCaliciviridae InfectionsChild, PreschoolDiagnosis, DifferentialEnzyme-Linked Immunosorbent AssayFecesFemaleGastroenteritisHumansInfantInfant, NewbornMaleNorovirusPrevalenceReal-Time Polymerase Chain ReactionReference ValuesAntigens, ViralCalicivirusesdiarrhoeaestimating disease prevalencegastrointestinal infectionsmodelling

Identifiers

PMID26418350
PMCPMC4594052

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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.