Evidence map›Paper›PMID 26431434›Full record

ArticlePloS one2015

Performance Evaluation of the Verigene Gram-Positive and Gram-Negative Blood Culture Test for Direct Identification of Bacteria and Their Resistance Determinants from Positive Blood Cultures in Hong Kong.

Gilman K H Siu, Jonathan H K Chen, T K Ng, Rodney A Lee, Kitty S C Fung, Sabrina W C To, Barry K C Wong, Sherman Cheung, Ivan W F Wong, Marble M P Tam and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 42 citations in OpenAlex.

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  14. Evaluation of the Accelerate Pheno™ system for rapid identification and antimicrobial susceptibility testing of Gram-negative bacteria in bloodstream infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
  15. Article
  16. Article
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  18. Potential Impact of Rapid Blood Culture Testing for Gram-Positive Bacteremia in Japan with the Verigene Gram-Positive Blood Culture Test.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2017
    Article
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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

12 authors at 5 institutions in 2 countries.

Gilman K H SiuDepartment of Health technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Jonathan H K ChenDepartment of Microbiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
T K NgDepartment of Pathology, Princess Margaret Hospital, Hong Kong SAR, China.
Rodney A LeeDepartment of Clinical Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Kitty S C FungDepartment of Pathology, United Christian Hospital, Hong Kong SAR, China.
Sabrina W C ToDepartment of Microbiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
Barry K C WongDepartment of Pathology, United Christian Hospital, Hong Kong SAR, China.
Sherman CheungDepartment of Pathology, Princess Margaret Hospital, Hong Kong SAR, China.
Ivan W F WongDepartment of Clinical Pathology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China.
Marble M P TamDepartment of Pathology, United Christian Hospital, Hong Kong SAR, China.
Swing S W LeeDepartment of Health technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, China.
W C YamDepartment of Microbiology, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
United Christian Hospital · CNHong Kong Polytechnic University · HKPamela Youde Nethersole Eastern Hospital · CNUniversity of Hong Kong · HKQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA multicenter study was conducted to evaluate the diagnostic performance and the time to identifcation of the Verigene Blood Culture Test, the BC-GP and BC-GN assays, to identify both Gram-positive and Gram-negative bacteria and their drug resistance determinants directly from positive blood cultures collected in Hong Kong. METHODS AND

resultsA total of 364 blood cultures were prospectively collected from four public hospitals, in which 114 and 250 cultures yielded Gram-positive and Gram-negative bacteria, and were tested with the BC-GP and BC-GN assay respectively. The overall identification agreement for Gram-positive and Gram-negative bacteria were 89.6% and 90.5% in monomicrobial cultures and 62.5% and 53.6% in polymicrobial cultures, respectively. The sensitivities for most genus/species achieved at least 80% except Enterococcus spp. (60%), K.oxytoca (0%), K.pneumoniae (69.2%), whereas the specificities for all targets ranged from 98.9% to 100%. Of note, 50% (7/14) cultures containing K.pneumoniae that were missed by the BC-GN assay were subsequently identified as K.variicola. Approximately 5.5% (20/364) cultures contained non-target organisms, of which Aeromonas spp. accounted for 25% and are of particular concern. For drug resistance determination, the Verigene test showed 100% sensitivity for identification of MRSA, VRE and carbapenem resistant Acinetobacter, and 84.4% for ESBL-producing Enterobacteriaceae based on the positive detection of mecA, vanA, blaOXA and blaCTXM respectively.

conclusionOverall, the Verigene test provided acceptable accuracy for identification of bacteria and resistance markers with a range of turnaround time 40.5 to 99.2 h faster than conventional methods in our region.

Indexed as

BacteremiaBacteriological TechniquesDrug Resistance, BacterialEnterococcusGram-Negative BacteriaGram-Positive BacteriaHong KongHumansMolecular Diagnostic TechniquesSensitivity and Specificity

Identifiers

PMID26431434
PMCPMC4592242
OpenAlexW2124272787

What OpenQuestion holds

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LicenceCC BY
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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.