Evidence map›Paper›PMID 26537445›Full record

ArticleJournal of clinical microbiology2016

Evaluation of the Biofire FilmArray BioThreat-E Test (v2.5) for Rapid Identification of Ebola Virus Disease in Heat-Treated Blood Samples Obtained in Sierra Leone and the United Kingdom.

Simon A Weller, Daniel Bailey, Steven Matthews, Sarah Lumley, Angela Sweed, Derren Ready, Gary Eltringham, Jade Richards, Richard Vipond, Roman Lukaszewski and 5 more

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02658331 (Clinical Evaluation of the BioFire FilmArray® BioThreat-E Test for the Diagnosis of Ebola Virus Disease in West Africa), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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.

NCT02658331 completednot on this map

Clinical Evaluation of the BioFire FilmArray® BioThreat-E Test for the Diagnosis of Ebola Virus Disease in West Africa

TypeobservationalSponsorBioMérieuxRan2015 to 2015Enrolled156ConditionsEbola Virus Disease
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. The current landscape of nucleic acid tests for filovirus detection.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 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

15 authors.

Simon A WellerDefence Science and Technology Laboratory, Ministry of Defence, Porton Down, Salisbury, United Kingdom sweller@dstl.gov.uk.
Daniel BaileyRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Steven MatthewsCentre of Defence Pathology, Royal Centre of Defence Medicine, Edgbaston, Birmingham, United Kingdom.
Sarah LumleyRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Angela SweedRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Derren ReadyPublic Health Laboratory London, London, United Kingdom.
Gary EltringhamNewcastle Molecular Laboratory, Public Health England, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.
Jade RichardsMEHT Microbiology, NHS Trust, Broomfield Hospital, Chelmsford, United Kingdom.
Richard VipondRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Roman LukaszewskiDefence Science and Technology Laboratory, Ministry of Defence, Porton Down, Salisbury, United Kingdom.
Phillippa M PayneDefence Science and Technology Laboratory, Ministry of Defence, Porton Down, Salisbury, United Kingdom.
Emma AaronsRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Andrew J SimpsonRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.
Emma J HutleyCentre of Defence Pathology, Royal Centre of Defence Medicine, Edgbaston, Birmingham, United Kingdom.
Tim BrooksRare and Imported Pathogens Laboratory, Public Health England, Porton Down, Salisbury, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid Ebola virus (EBOV) detection is crucial for appropriate patient management and care. The performance of the FilmArray BioThreat-E test (v2.5) using whole-blood samples was evaluated in Sierra Leone and the United Kingdom and was compared with results generated by a real-time Ebola Zaire PCR reference method. Samples were tested in diagnostic laboratories upon availability, included successive samples from individual patients, and were heat treated to facilitate EBOV inactivation prior to PCR. The BioThreat-E test had a sensitivity of 84% (confidence interval [CI], 64% to 95%) and a specificity of 89% (CI, 73% to 97%) in Sierra Leone (n = 60; 44 patients) and a sensitivity of 75% (CI, 19% to 99%) and a specificity of 100% (CI, 97% to 100%) in the United Kingdom (n = 108; 70 patients) compared to the reference real-time PCR. Statistical analysis (Fisher's exact test) indicated there was no significant difference between the methods at the 99% confidence level in either country. In 9 discrepant results (5 real-time PCR positives and BioThreat-E test negatives and 4 real-time PCR negatives and BioThreat-E test positives), the majority (n = 8) were obtained from samples with an observed or probable low viral load. The FilmArray BioThreat-E test (v2.5) therefore provides an attractive option for laboratories (either in austere field settings or in countries with an advanced technological infrastructure) which do not routinely offer an EBOV diagnostic capability.

Indexed as

BloodEbolavirusHemorrhagic Fever, EbolaHot TemperatureHumansMolecular Diagnostic TechniquesSensitivity and SpecificitySierra LeoneSpecimen HandlingTime FactorsUnited Kingdom

Identifiers

PMID26537445
PMCPMC4702715

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Registered trials

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.