Evidence map›Paper›PMID 26670914›Full record

ArticleSexually transmitted infections2016

Field evaluation of a dual rapid diagnostic test for HIV infection and syphilis in Lima, Peru.

Claire C Bristow, Segundo R Leon, Emily Huang, Brandon J Brown, Lourdes B Ramos, Silver K Vargas, Juan A Flores, Carlos F Caceres, Jeffrey D Klausner

Open access · greenAbstract read
In one paragraph

Article in Sexually transmitted infections, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  11. An Update on the Global Epidemiology of Syphilis.Current epidemiology reports · 2018
    Article
  12. An evaluation of the SD Bioline HIV/syphilis duo test.International journal of STD & AIDS · 2018
    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

9 authors at 4 institutions in 2 countries.

Claire C BristowDivision of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, California, USA.
Segundo R LeonUnit of Health, Sexuality and Human Development, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Emily HuangDivision of Infectious Diseases: Global Health, Department of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
Brandon J BrownProgram in Public Health, University of California, Irvine, Irvine, California, USA.
Lourdes B RamosUnit of Health, Sexuality and Human Development, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Silver K VargasUnit of Health, Sexuality and Human Development, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Juan A FloresUnit of Health, Sexuality and Human Development, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Carlos F CaceresUnit of Health, Sexuality and Human Development, and Laboratory of Sexual Health, Universidad Peruana Cayetano Heredia, Lima, Peru.
Jeffrey D KlausnerDivision of Infectious Diseases: Global Health, Department of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
Universidad Peruana Cayetano Heredia · PEUniversity of California, Los Angeles · USUniversity of California, Irvine · USUniversity of California, San Diego · US

Funding

Syphilis: Translating technology to understand a neglected epidemicR01AI099727 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI CACERES, CARLOS F. · 2012 to 2016
$1.1M
NIAID NIH HHS 1R01AI099727-01NIAID NIH HHS R01 AI099727
6 · The paper itself

Abstract

objectivesScreening for HIV and syphilis in key populations is recommended by the WHO to reduce the morbidity, mortality and transmission associated with undiagnosed and untreated infections. Rapid point-of-care tests that can detect multiple infections with a single fingerprick whole blood specimen using a single device are gaining popularity. We evaluated the field performance of a rapid dual HIV and syphilis test in people at high risk of HIV and syphilis infections.

methodsParticipants included men who have sex with men and transgender women recruited in Lima, Peru. Reference standard testing for detection of HIV and syphilis infections, conducted using blood samples from venipuncture, included Treponema pallidum particle agglutination and fourth-generation HIV enzyme immunoassay for which positive results had a confirmation HIV Western blot test. For the evaluation test, SD BIOLINE HIV/Syphilis Duo test (Standard Diagnostics, Korea), a fingerprick blood specimen was used. Sensitivity and specificity were calculated and the exact binomial method was used to determine 95% CIs.

resultsA total of 415 participants were recruited for the study. The dual test sensitivity for detection of T. pallidum infection was 89.2% (95% CI 83.5% to 93.5%) and specificity 98.8% (95% CI 96.5% to 99.8%). For detection of HIV infection, the sensitivity of the dual test was 99.1% (95% CI 94.8% to 100%) and specificity 99.4% (95% CI 97.7% to 99.9%).

conclusionsThis high performing dual test should be considered for the use in clinical settings to increase uptake of simultaneous testing of HIV and syphilis and accelerate time to treatment for those who need it.

Indexed as

AdultAntibodies, BacterialChromatography, AffinityCoinfectionCommunity Health CentersFemaleHIV AntibodiesHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningPeruQuality ControlSensitivity and SpecificitySyphilisAntibodies, BacterialHIV AntibodiesDIAGNOSISHIV TESTINGSYPHILIS

Identifiers

PMID26670914
PMCPMC4875763
OpenAlexW2218756632

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.