Evidence map›Paper›PMID 26791364›Full record

ArticleJournal of clinical microbiology2016

Pneumococcal Colonization Rates in Patients Admitted to a United Kingdom Hospital with Lower Respiratory Tract Infection: a Prospective Case-Control Study.

Andrea M Collins, Catherine M K Johnstone, Jenna F Gritzfeld, Antonia Banyard, Carole A Hancock, Angela D Wright, Laura Macfarlane, Daniela M Ferreira, Stephen B Gordon

Registry-linked trialOpen access · hybridAbstract readComparative StudyEvaluation 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 NCT05762302 (A Multicenter Randomized Controlled Trial to Establish the Impact of MeMed BV® on Management of Patients With Suspected Lower Respiratory Tract Infections), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT05762302 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Multicenter Randomized Controlled Trial to Establish the Impact of MeMed BV® on Management of Patients With Suspected Lower Respiratory Tract Infections (LRTI) in the Emergency Department (ED) and Urgent Care Center (UCC) ("JUPITER" TRIAL)

TypeinterventionalSponsorMeMed Diagnostics Ltd.Ran2023 to 2026Enrolled1,316ConditionsLower Respiratory Tract InfectionArmsMeMed BV test
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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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 2 institutions in 1 country.

Andrea M CollinsRespiratory Infection Group, Royal Liverpool and Broadgreen University Hospital Trust, Liverpool, United Kingdom Respiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom andrea.collins@liverpool.ac.uk stephen.gordon@lstmed.ac.uk.
Catherine M K JohnstoneRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Jenna F GritzfeldRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Antonia BanyardRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Carole A HancockRespiratory Infection Group, Royal Liverpool and Broadgreen University Hospital Trust, Liverpool, United Kingdom.
Angela D WrightRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom Local Comprehensive Research Network, Liverpool, United Kingdom.
Laura MacfarlaneRespiratory Infection Group, Royal Liverpool and Broadgreen University Hospital Trust, Liverpool, United Kingdom.
Daniela M FerreiraRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Stephen B GordonRespiratory Infection Group, Liverpool School of Tropical Medicine, Liverpool, United Kingdom andrea.collins@liverpool.ac.uk stephen.gordon@lstmed.ac.uk.
Liverpool School of Tropical Medicine · GBRoyal Liverpool and Broadgreen University Hospital NHS Trust · GB

Funding

Medical Research Council MR/M011569/1
6 · The paper itself

Abstract

Current diagnostic tests are ineffective for identifying the etiological pathogen in hospitalized adults with lower respiratory tract infections (LRTIs). The association of pneumococcal colonization with disease has been suggested as a means to increase the diagnostic precision. We compared the pneumococcal colonization rates and the densities of nasal pneumococcal colonization by (i) classical culture and (ii) quantitative real-time PCR (qPCR) targetinglytAin patients with LRTIs admitted to a hospital in the United Kingdom and control patients. A total of 826 patients were screened for inclusion in this prospective case-control study. Of these, 38 patients were recruited, 19 with confirmed LRTIs and 19 controls with other diagnoses. Nasal wash (NW) samples were collected at the time of recruitment. Pneumococcal colonization was detected in 1 patient with LRTI and 3 controls (P= 0.6) by classical culture. By qPCR, pneumococcal colonization was detected in 10 LRTI patients and 8 controls (P= 0.5). Antibiotic usage prior to sampling was significantly higher in the LRTI group than in the control group (19 versus 3;P< 0.001). With a clinically relevant cutoff of >8,000 copies/ml on qPCR, pneumococcal colonization was found in 3 LRTI patients and 4 controls (P> 0.05). We conclude that neither the prevalence nor the density of nasal pneumococcal colonization (by culture and qPCR) can be used as a method of microbiological diagnosis in hospitalized adults with LRTI in the United Kingdom. A community-based study recruiting patients prior to antibiotic therapy may be a useful future step.

Indexed as

AdultAgedAged, 80 and overBacteriological TechniquesCarrier StateCase-Control StudiesFemaleHospitalizationHospitalsHumansMaleMiddle AgedNasal MucosaPneumococcal InfectionsPneumoniaProspective Studies

Identifiers

PMID26791364
PMCPMC4809940
OpenAlexW2281159257

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.