Evidence map›Paper›PMID 27535690›Full record

ArticleJournal of clinical microbiology2016

Multicenter Evaluation of BD Max Enteric Parasite Real-Time PCR Assay for Detection of Giardia duodenalis, Cryptosporidium hominis, Cryptosporidium parvum, and Entamoeba histolytica.

S Madison-Antenucci, R F Relich, L Doyle, N Espina, D Fuller, T Karchmer, A Lainesse, J E Mortensen, P Pancholi, W Veros and 1 more

Open access · hybridAbstract readEvaluation StudyMulticenter 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. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 61 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Food and waterborne parasitology · 2021
    Review
  11. Comparative Performance of Eight PCR Methods to DetectPathogens (Basel, Switzerland) · 2021
    Article
  12. Article
  13. DetectingThe American journal of tropical medicine and hygiene · 2020
    Article
  14. Evaluation of the AllplexMicroorganisms · 2020
    Article
  15. Article
  16. Article
  17. Prevalence ofTropical medicine and infectious disease · 2019
    Article
  18. Article
  19. Article
  20. Article
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

11 authors at 9 institutions in 2 countries.

S Madison-AntenucciParasitology Laboratory, Wadsworth Center, NYSDOH, Albany, New York, USA s.antenucci@health.ny.gov.
R F RelichIndiana University School of Medicine, Indianapolis, Indiana, USA.
L DoyleCleveland Clinic, Cleveland, Ohio, USA.
N EspinaParasitology Laboratory, Wadsworth Center, NYSDOH, Albany, New York, USA.
D FullerIndiana University School of Medicine, Indianapolis, Indiana, USA.
T KarchmerBecton Dickinson and Company, Sparks, Maryland, USA.
A LainesseBecton, Dickinson and Company, Quebec, Quebec, Canada.
J E MortensenCincinnati Children's Hospital, Cincinnati, Ohio, USA.
P PancholiThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
W VerosIndiana University School of Medicine, Indianapolis, Indiana, USA.
S M HarringtonCleveland Clinic, Cleveland, Ohio, USA.
Cleveland Clinic · USIndiana University School of MedicineBecton Dickinson (Canada) · CABecton Dickinson (United States) · USCincinnati Children's Hospital Medical Center · USIndiana University – Purdue University Indianapolis · USNew York State Department of Health · USThe Ohio State University Wexner Medical Center · USWadsworth Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Common causes of chronic diarrhea among travelers worldwide include protozoan parasites. The majority of parasitic infections are caused by Giardia duodenalis, Entamoeba histolytica, Cryptosporidium parvum, and Cryptosporidium hominis Similarly, these species cause the majority of parasitic diarrhea acquired in the United States. Detection of parasites by gold standard microscopic methods is time-consuming and requires considerable expertise; enzyme immunoassays and direct fluorescent-antibody (DFA) stains have lowered hands-on time for testing, but improvements in sensitivity and technical time may be possible with a PCR assay. We performed a clinical evaluation of a multiplex PCR panel, the enteric parasite panel (EPP), for the detection of these common parasites using the BD Max instrument, which performs automated extraction and amplification. A total of 2,495 compliant specimens were enrolled, including 2,104 (84%) specimens collected prospectively and 391 (16%) specimens collected retrospectively. Approximately equal numbers were received in 10% formalin (1,273 specimens) and unpreserved (1,222 specimens). The results from the EPP were compared to those from alternate PCR and bidirectional sequencing (APCR), as well as DFA (G. duodenalis and C. parvum or C. hominis) or trichrome stain (E. histolytica). The sensitivity and specificity for prospective and retrospective specimens combined were 98.2% and 99.5% for G. duodenalis, 95.5% and 99.6 for C. parvum or C. hominis, and 100% and 100% for E. histolytica, respectively. The performance of the FDA-approved BD Max EPP compared well to the reference methods and may be an appropriate substitute for microscopic examination or immunoassays.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAutomation, LaboratoryChildChild, PreschoolClinical Laboratory TechniquesCryptosporidiumEntamoeba histolyticaFemaleGiardia lambliaHumansInfantInfant, Newborn

Identifiers

PMID27535690
PMCPMC5078543
OpenAlexW2517721391

What OpenQuestion holds

Textmetadata
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.