Evidence map›Paper›PMID 27537829›Full record

ReviewCurrent opinion in infectious diseases2016

Molecular diagnostics for human leptospirosis.

Jesse J Waggoner, Benjamin A Pinsky

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.9field-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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Laboratory Diagnosis of Leptospirosis.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  3. Article
  4. Article
  5. Seroprevalence and carrier status ofIranian journal of veterinary research · 2025
    Article
  6. Veterinary sciences · 2024
    Article
  7. Article
  8. Molecular Characterization ofTropical medicine and infectious disease · 2024
    Article
  9. Article
  10. Relevance of Polymerase Chain Reaction in Early Diagnosis of Leptospirosis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

2 authors at 1 institution in 1 country.

Jesse J WaggoneraDepartment of Medicine, Division of Infectious Diseases and Geographic Medicine bDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Benjamin A Pinsky
Palo Alto Institute · US

Funding

Once Bitten: Detecting the World???s Most Common Vector-Borne PathogensK08AI110528 · NIAID · STANFORD UNIVERSITY · PI WAGGONER, JESSE · 2014 to 2018
$917k
NIAID NIH HHS K08 AI110528
6 · The paper itself

Abstract

purpose of reviewThe definitive diagnosis of leptospirosis, which results from infection with spirochetes of the genus Leptospira, currently relies on the use of culture, serological testing (microscopic agglutination testing), and molecular detection. The purpose of this review is to describe new molecular diagnostics for Leptospira and discuss advancements in the use of available methods. RECENT

findingsEfforts have been focused on improving the clinical sensitivity of Leptospira detection using molecular methods. In this review, we describe a reoptimized pathogenic species-specific real-time PCR (targeting lipL32) that has demonstrated improved sensitivity, findings by two groups that real-time reverse-transcription PCR assays targeting the 16S rrs gene can improve detection, and two new loop-mediated amplification techniques. Quantitation of leptospiremia, detection in different specimen types, and the complementary roles played by molecular detection and microscopic agglutination testing will be discussed. Finally, a protocol for Leptospira strain subtyping using variable number tandem repeat targets and high-resolution melting will be described. SUMMARY: Molecular diagnostics have an established role for the diagnosis of leptospirosis and provide an actionable diagnosis in the acute setting. The use of real-time reverse-transcription PCR for testing serum/plasma and cerebrospinal fluid, when available, may improve the detection of Leptospira without decreasing clinical specificity.

Indexed as

Molecular Diagnostic TechniquesHumansLeptospiraLeptospirosisMolecular TypingReverse Transcriptase Polymerase Chain Reaction

Identifiers

PMID27537829
PMCPMC5127924
OpenAlexW2508790805

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.