Evidence map›Paper›PMID 27994107›Full record

ArticleThe American journal of tropical medicine and hygiene2017

Evaluation of the GeneXpert for Human Monkeypox Diagnosis.

Daniel Li, Kimberly Wilkins, Andrea M McCollum, Lynda Osadebe, Joelle Kabamba, Beatrice Nguete, Toutou Likafi, Marcel Pie Balilo, Robert Shongo Lushima, Jean Malekani and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Community transmission of mpox clade Ib not driven through sexual exposures, Uvira, eastern Democratic Republic of the Congo, June to October 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Performance of the Xpert™ Mpox PCR assay with oropharyngeal, anorectal, and cutaneous lesion swab specimens.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2024
    Article
  18. Role of the Laboratory in the Diagnosis of Poxvirus Infections.Advances in experimental medicine and biology · 2024
    Review
  19. Review
  20. Article

1 more citing papers are in PubMed but not listed here.

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

19 authors at 3 institutions in 1 country.

Daniel LiPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kimberly WilkinsPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andrea M McCollumPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Lynda OsadebePoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Joelle KabambaCenters for Disease Control and Prevention, Kinshasa, Democratic Republic of Congo.
Beatrice NgueteKinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.
Toutou LikafiKinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.
Marcel Pie BaliloKinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.
Robert Shongo LushimaMinistry of Health, Kinshasa, Democratic Republic of Congo.
Jean MalekaniUniversity of Kinshasa, Kinshasa, Democratic Republic of Congo.
Inger K DamonPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Michael C L VickeryBioGX, Birmingham, Alabama.
Elisabeth PukutaInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Frida NkawaInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Stomy KarhemereInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Jean-Jacques Muyembe TamfumInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Emile Wemakoy OkitolondaKinshasa School of Public Health, Kinshasa, Democratic Republic of Congo.
Yu LiPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mary G ReynoldsPoxvirus and Rabies Branch, Division of High-Consequence Pathogens and Pathology, National Center for Enteric and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ministry of Public Health · CDNational Institute of Biomedical Research · CDUniversity of Kinshasa · CD

Funding

NCEZID CDC HHS U01 CK000539
6 · The paper itself

Abstract

Monkeypox virus (MPXV), a zoonotic orthopoxvirus (OPX), is endemic in the Democratic Republic of Congo (DRC). Currently, diagnostic assays for human monkeypox (MPX) focus on real-time quantitative polymerase chain reaction (PCR) assays, which are typically performed in sophisticated laboratory settings. Herein, we evaluated the accuracy and utility of a multiplex MPX assay using the GeneXpert platform, a portable rapid diagnostic device that may serve as a point-of-care test to diagnose infections in endemic areas. The multiplex MPX/OPX assay includes a MPX-specific PCR test, OPX-generic PCR test, and an internal control PCR test. In total, 164 diagnostic specimens (50 crusts and 114 vesicular swabs) were collected from suspected MPX cases in Tshuapa Province, DRC, under national surveillance guidelines. The specimens were tested with the GeneXpert MPX/OPX assay and an OPX PCR assay at the Institut National de Recherche Biomedicale (INRB) in Kinshasa. Aliquots of each specimen were tested in parallel with a MPX-specific PCR assay at the Centers for Disease Control and Prevention. The results of the MPX PCR were used as the gold standard for all analyses. The GeneXpert MPX/OPX assay performed at INRB had a sensitivity of 98.8% and specificity of 100%. The GeneXpert assay performed well with both crust and vesicle samples. The GeneXpert MPX/OPX test incorporates a simple methodology that performs well in both laboratory and field conditions, suggesting its viability as a diagnostic platform that may expand and expedite current MPX detection capabilities.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolDemocratic Republic of the CongoFemaleHumansInfantInfant, NewbornMaleMiddle AgedMonkeypox virusMpox, MonkeypoxPoint-of-Care Systems

Identifiers

PMID27994107
PMCPMC5303045
OpenAlexW2561257702

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.