Evidence map›Paper›PMID 28650970›Full record

ArticlePLoS neglected tropical diseases2017

Point-of-care testing for Toxoplasma gondii IgG/IgM using Toxoplasma ICT IgG-IgM test with sera from the United States and implications for developing countries.

Ian J Begeman, Joseph Lykins, Ying Zhou, Bo Shiun Lai, Pauline Levigne, Kamal El Bissati, Kenneth Boyer, Shawn Withers, Fatima Clouser, A Gwendolyn Noble and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04474132 (Feasibility Study for Finger Prick Testing of Presence of Current and or Previous T. Gondii Infection), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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.

NCT04474132 narecruitingnot on this mapstarted 2020, after this paper: background citation

Feasibility Study for Finger Prick Testing of Presence of Current and or Previous T. Gondii Infection

TypeinterventionalSponsorUniversity of ChicagoRan2020 to 2026Enrolled210ConditionsToxoplasma InfectionsArmstoxoplasma ICT IgG-IgM BK
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Identification of novel biomarkers for anti-Frontiers in microbiology · 2024
    Article
  8. Performances of ICT Toxoplasma IgG-IgM test in comparison with Vidas® toxo competition to determine the immune status against Toxoplasma gondii.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  9. Review
  10. Review
  11. Review
  12. High performance of a novel point-of-care blood test forEmerging microbes & infections · 2021
    Article
  13. Comparisons ofArchives of Razi Institute · 2021
    Article
  14. Contribution of the Toxoplasma ICT IgG IgMJournal of clinical laboratory analysis · 2021
    Article
  15. Assessment of seroprevalence ofIranian journal of microbiology · 2021
    Article
  16. The Role of microRNAs in the Infection byFrontiers in cellular and infection microbiology · 2021
    Review
  17. Article
  18. Review
  19. Serological and molecular rapid diagnostic tests for Toxoplasma infection in humans and animals.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Review
  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

21 authors at 7 institutions in 2 countries.

Ian J BegemanDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Joseph LykinsPritzker School of Medicine, The University of Chicago, Chicago, Illinois, United States of America.
Ying ZhouDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Bo Shiun LaiDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Pauline LevigneInstitut de Parasitologie et de Mycologie Médicale Hôpital de la Croix Rousse, Lyon, France.
Kamal El BissatiDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Kenneth BoyerDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Shawn WithersDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Fatima ClouserDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
A Gwendolyn NobleDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Peter RabiahDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Charles N SwisherDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Peter T HeydemannDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.
Despina G Contopoulos-IoannidisDepartment of Pediatrics, Division of Infectious Diseases, Stanford University School of Medicine, Stanford, California, United States of America.
Jose G MontoyaPalo Alto Medical Foundation Toxoplasma Serology Laboratory, Palo Alto, California, United States of America.
Yvonne MaldonadoDepartment of Pediatrics, Division of Infectious Diseases, Stanford University School of Medicine, Stanford, California, United States of America.
Raymund RamirezPalo Alto Medical Foundation Toxoplasma Serology Laboratory, Palo Alto, California, United States of America.
Cindy PressPalo Alto Medical Foundation Toxoplasma Serology Laboratory, Palo Alto, California, United States of America.
Eileen StillwaggonGettysburg College, Gettysburg, Pennsylvania, United States of America.
François PeyronInstitut de Parasitologie et de Mycologie Médicale Hôpital de la Croix Rousse, Lyon, France.
Rima McLeodDepartment of Ophthalmology and Visual Science, The University of Chicago, Chicago, Illinois, United States of America.ORCID http://orcid.org/0000-0002-1130-9631
University of Chicago · USStanford University · USHôpital de la Croix-Rousse · FRNorthwestern University · USRush University Medical Center · USGettysburg College · USNorthShore University HealthSystem · US

Funding

Towards a Vaccine to Prevent ToxoplasmosisU01AI077887 · NIAID · UNIVERSITY OF CHICAGO · PI MCLEOD, RIMA L · 2008 to 2012
$4.2M
TREATMENT OF CONGENITAL TOXOPLASMOSISR01AI027530 · NIAID · UNIVERSITY OF CHICAGO · PI MCLEOD, RIMA L · 1989 to 2010
$2.8M
NIAID NIH HHS R01 AI027530NIAID NIH HHS U01 AI077887
6 · The paper itself

Abstract

backgroundCongenital toxoplasmosis is a serious but preventable and treatable disease. Gestational screening facilitates early detection and treatment of primary acquisition. Thus, fetal infection can be promptly diagnosed and treated and outcomes can be improved.

methodsWe tested 180 sera with the Toxoplasma ICT IgG-IgM point-of-care (POC) test. Sera were from 116 chronically infected persons (48 serotype II; 14 serotype I-III; 25 serotype I-IIIa; 28 serotype Atypical, haplogroup 12; 1 not typed). These represent strains of parasites infecting mothers of congenitally infected children in the U.S. 51 seronegative samples and 13 samples from recently infected persons known to be IgG/IgM positive within the prior 2.7 months also were tested. Interpretation was confirmed by two blinded observers. A comparison of costs for POC vs. commercial laboratory testing methods was performed.

resultsWe found that this new Toxoplasma ICT IgG-IgM POC test was highly sensitive (100%) and specific (100%) for distinguishing IgG/IgM-positive from negative sera. Use of such reliable POC tests can be cost-saving and benefit patients.

conclusionsOur work demonstrates that the Toxoplasma ICT IgG-IgM test can function reliably as a point-of-care test to diagnose Toxoplasma gondii infection in the U.S. This provides an opportunity to improve maternal-fetal care by using approaches, diagnostic tools, and medicines already available. This infection has serious, lifelong consequences for infected persons and their families. From the present study, it appears a simple, low-cost POC test is now available to help prevent morbidity/disability, decrease cost, and make gestational screening feasible. It also offers new options for improved prenatal care in low- and middle-income countries.

Indexed as

Antibodies, ProtozoanCosts and Cost AnalysisDeveloping CountriesDiagnostic Tests, RoutineHumansImmunoassayImmunoglobulin GImmunoglobulin MPoint-of-Care TestingSensitivity and SpecificityToxoplasmaToxoplasmosisUnited StatesAntibodies, ProtozoanImmunoglobulin GImmunoglobulin M

Identifiers

PMID28650970
PMCPMC5501679
OpenAlexW2662654634

What OpenQuestion holds

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LicenceCC BY
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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.