Evidence map›Paper›PMID 29219803›Full record

ArticleJournal of medical microbiology2018

Accuracy and reproducibility of the Etest to detect drug-resistant Neisseria gonorrhoeae to contemporary treatment.

John R Papp, Marie-Claire Rowlinson, Norman P O'Connor, Jason Wholehan, Jafar H Razeq, Anita Glennen, Dapne Ware, Peter C Iwen, Lillian V Lee, Celia Hagan

Abstract read
In one paragraph

Article in Journal of medical microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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  11. Exploration of theAntibiotics (Basel, Switzerland) · 2020
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  12. The Laboratory Diagnosis ofPathogens (Basel, Switzerland) · 2020
    Review
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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

10 authors.

John R PappCenters for Disease Control and Prevention, Atlanta, GA, USA.
Marie-Claire RowlinsonBureau of Public Health Laboratories, Jacksonville, FL, USA.
Norman P O'ConnorState Laboratory Division, Hawaii Department of Health, Pearl City, HI, USA.
Jason WholehanMichigan Department of Community Health, Lansing, MI, USA.
Jafar H RazeqMaryland Department of Health, Baltimore, MD, USA.
Anita GlennenMinnesota Department of Health, St. Paul, MN, USA.
Dapne WareMississippi Public Health Laboratories, Jackson, MS, USA.
Peter C IwenNebraska Public Health Laboratory, Omaha, NE, USA.
Lillian V LeeNew York City Department of Health and Mental Hygiene, New York City, NY, USA.
Celia HaganAssociation of Public Health Laboratories, Silver Spring, MD, USA.

Funding

Intramural CDC HHS CC999999NCHM CDC HHS U60 HM000803
6 · The paper itself

Abstract

purposeNeisseria gonorrhoeae is a sexually transmitted bacterial pathogen that continues to evolve to become resistant to known antibiotics. In preparing for potential emergence, the Centers for Disease Control and Prevention recommends that clinical laboratories maintain or develop protocols to assess antibiotic susceptibly for this organism. This study examines the intra-laboratory variability of using the Etest method to provide consistent MIC values for N. gonorrhoeae and also compared the results of the Etest to known agar dilution MIC values. METHODOLOGY: Clinical N. gonorrhoeae isolates, 100 paired duplicates, were tested by eight laboratories for antibiotic susceptibility to ceftriaxone, cefixime and azithromycin using Etest strips.Results/Key findings. Overall, >80 % of the paired Etest MIC values were within one log2 dilution of the replicate. When compared to the agar dilution reference method, the cefixime Etest MIC values were consistently underreported by one dilution (seven laboratories) or two dilutions (one laboratory). The azithromycin Etest MIC values agreed 90.7 % with the agar dilution MIC values while the agreement with ceftriaxone was 90.9 %.

conclusionOverall, the Etest method yielded reproducible MIC values within each laboratory with the azithromycin and ceftriaxone MIC results consistent to the reference agar dilution method while the cefixime result tended to provide a lower MIC value.

Indexed as

Anti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneDrug Resistance, BacterialGonorrheaHumansMicrobial Sensitivity TestsNeisseria gonorrhoeaeReproducibility of ResultsAnti-Bacterial AgentsAzithromycinCefiximeCeftriaxoneantimicrobial susceptibilityEtest accuracyEtest reproducibilityGonorrhea

Identifiers

PMID29219803
PMCPMC6739835

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Registered trials

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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.