Evidence map›Paper›PMID 29280085›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2018

Usefulness of a single-assay chemiluminescence test (Tularaemia VIRCLIA IgG + IgM monotest) for the diagnosis of human tularemia. Comparison of five serological tests.

África Cubero, Carlos Durántez, Ana Almaraz, Luis Fernández-Lago, María P Gutiérrez, María J Castro, Miguel A Bratos, María Simarro, Gabriel A March, Antonio Orduña

Abstract readComparative Study
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In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

África CuberoDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
Carlos DurántezDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
Ana AlmarazDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
Luis Fernández-LagoDepartment of Microbiology, University of Salamanca, Salamanca, Spain.
María P GutiérrezDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
María J CastroFaculty of Nursery, University of Valladolid, Valladolid, Spain.
Miguel A BratosDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
María SimarroDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
Gabriel A MarchDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain. gmr810@hotmail.com.
Antonio OrduñaDepartment of Microbiology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this work was to ascertain the usefulness of a new commercially-available single-assay chemiluminescence test (CHT) for the diagnosis of human tularemia (Tularaemia VIRCLIA IgG + IgM monotest, Vircell, Santa Fe, Granada, Spain). A total of 773 sera from 773 patients including 364 initial sera from patients with diagnosed tularemia, patients with suspected tularemia not confirmed (100), healthy people (152), patients with serology positive to Brucella (97), patients diagnosed with other infectious diseases (30), and patients diagnosed with autoimmune diseases (30) were included. All sera were tested by CHT, "in-house" microagglutination test (MAT), immunochromatographic test (ICT) (Virapid Tularaemia, Vircell, Santa Fe Granada, Spain), and "in-house" ELISA IgG, and ELISA IgM. Of the total initial sera, 334 (sensitivity 91.8%) were positive in the CHT, 332 (sensitivity 91.2%) in the MAT, 330 (sensitivity 90.7%) in the ICT, and 328 (sensitivity 90.1%) in the ELISA IgG and ELISA IgM tests. The specificity of the CHT was 96.7%; of the MAT, 100%; of the ICT, 98.7%; and of the ELISA IgG and ELISA IgM, 97.4%. In the group of patients with serology positive to Brucella, at least 12.4% of sera were positive in tularemia tests (12.4% in ELISA IgM, 13.4% in MAT, 14.4% in ICT, and 15.5% in CHT and ELISA IgG). In conclusion, CHT presents a sensitivity and specificity in early diagnosis of human tularemia, similar to MAT, ICT, and ELISA IgG and ELISA IgM. Its single assay design allows lower costs, especially in areas of low endemicity or inter-epidemic periods.

Indexed as

AdultAgedAntibodies, BacterialCase-Control StudiesFemaleFrancisella tularensisHumansImmunoassayImmunoglobulin GImmunoglobulin MLuminescent MeasurementsMaleMiddle AgedPredictive Value of TestsSerologic TestsTularemiaAntibodies, BacterialImmunoglobulin GImmunoglobulin M

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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.