Evidence map›Paper›PMID 29617007›Full record

ArticlePediatric research2018

Pediatric tuberculosis detection using trained African giant pouched rats.

Georgies F Mgode, Christophe L Cox, Stephen Mwimanzi, Christiaan Mulder

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Pediatric Tuberculosis Diagnostics: Present and Future.Journal of the Pediatric Infectious Diseases Society · 2022
    Article
  6. Article
  7. Visual Analytics of Tuberculosis Detection Rat Performance.Online journal of public health informatics · 2021
    Article
  8. Article
  9. The Many Hosts of Mycobacteria 8 (MHM8): A conference report.Tuberculosis (Edinburgh, Scotland) · 2020
    Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Georgies F MgodeSokoine University of Agriculture, Pest Management Centre, African Centre of Excellence for Innovative Rodent Pest Management and Biosensor Technology Development, Morogoro, Tanzania. gmgode@sua.ac.tz.
Christophe L CoxAnti-Persoonsmijnen Ontmijnende Product Ontwikkeling - APOPO, Tuberculosis Department, Sokoine University of Agriculture, Morogoro, Tanzania.
Stephen MwimanziAnti-Persoonsmijnen Ontmijnende Product Ontwikkeling - APOPO, Tuberculosis Department, Sokoine University of Agriculture, Morogoro, Tanzania.
Christiaan MulderAnti-Persoonsmijnen Ontmijnende Product Ontwikkeling - APOPO, Tuberculosis Department, Sokoine University of Agriculture, Morogoro, Tanzania.
Sokoine University of Agriculture · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) diagnosis in children is a challenge with up to 94% of children with TB treated empirically in TB high-burden countries. Therefore, new diagnostic tests are needed for TB diagnosis. We determined the performance of trained rats in the diagnosis of pediatric TB and whether they can improve detection rate compared to the standard of care.

methodsPresumptive TB patients in 24 TB clinics in Tanzania were tested. Samples indicated as TB-positive by rats underwent confirmation by concentrated smear microscopy. TB yield of bacteriologically confirmed pediatric TB patients (≤5 years) was compared with yield of standard of care.

resultsSputum samples from 55,148 presumptive TB patients were tested. Nine hundred eighty-two (1.8%) were the children between 1 and 5 years. Clinics detected 34 bacteriologically positive children, whereas rats detected additional 23 children yielding 57 bacteriologically TB-positive children. Rats increased pediatric TB detection by 67.6%. Among 1-14-year-old children, clinics detected 331 bacteriologically positive TB whereas rats found the additional 208 children with TB that were missed by clinics. Relative increase in TB case detection by rats decreased with the increase in age (P<0.0001).

conclusionTrained rats increase pediatric TB detection significantly and could help address the pediatric TB diagnosis challenges. Further determination of accuracy of rats involving other sample types is still needed.

Indexed as

RodentiaAdolescentAnimalsChildChild, PreschoolClinical Laboratory TechniquesDiagnostic Tests, RoutineFemaleHumansInfantMaleMass ScreeningMicroscopyMycobacterium tuberculosisOdorantsPediatricsVolatile Organic Compounds

Identifiers

PMID29617007
OpenAlexW2795992074

What OpenQuestion holds

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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.