Evidence map›Paper›PMID 30257903›Full record

ReviewJournal of clinical microbiology2019

Cryptococcal Meningitis Diagnostics and Screening in the Era of Point-of-Care Laboratory Testing.

Radha Rajasingham, Rachel M Wake, Tafese Beyene, Andrew Katende, Emilio Letang, David R Boulware

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
9.2field-weighted citation impact, top 1% 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

112 citing papers in PubMed, 191 citations in OpenAlex.

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52 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

6 authors at 5 institutions in 7 countries.

Radha RajasinghamDivision of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota, USA radha@umn.edu.
Rachel M WakeCentre for Healthcare-Associated Infections, Antimicrobial Resistance and Mycoses, National Institute for Communicable Diseases, Johanneseburg, South Africa.
Tafese BeyeneAsella Teaching Hospital, College of Health Sciences, Arsi University, Asella, Ethiopia.
Andrew KatendeIfakara Health Institute, Ifakara, United Republic of Tanzania.
Emilio LetangIfakara Health Institute, Ifakara, United Republic of Tanzania.
David R BoulwareDivision of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
University of Minnesota · USAsossa University · ETHospital Del Mar · ESIfakara Health Institute · TZNational Institute for Communicable Diseases

Funding

Operational Research for Cryptococcal Antigen Screening (ORCAS) of HIV PatientsU01AI125003 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R, MEYA, DAVID BISAGAYA · 2016 to 2020
$3.4M
Phased Implementation of a Public Health Programme: Cryptococcal Screening and Treatment in South AfricaR01AI118511 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R, GOVENDER, NELESH PREMAPRAGASAN · 2016 to 2020
$2.9M
Evaluation of CRAG screening with enhanced antifungal therapy for asymptomatic CRAG-positive personsK23AI138851 · NIAID · UNIVERSITY OF MINNESOTA · PI RAJASINGHAM, RADHA · 2018 to 2022
$954k
NIAID NIH HHS K23 AI138851NIAID NIH HHS R01 AI118511NIAID NIH HHS U01 AI125003
6 · The paper itself

Abstract

Over the past ten years, standard diagnostics for cryptococcal meningitis in HIV-infected persons have evolved from culture to India ink to detection of cryptococcal antigen (CrAg), with the recent development and distribution of a point-of-care lateral flow assay. This assay is highly sensitive and specific in cerebrospinal fluid (CSF), but is also sensitive in the blood to detect CrAg prior to meningitis symptoms. CrAg screening of HIV-infected persons in the blood prior to development of fulminant meningitis and preemptive treatment for CrAg-positive persons are recommended by the World Health Organization and many national HIV guidelines. Thus, CrAg testing is occurring more widely, especially in resource-limited laboratory settings. CrAg titer predicts meningitis and death and could be used in the future to customize therapy according to burden of infection.

Indexed as

Point-of-Care TestingAIDS-Related Opportunistic InfectionsAntigens, FungalAsymptomatic InfectionsBacteriological TechniquesCryptococcusHumansMass ScreeningMeningitis, CryptococcalSensitivity and SpecificitySurvival RateAntigens, FungalCryptococcusdiagnosticspoint-of-careprevention

Identifiers

PMID30257903
PMCPMC6322457
OpenAlexW2894217797

What OpenQuestion holds

Textmetadata
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.