Evidence map›Paper›PMID 30338547›Full record

ArticleJournal of clinical laboratory analysis2019

Time-resolved fluorescent immunoassay-based combined detection of procalcitonin, C-reactive protein, heparin binding protein, and serum amyloid A1 to improve the diagnostic accuracy of early infection.

Tingting Niu, Yang Liu, Feifei Zhu, Jiayan Ma, Jimin Gao

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  12. Acute phase protein response to viral infection and vaccination.Archives of biochemistry and biophysics · 2019
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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

5 authors at 1 institution in 1 country.

Tingting NiuZhejiang Provincial Key Laboratory of Technology & Application of Model Organisms, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.
Yang LiuZhejiang Provincial Key Laboratory of Technology & Application of Model Organisms, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.
Feifei ZhuZhejiang Provincial Key Laboratory of Technology & Application of Model Organisms, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.
Jiayan MaZhejiang Provincial Key Laboratory of Technology & Application of Model Organisms, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.
Jimin GaoZhejiang Provincial Key Laboratory of Technology & Application of Model Organisms, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0000-0002-3911-043X
Wenzhou Medical University · CN

Funding

Chinese National 863 Plan 2012AA02A407Key Science and Technology Innovation Team of Zhejiang ProvinceNatural Science Foundation of Zhejiang Province LY14H190004Natural Science Foundation of Zhejiang Province LY15H160066Wenzhou Municipal Research Program Y20160009Wenzhou Municipal Research Program Y20160074Wenzhou Municipal Research Program ZS2017014Zhejiang Provincial Program for the Cultivation of High Level Innovative Health Talents
6 · The paper itself

Abstract

backgroundSerological tests are indispensable in the diagnosis of early infection. At present, only procalcitonin (PCT) and C-reactive protein (CRP) are commonly used in clinical practice. Recently, serum amyloid A1 (SAA1) and heparin binding protein (HBP) have been shown to be new biomarkers, because SAA1 is highly sensitive and specific for viral infections, and HBP is predictive for septic shock. In this study, PCT, CRP, HBP, and SAA1 were detected in different combinations to improve the diagnostic accuracy of early infection using the biotin-avidin amplifying system-based time-resolved fluorescent immunoassay (BA-TRFIA).

methodsA time-resolved fluorescent immunoassay for PCT, CRP, HBP, and SAA1 was developed and then tested in a clinical setting. All experiments were carried out using the DR6608 time-resolved fluorescent immunoassay analyzer.

resultsThe cutoff values of PCT, CRP, HBP, and SAA1 were 0.05 μg/L, 5.59 mg/L, 3.83 μg/L, and 1.56 mg/L, respectively. The area under the ROC curve (AUC) showed that PCT ˃ SAA1 ˃ CRP ˃ HBP > 0.8. A methodological comparison of the results showed that a combination of the four biomarkers had the highest accuracy for the diagnosis of infectious diseases.

conclusionThe time-resolved fluorescent immunoassay-based combined detection of PCT, CRP, HBP, and SAA1 was shown to significantly improve the diagnostic accuracy of early infection. Thus, our results indicate that combined detection based on BA-TRFIA may represent a promising strategy in the clinical diagnosis of infection.

Indexed as

AdolescentAdultAgedAged, 80 and overAntimicrobial Cationic PeptidesBacterial InfectionsBiomarkersBlood ProteinsCarrier ProteinsChildChild, PreschoolC-Reactive ProteinEarly DiagnosisFemaleFluorescent Antibody TechniqueHumansAntimicrobial Cationic PeptidesAZU1 protein, humanBiomarkersBlood ProteinsCarrier ProteinsC-Reactive ProteinProcalcitoninSerum Amyloid A ProteinC-reactive proteinheparin binding proteinprocalcitoninserum amyloid A1time-resolved fluorescent immunoassay

Identifiers

PMID30338547
PMCPMC6818598
OpenAlexW2897856059

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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.