Evidence map›Paper›PMID 30616544›Full record

ArticleBMC infectious diseases2019

Evaluation of point of care tests for the diagnosis of cutaneous leishmaniasis in Suriname.

Henk D F H Schallig, Ricardo V P Hu, Alida D Kent, Merlin van Loenen, Sandra Menting, Albert Picado, Zippora Oosterling, Israel Cruz

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
4.7field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  19. Novel CRISPR-based detection ofFrontiers in microbiology · 2022
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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

8 authors at 4 institutions in 3 countries.

Henk D F H SchalligAcademic Medical Centre, Department of Medical Microbiology, Parasitology Unit, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands. h.d.schallig@amc.nl.ORCID http://orcid.org/0000-0002-7096-6279
Ricardo V P HuDermatology Service, Ministry of Health, Tourtonnelaan 5, Paramaribo, Suriname.
Alida D KentDepartment of Parasitology, Anton de Kom University, Kernkampweg, Paramaribo, Suriname.
Merlin van LoenenAcademic Medical Centre, Department of Medical Microbiology, Parasitology Unit, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Sandra MentingAcademic Medical Centre, Department of Medical Microbiology, Parasitology Unit, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Albert PicadoFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Zippora OosterlingDepartment of Parasitology, Anton de Kom University, Kernkampweg, Paramaribo, Suriname.
Israel CruzFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Amsterdam UMC Location University of Amsterdam · NLAnton de Kom University of Suriname · SRFIND · CHMulti Electrical System (Suriname) · SR

Funding

Federal Ministry of Education and Research Germany 02060457
6 · The paper itself

Abstract

backgroundCutaneous leishmaniasis (CL) is a serious health problem in Suriname. To expand the diagnostic options, two newly developed diagnostic tests, i.e. the rapid diagnostic test CL Detect™ Rapid Test (CL Detect) and the Loopamp™ Leishmania Detection Kit (Loopamp) were evaluated.

methodsDiagnostic test performance was compared to the routine diagnostic approach in place, i.e. clinical symptoms combined with microscopy, and to polymerase chain reaction (PCR), which was used as a reference standard. The study population (n = 93) was a typical representation of the CL affected population in Suriname and mainly infected with Leishmania guyanensis.

resultsCL Detect had a very low sensitivity compared to microscopy (36.7%) or PCR (35.8%), due to a high number of false negative results. The specificity of the CL Detect compared to microscopy and PCR was 85.7 and 83.3% respectively. Loopamp sensitivity was 84.8% compared to microscopy and 91.4% compared to PCR. The Loopamp test had a moderate specificity (42.9%) compared to microscopy, but a good specificity compared to PCR (91.7%).

conclusionThe CL Detect is not likely to be a good replacement for the routine diagnostic procedure for CL in Suriname. The high sensitivity of the easy to perform Loopamp enables the implementation of sensitive molecular diagnosis in resource limited settings.

Indexed as

Point-of-Care TestingAdultChromatography, AffinityDiagnostic Tests, RoutineFemaleHumansLeishmania guyanensisLeishmaniasis, CutaneousMaleMicroscopyPolymerase Chain ReactionSensitivity and SpecificitySurinameCutaneous leishmaniasisDiagnostics

Identifiers

PMID30616544
PMCPMC6323762
OpenAlexW2919952973

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.