Evidence map›Paper›PMID 30723007›Full record

ArticleDiagnostic microbiology and infectious disease2019

A multisite implementation of a real-time polymerase chain reaction assay to predict ciprofloxacin susceptibility in Neisseria gonorrhoeae.

Olivia Ellis, Peera Hemarajata, Akbar Shahkolahi, Godfred Masinde, Kerry Buchs, Romney M Humphries, Jeffrey D Klausner

Open access · greenAbstract read
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Resistance-Guided Treatment of Gonorrhea: A Prospective Clinical Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  2. Detection ofAntibiotics (Basel, Switzerland) · 2024
    Article
  3. Article
  4. Article
  5. Review
  6. 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

7 authors at 6 institutions in 1 country.

Olivia EllisUCLA Jonathan and Karin Fielding School of Public Health, Department of Environmental Health Sciences, University of California, USA.
Peera HemarajataLos Angeles Department of Public Health, Public Health Laboratories, Los Angeles, CA, USA.
Akbar ShahkolahiSocial and Scientific Systems, Inc., Clinical Research and Biosciences Group, Silver Spring, MD, USA.
Godfred MasindeSan Francisco Department of Public Health, San Francisco Public Health Laboratory, San Francisco, CA, USA.
Kerry BuchsPhiladelphia Department of Public Health, Philadelphia Public Health Laboratory, Philadelphia, PA, USA.
Romney M HumphriesAccelerate Diagnostics, Tucson, AZ, USA. Electronic address: rhumphries@axdx.com.
Jeffrey D KlausnerUCLA Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Department of Public Health · USLos Angeles County Department of Public Health · USPhiladelphia Department of Public Health · USSan Francisco Department of Public Health · USSocial and Scientific Systems (United States) · USUniversity of California, Los Angeles · US

Funding

Syphilis Immunology and Biology to Improve Clinical Management and Vaccine DesignR01AI139265 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jeffrey David Klausner · 2018 to 2026
$4.8M
Reducing excess broad-spectrum antibiotic use in gonorrheaR21AI117256 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KLAUSNER, JEFFREY DAVID · 2016 to 2017
$424k
NIAID NIH HHS HHSN272201300014INIAID NIH HHS R01 AI139265NIAID NIH HHS R21 AI117256
6 · The paper itself

Abstract

There are no commercially available Food and Drug Administration-cleared rapid tests for Neisseria gonorrhoeae antimicrobial susceptibility testing. This study evaluated the performance of a laboratory-developed real-time polymerase chain reaction assay for genotyping the gyrA gene to determine antimicrobial susceptibility to ciprofloxacin. Validation and clinical performance of the gyrA assay were evaluated across 3 geographic locations (Los Angeles, San Francisco, Philadelphia). Following validation, clinical specimens were collected in Aptima Combo2® CT/NG transport medium from asymptomatic persons who tested positive for Neisseria gonorrhoeae and evaluated for assay percent reportable (i.e., proportion of N. gonorrhoeae-positive specimens that yielded a gyrA genotype). The percentage of gyrA genotyping results differed by laboratory and specimen type. The proportion of specimens that were reportable was best for urine/genital specimens (genotyped = 76.4% (95% confidence interval, 69.9-82%)) followed by rectal (genotyped = 67.2% (95% confidence interval, 63.4-70.6%)) and then pharyngeal specimens (genotyped = 36.1%, (95% confidence interval, 31.9-40.5%)). Overall, asymptomatic patients with N. gonorrhoeae yielded an interpretable genotype 57.2% (784/1370) of the time, of which 480 were wild-type gyrA, resulting in 61% (480/784) being potentially treatable with ciprofloxacin.

Indexed as

Drug Resistance, BacterialAdolescentAdultAgedAnti-Bacterial AgentsCiprofloxacinDNA GyraseGenotypeGenotyping TechniquesGonorrheaHumansLos AngelesMicrobial Sensitivity TestsMiddle AgedNeisseria gonorrhoeaePhiladelphiaAnti-Bacterial AgentsCiprofloxacinDNA GyraseAntibiotic resistanceAntimicrobial stewardshipGonorrheaMolecular surveillance

Identifiers

PMID30723007
PMCPMC7427424
OpenAlexW2908865034

What OpenQuestion holds

Textmetadata
LicenceTDM
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.