Evidence map›Paper›PMID 30903536›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Comparison of Amsel criteria, Nugent score, culture and two CE-IVD marked quantitative real-time PCRs with microbiota analysis for the diagnosis of bacterial vaginosis.

Ellen H A van den Munckhof, Rosalie L van Sitter, Kim E Boers, Ronald F Lamont, René Te Witt, Saskia le Cessie, Cornelis W Knetsch, Leen-Jan van Doorn, Wim G V Quint, Anco Molijn and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Molecular Testing for the Diagnosis of Bacterial Vaginosis.International journal of molecular sciences · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. The vaginal microbiota in the course of bacterial vaginosis treatment.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  15. Article
  16. Nanophotonic Sialidase Immunoassay for Bacterial Vaginosis Diagnosis.ACS pharmacology & translational science · 2021
    Article
  17. Review
  18. Bacterial vaginosis-associated vaginal microbiota is an age-independent risk factor for Chlamydia trachomatis, Mycoplasma genitalium and Trichomonas vaginalis infections in low-risk women, St. Petersburg, Russia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  19. Review
  20. Understanding and interpreting community sequencing measurements of the vaginal microbiome.BJOG : an international journal of obstetrics and gynaecology · 2020
    Review
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

11 authors at 4 institutions in 3 countries.

Ellen H A van den MunckhofDDL Diagnostic Laboratory, Visseringlaan 25, 2288 ER, Rijswijk, The Netherlands. ellen.van.den.munckhof@ddl.nl.ORCID http://orcid.org/0000-0003-4100-4529
Rosalie L van SitterDepartment of Gynaecology, Haaglanden Medical Centre, The Hague, The Netherlands.
Kim E BoersDepartment of Gynaecology, Haaglanden Medical Centre, The Hague, The Netherlands.
Ronald F LamontDivision of Surgery, University College London, Northwick Park Institute for Medical Research Campus, London, UK.
René Te WittNMDL-LCPL, Rijswijk, The Netherlands.
Saskia le CessieDepartment of Biomedical Data Sciences, Leiden University Medical Centre, Leiden, The Netherlands.
Cornelis W KnetschDDL Diagnostic Laboratory, Visseringlaan 25, 2288 ER, Rijswijk, The Netherlands.
Leen-Jan van DoornDDL Diagnostic Laboratory, Visseringlaan 25, 2288 ER, Rijswijk, The Netherlands.
Wim G V QuintDDL Diagnostic Laboratory, Visseringlaan 25, 2288 ER, Rijswijk, The Netherlands.
Anco MolijnDDL Diagnostic Laboratory, Visseringlaan 25, 2288 ER, Rijswijk, The Netherlands.
Maurine A Leverstein-van HallNMDL-LCPL, Rijswijk, The Netherlands.
DDL Diagnostic Laboratory · NLMedisch Centrum Haaglanden · NLLeiden University Medical Center · NLUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacterial vaginosis (BV) is a common gynaecological condition. Diagnosis of BV is typically based on Amsel criteria, Nugent score and/or bacterial culture. In this study, these conventional methods and two CE-IVD marked quantitative real-time (q)PCR assays were compared with microbiota analysis for the diagnosis of BV. Eighty women were evaluated for BV during two sequential hospital visits by Amsel criteria, Nugent score, culture, the AmpliSens® Florocenosis/Bacterial vaginosis-FRT PCR kit (InterLabService, Moscow, Russia), and the BD MAX™ Vaginal Panel (BD Diagnostics, MD, USA). Microbiota analysis based on amplicon sequencing of the 16S ribosomal RNA gene was used as reference test. The microbiota profile of 36/115 (31%) included cases was associated with BV. Based on microbiota analysis, the sensitivity of detecting BV was 38.9% for culture, 61.15% for Amsel criteria, 63.9% for Nugent score and the BD MAX assay, and 80.6% for the AmpliSens assay, while the specificity of all methods was ≥ 92.4%. Microbiota profiles of the cases with discrepant results between microbiota analysis and the diagnostic methods were variable. All five diagnostic methods missed BV positive cases with a relatively high abundance of the genus Alloscardovia, Bifidobacterium, or Dialister, which were categorised as unspecified dysbiosis by the AmpliSens assay. Compared to Amsel criteria, Nugent score, culture, and the BD MAX assay, the AmpliSens assay was most in agreement with microbiota analysis, indicating that currently, the AmpliSens assay may be the best diagnostic method available to diagnose BV in a routine clinical setting.

Indexed as

MicrobiotaAdolescentAdultBacteriaDiagnostic Tests, RoutineDNA, BacterialFemaleHumansMicrobiological TechniquesMiddle AgedReal-Time Polymerase Chain ReactionRNA, Ribosomal, 16SSensitivity and SpecificitySequence Analysis, DNAVaginaVaginosis, BacterialDNA, BacterialRNA, Ribosomal, 16SAmsel criteriaBacterial vaginosisCultureDiagnosticsMicrobiota analysisNugent scoreQuantitative real-time PCR

Identifiers

PMID30903536
OpenAlexW2936899469

What OpenQuestion holds

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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.