Evidence map›Paper›PMID 31375774›Full record

ArticleScientific reports2019

Comparison of respiratory pathogen yields from Nasopharyngeal/Oropharyngeal swabs and sputum specimens collected from hospitalized adults in rural Western Kenya.

Bryan O Nyawanda, Henry N Njuguna, Clayton O Onyango, Caroline Makokha, Shirley Lidechi, Barry Fields, Jonas M Winchell, Jim S Katieno, Jeremiah Nyaundi, Fredrick Ade and 5 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Article
  5. Article
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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

15 authors at 3 institutions in 2 countries.

Bryan O NyawandaKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya. oteebryan@gmail.com.ORCID http://orcid.org/0000-0003-0069-1473
Henry N NjugunaCenters for Disease Control and Prevention, Atlanta, GA, USA.
Clayton O OnyangoDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Caroline MakokhaKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Shirley LidechiKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Barry FieldsCenters for Disease Control and Prevention, Atlanta, GA, USA.
Jonas M WinchellCenters for Disease Control and Prevention, Atlanta, GA, USA.
Jim S KatienoKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Jeremiah NyaundiKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Fredrick AdeKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Gideon O EmukuleInfluenza Program, Centers for Disease Control and Prevention, Nairobi, Kenya.
Joshua A MottCenters for Disease Control and Prevention, Atlanta, GA, USA.
Nancy OtienoKenya Medical Research Institute - Center for Global Health Research, Kisumu, Kenya.
Marc-Alain WiddowsonDivision of Global Health Protection, Centers for Disease Control and Prevention, Nairobi, Kenya.
Sandra S ChavesCenters for Disease Control and Prevention, Atlanta, GA, USA.
Kenya Medical Research Institute · KECenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KE

Funding

CGH CDC HHS U19 GH000041
6 · The paper itself

Abstract

Molecular diagnostic methods are becoming increasingly available for assessment of acute lower respiratory illnesses (ALRI). However, nasopharyngeal/oropharyngeal (NP/OP) swabs may not accurately reflect etiologic agents from the lower respiratory tract where sputum specimens are considered as a more representative sample. The pathogen yields from NP/OP against sputum specimens have not been extensively explored, especially in tropical countries. We compared pathogen yields from NP/OP swabs and sputum specimens from patients ≥18 years hospitalized with ALRI in rural Western Kenya. Specimens were tested for 30 pathogens using TaqMan Array Cards (TAC) and results compared using McNemar's test. The agreement for pathogen detection between NP/OP and sputum specimens ranged between 85-100%. More viruses were detected from NP/OP specimens whereas Klebsiella pneumoniae and Mycobacterium tuberculosis were more common in sputum specimens. There was no clear advantage in using sputum over NP/OP specimens to detect pathogens of ALRI in adults using TAC in the context of this tropical setting.

Indexed as

AdolescentAdultFemaleHospitalizationHumansKenyaKlebsiella pneumoniaeMaleMiddle AgedMolecular Diagnostic TechniquesMycobacterium tuberculosisNasopharynxOropharynxRespiratory SystemRespiratory Tract InfectionsSputum

Identifiers

PMID31375774
PMCPMC6677726
OpenAlexW2966121086

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.