Evidence map›Paper›PMID 31619528›Full record

ArticleJournal of clinical microbiology2019

Molecular Detection of Filamentous Fungi in Formalin-Fixed Paraffin-Embedded Specimens in Invasive Fungal Wound Infections Is Feasible with High Specificity.

Anuradha Ganesan, Justin Wells, Faraz Shaikh, Philip Peterson, William Bradley, M Leigh Carson, Joseph L Petfield, Mary Klassen-Fischer, Kevin S Akers, Kevin Downing and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Epidemiology and timing of infectious complications from battlefield-related burn injuries.Burns : journal of the International Society for Burn Injuries · 2024
    Article
  3. Review
  4. Article
  5. Article
  6. Hyphae ofJournal of fungi (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Combat trauma-related invasive fungal wound infections.Current fungal infection reports · 2020
    Article
  15. Diagnostic Mycology: Xtreme Challenges.Journal of clinical microbiology · 2020
    Review
  16. 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

13 authors at 7 institutions in 2 countries.

Anuradha GanesanInfectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA anuradha.ganesan.ctr@mail.mil.
Justin WellsWalter Reed National Military Medical Center, Bethesda, Maryland, USA.
Faraz ShaikhInfectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Philip PetersonWalter Reed National Military Medical Center, Bethesda, Maryland, USA.
William BradleyInfectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
M Leigh CarsonInfectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Joseph L PetfieldLandstuhl Regional Medical Center, Landstuhl, Germany.
Mary Klassen-FischerJoint Pathology Center, Silver Spring, Maryland, USA.
Kevin S AkersU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas, USA.
Kevin DowningLandstuhl Regional Medical Center, Landstuhl, Germany.
Ralf BialekLADR GmbH Medizinisches Versorgungszentrum Dr. Kramer und Kollegen, Geesthacht, Germany.
David R TribbleInfectious Disease Clinical Research Program, Preventive Medicine and Biostatistics Department, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Brian L WickesUniversity of Texas Health Sciences Center at San Antonio, San Antonio, Texas, USA.
Walter Reed National Military Medical Center · USHenry M. Jackson Foundation · USLandstuhl Regional Medical Center · DEUniformed Services University of the Health Sciences · USCenter for HIV and Hepatogastroenterology · DEThe University of Texas Health Science Center at San Antonio · USUnited States Army Institute of Surgical Research · US

Funding

DATA CENTER FOR EPIDEMIOLOGIC INVESTIGATIONS OF HIVN01AI005072 · NIAID · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 1990 to 1994
–
NIAID NIH HHS Y01 AI005072
6 · The paper itself

Abstract

Trauma-related invasive fungal wound infections (IFIs) are associated with significant morbidity and mortality. Early identification and treatment are critical. Traditional identification methods (e.g., fungal cultures and histopathology) can be delayed and insensitive. We assessed a PCR-based sequencing assay for rapid identification of filamentous fungi in formalin-fixed paraffin-embedded (FFPE) specimens obtained from combat casualties injured in Afghanistan. Blinded FFPE specimens from cases (specimens positive on histopathology) and controls (specimens negative on histopathology) were submitted for evaluation with a panfungal PCR. The internal transcribed spacer 2 (ITS2) region of the fungal ribosomal repeat was amplified and sequenced. The PCR results were compared with findings from histopathology and/or culture. If injury sites contributed multiple specimens, findings for the site were collapsed to the site level. We included 64 case subjects (contributing 95 sites) and 102 controls (contributing 118 sites). Compared to histopathology, panfungal PCR was specific (99%), but not as sensitive (63%); however, sensitivity improved to 83% in specimens from sites with angioinvasion. Panfungal PCR identified fungi of the order Mucorales in 33 of 44 sites with angioinvasion (75%), whereas fungal culture was positive in 20 of 44 sites (45%).

Indexed as

Molecular Diagnostic TechniquesCase-Control StudiesFemaleFungiHumansInvasive Fungal InfectionsMalePolymerase Chain ReactionReproducibility of ResultsSensitivity and SpecificitySequence Analysis, DNAWound Infectioncombatinvasive fungal infectioninvasive fungal wound infectionmucormycosisPCRPCR-based assaytrauma

Identifiers

PMID31619528
PMCPMC6935896
OpenAlexW2980333874

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.