Evidence map›Paper›PMID 32513206›Full record

ArticleCritical care (London, England)2020

Multiple cross displacement amplification-a more applicable technique in detecting Pseudomonas aeruginosa of ventilator-associated pneumonia (VAP).

Juxiang Wang, Huimin Chen, Xiaomin Lin, Chengyi Ji, Bin Chen

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Rapid detection ofFrontiers in cellular and infection microbiology · 2023
    Article
  3. Article
  4. 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

5 authors at 4 institutions in 1 country.

Juxiang WangDepartment of Intensive Care Unit, Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, Fujian, China.
Huimin ChenDepartment of Intensive Care Unit, The Third Hospital of Xiamen, Xiamen, Fujian, China.
Xiaomin LinDepartment of Intensive Care Unit, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen, Fujian, China.
Chengyi JiDepartment of Intensive Care Unit, The Third Hospital of Xiamen, Xiamen, Fujian, China.
Bin ChenDepartment of Healthcare, Xiamen Port Clinic of Xiamen Customs, Xiamen, Fujian, China. drchenbin@126.com.ORCID 0000-0002-3152-4021
Third Hospital of Changsha · CNFudan University · CNXiamen Tobacco Industry (China) · CNXiamen University · CN

Funding

Fujian Provincial Department of Science and Technology 2015-CXB-48
6 · The paper itself

Abstract

backgroundEarly and rapid identification of Pseudomonas aeruginosa (P. aeruginosa) in patients with suspected ventilator-associated pneumonia (VAP) provides theoretical clinical advantages in therapeutic optimization strategies.

methodsThe P. aeruginosa-multiple cross displacement amplification (PA-MCDA) assay was conducted at an isothermal temperature during the amplification stage, and products were visually detected by color changes. The entire process was completed within 1 h. A total of 77 strains, including P. aeruginosa species and various other species of non-P. aeruginosa, were used to evaluate PA-MCDA assays. Bronchoalveolar lavage fluid (BALF) of suspected VAP patients was examined by the MCDA assay.

resultsThe MCDA assay exhibited a 100% analytical specificity in detecting PA from all 77 strains, and the limit of detection was as low as 100 fg DNA per reaction. A temperature of 65 °C was recommended as standard during the amplification stage. The agreement between PA-MCDA and bacteria culture was 91.18% (κ = 0.787; p = 0.000) in the identification of P. aeruginosa in BALF from suspected VAP. The PA-MCDA assay showed values of 92.31%, 90.78%, 77.41%, and 97.18% for sensitivity, specificity, positive predictive value, and negative predictive value, respectively. PA-MCDA had a higher detective rate of P. aeruginosa than bacteria culture in patients with antipseudomonal therapy.

conclusionsThe instrument-free platform of the MCDA assay makes it a simple, rapid, and applicable procedure for "on-site" diagnosis and point-of-care testing for the presence of P. aeruginosa without the need for specific bacterial culture.

Indexed as

Bronchoalveolar Lavage FluidDiagnostic Techniques and ProceduresHumansPneumonia, Ventilator-AssociatedPseudomonas aeruginosaTime FactorsBronchoalveolar lavage fluidLimit of detectionMultiple cross displacement amplificationPseudomonas aeruginosaVentilated-associated pneumonia

Identifiers

PMID32513206
PMCPMC7276953
OpenAlexW3032928518

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Registered trials

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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.