Evidence map›Paper›PMID 32638442›Full record

Observational studyJournal of clinical laboratory analysis2020

Time to positive culture can differentiate post-neurosurgical coagulase-negative Staphylococci other than S epidermidis meningitis from contamination: A case-control observational study.

Guanghui Zheng, Siwen Li, Minghui Zhao, Xinrui Yang, Yumeng Zhang, Jia Deng, Yu Luo, Hong Lv, Guojun Zhang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical microbiology reviews · 2024
    Review
  4. Article
  5. Article
  6. Observational
  7. 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

9 authors at 1 institution in 1 country.

Guanghui ZhengDepartment of Clinical Diagnosis, Laboratory of Beijing Tiantan Hospital and Capital Medical University, Beijing, China.
Siwen LiDepartment of Clinical Diagnosis, Laboratory of Beijing Tiantan Hospital and Capital Medical University, Beijing, China.
Minghui ZhaoDepartment of Clinical Laboratory Diagnostics, Capital Medical University, Beijing, China.
Xinrui YangDepartment of Clinical Laboratory Diagnostics, Capital Medical University, Beijing, China.
Yumeng ZhangDepartment of Clinical Laboratory Diagnostics, Capital Medical University, Beijing, China.
Jia DengDepartment of Clinical Laboratory Diagnostics, Capital Medical University, Beijing, China.
Yu LuoDepartment of Clinical Laboratory Diagnostics, Capital Medical University, Beijing, China.
Hong LvDepartment of Clinical Diagnosis, Laboratory of Beijing Tiantan Hospital and Capital Medical University, Beijing, China.
Guojun ZhangDepartment of Clinical Diagnosis, Laboratory of Beijing Tiantan Hospital and Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-1370-6112
Capital Medical University · CN

Funding

Beijing Municipal Administration of Hospitals QML20180502
6 · The paper itself

Abstract

objectiveTo explore the characteristics of coagulase-negative Staphylococci other than Staphylococci epidermidis (Nse-CoNS) meningitis and to apply cerebrospinal fluid (CSF) times to positivity culture (TTPC) for the precise differentiation of meningitis from contamination.

methodsWe conducted a case-control study to accomplish the following: First, we retrospectively reviewed records of post-neurosurgical patients' CSF that yielded Nse-CoNS from January to October 2019 at the Beijing Tiantan Hospital; 17 clinical and 12 laboratory characteristics were reviewed. Second, we investigated the TTPC of the Nse-CoNS, the cutoffs, and corresponding parameters to differentiate Nse-CoNS meningitis from contamination.

resultsIn this study, a total of 146 patients with Nse-CoNS CSF culture positive were enrolled. The average TTPC in the Nse-CoNS meningitis group was significantly shorter than in the contamination group (20.2 ± 5.0 hours and 30.2 ± 12.6 hours, respectively, P < .05). The area under curve (AUC) of the model was 0.802. A TTPC of 20.0 hours had 94.3% sensitivity and a negative value of 90.2% for predicting Nse-CoNS meningitis.

conclusionsNse-CoNS meningitis often causes confusion in clinical diagnosis. In this study, we evaluated the clinical predictive factors of Nse-CoNS meningitis and confirmed that the median TTPC in the Nse-CoNS meningitis group was significantly shorter than in the contamination group. A TTPC shorter than 20.0 hours was associated with Nse-CoNS meningitis, while a TTPC longer than 20.0 hours was associated with Nse-CoNS contamination. This information will be helpful for the rapid diagnosis of Nse-CoNS meningitis.

Indexed as

AdultCase-Control StudiesCoagulaseFemaleHumansMaleMeningitis, BacterialMiddle AgedNeurosurgical ProceduresReproducibility of ResultsROC CurveStaphylococcusTime FactorsCoagulasecontaminationmeningitisNse-CoNStime to culture positivity

Identifiers

PMID32638442
PMCPMC7595912
OpenAlexW3041461047

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.