Evidence map›Paper›PMID 33008301›Full record

Trial reportBMC microbiology2020

Comparison of real-time PCR and the Kato-Katz method for the diagnosis of soil-transmitted helminthiasis and assessment of cure in a randomized controlled trial.

Beatrice Barda, Christian Schindler, Rahel Wampfler, Shaali Ame, Said M Ali, Jennifer Keiser

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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  8. Assessing the diagnostic value of qPCR forFrontiers in parasitology · 2025
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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

6 authors at 2 institutions in 2 countries.

Beatrice BardaSwiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland.
Christian SchindlerSwiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland.
Rahel WampflerSwiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland.
Shaali AmeLaboratory Division, Public Health Laboratory-Ivo de Carneri, Chake-Chake, Tanzania.
Said M AliLaboratory Division, Public Health Laboratory-Ivo de Carneri, Chake-Chake, Tanzania.
Jennifer KeiserSwiss Tropical and Public Health Institute, Socinstrasse 57, 4002, Basel, Switzerland. Jennifer.keiser@swisstph.ch.ORCID 0000-0003-0290-3521
Swiss Tropical and Public Health Institute · CHPublic Health Laboratory Ivo de Carneri · TZ

Funding

Al Thasher Foundation 13431
6 · The paper itself

Abstract

backgroundDiagnosis of soil-transmitted helminths (STHs) in developing countries is commonly based on microscopic detection of eggs in stool samples, using the Kato-Katz (KK) method, which has a poor sensitivity for detecting light intensity infections. We compared the performance of the KK method and real-time PCR in the framework of a randomized trial, which evaluated four novel treatments against Trichuris trichiura and concomitant STH infections.

resultsTwo stool samples obtained from 320 participants were examined at baseline and follow-up with quadruplicate KK and PCR analyses of one of the two samples using "bead-beating" for DNA extraction. At follow-up, 80 samples were negative according to both PCR and KK and 173 were positive with both methods for any of the STHs. Relative to PCR, the calculated sensitivity of KK at follow-up was 83.6%, 43.0% and 53.8% for T. trichiura, for hookworm and for Ascaris lumbricoides, respectively. The sensitivity of PCR compared with KK at this time point was 89.1% for T. trichiura, 72.7% for hookworm and 87.5% for A. lumbricoides. Cure rates (CRs) for T. trichiura and A. lumbricoides were slightly lower with the PCR method. For hookworm CRs with KK were mostly significantly lower, namely 36.7%, 91.1%, 72.2% and 77.8% for moxidectin, moxidectin in combination with tribendimidine, moxidectin in combination with albendazole and albendazole in combination with oxantel pamoate, respectively, whereas with PCR the CRs were 8.3%, 82.6%, 37.1% and 57.1%, respectively.

conclusionsIn conclusion, a single real-time PCR is as sensitive as quadruplicate KK for T. trichiura and A. lumbricoides detection but more sensitive for hookworm, which has an influence on the estimated treatment efficacy. PCR method with DNA extraction using the "bead-beating protocol" should be further promoted in endemic areas and laboratories that can afford the needed equipment. The study is registered at ISRCTN (no. 20398469).

Indexed as

AdolescentAlbendazoleAncylostomatoideaAnimalsAnthelminticsAscariasisAscaris lumbricoidesChildDiagnostic Tests, RoutineDNA, HelminthFecesFemaleHookworm InfectionsHumansMacrolidesMaleAlbendazoleAnthelminticsDNA, HelminthMacrolidesmoxidectinoxantel pamoatePhenylenediaminesPyrantel PamoateSoiltribendimidineDiagnosisKato-KatzPCRSoil-transmitted helminthiasis

Identifiers

PMID33008301
PMCPMC7531123
OpenAlexW3091095872

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.