Evidence map›Paper›PMID 33335256›Full record

ArticleScientific reports2020

Molecular detection of Mycobacterium tuberculosis from buccal swabs among adult in Peru.

Annelies W Mesman, Roger I Calderon, Nira R Pollock, Martín Soto, Milagros Mendoza, Julia Coit, Zibiao Zhang, Juan Aliaga, Leonid Lecca, Rebecca C Holmberg and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
0.2field-weighted citation impact, top 32% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Oral Rinse as an Alternative Diagnostic Specimen for Detection of Tuberculosis.American journal of respiratory and critical care medicine · 2025
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  9. Review
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  14. The performance of tongue swabs for detection of pulmonary tuberculosis.Frontiers in cellular and infection microbiology · 2023
    Article
  15. Oral Swab Specimens Tested With Xpert MTB/RIF Ultra Assay for Diagnosis of Pulmonary Tuberculosis in Children: A Diagnostic Accuracy Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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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

11 authors at 5 institutions in 3 countries.

Annelies W MesmanDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA. anneliesmesman@gmail.com.
Roger I CalderonSocios En Salud Sucursal (Partners In Health), Lima, Peru.
Nira R PollockDepartment of Laboratory Medicine, Boston Children's Hospital, Boston, USA.
Martín SotoSocios En Salud Sucursal (Partners In Health), Lima, Peru.
Milagros MendozaSocios En Salud Sucursal (Partners In Health), Lima, Peru.
Julia CoitDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
Zibiao ZhangDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
Juan AliagaSocios En Salud Sucursal (Partners In Health), Lima, Peru.
Leonid LeccaSocios En Salud Sucursal (Partners In Health), Lima, Peru.
Rebecca C HolmbergAkonni Biosystems Inc., Frederick, USA.
Molly F FrankeDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA.
EsSALUD · PEHarvard Global Health Institute · USAkonni Biosystems (United States) · USBoston Children's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberculosis (TB) diagnosis relies on a sputum sample, which cannot be easily obtained from all symptomatic patients. Mycobacterium tuberculosis DNA can be detected from oral swabs, a noninvasive, safe alternative sample type; however, reported sensitivities have been variable and likely depend on sample collection, processing procedures and host characteristics. We analyzed three buccal swab samples from 123 adults with culture-confirmed TB in Lima, Peru. We compared the sensitivity and specificity of two sample collection devices (OmniSwab and EasiCollect FTA cards) and examined factors associated with detection. DNA was extracted with a commercially available kit and detected via real-time PCR IS6110 amplification. Overall sensitivity for buccal samples was 51% (95% Confidence Interval [CI] 42-60%). Specificity from a single sample among healthy controls was 96.7% (95% CI 83-99.9%). Positive sputum smear and cavitary disease, correlates of disease burden, were associated with detection via buccal swab. Although we observed higher sensitivities with the Omniswab samples, this appeared to be due primarily to differences in patient characteristics (e.g., cavitary disease). Overall, our findings support the potential for a buccal sample-based TB assay. Future work should focus on assay optimization and streamlining the assay workflow.

Indexed as

Molecular Diagnostic TechniquesAdultAntitubercular AgentsFemaleHumansMaleMiddle AgedMouth MucosaMycobacterium tuberculosisPeruReproducibility of ResultsSensitivity and SpecificitySputumTuberculosisTuberculosis, PulmonaryYoung AdultAntitubercular Agents

Identifiers

PMID33335256
PMCPMC7746708
OpenAlexW3111805680

What OpenQuestion holds

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LicenceCC BY
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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.