Evidence map›Paper›PMID 33750848›Full record

ArticleScientific reports2021

Performance characteristics and costs of serological tests for brucellosis in a pastoralist community of northern Tanzania.

AbdulHamid S Lukambagire, Ângelo J Mendes, Rebecca F Bodenham, John A McGiven, Nestory A Mkenda, Coletha Mathew, Matthew P Rubach, Philoteus Sakasaka, Davis D Shayo, Venance P Maro and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  9. DNA Sensor for the Detection ofInternational journal of molecular sciences · 2023
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  12. Review
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  16. Serological and molecular prevalence ofFrontiers in veterinary science · 2023
    Article
  17. Seromonitoring of brucellosis in goats and sheep slaughtered at an abattoir in Kampala, Uganda.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2022
    Article
  18. Article
  19. Article
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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

16 authors at 7 institutions in 4 countries.

AbdulHamid S LukambagireCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania. lukhamid@gmail.com.
Ângelo J MendesInstitute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Rebecca F BodenhamInstitute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
John A McGivenOIE/FAO Brucellosis Reference Laboratory, Department of Bacteriology, Animal and Plant Health Agency, Surrey, UK.
Nestory A MkendaEndulen Hospital, Ngorongoro, Tanzania.
Coletha MathewCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Matthew P RubachKilimanjaro Christian Medical Center, Moshi, Tanzania.
Philoteus SakasakaDuke Global Health Institute, Durham, NC, USA.
Davis D ShayoRegional Health Management Team, Arusha, Tanzania.
Venance P MaroKilimanjaro Christian Medical Center, Moshi, Tanzania.
Gabriel M ShirimaThe Nelson Mandela African Institution for Science and Technology, Arusha, Tanzania.
Kate M ThomasKilimanjaro Clinical Research Institute-Biotechnology Laboratory, Moshi, Tanzania.
Christopher J KasangaCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Rudovick R KazwalaCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Jo E B HallidayInstitute of Biodiversity, Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Blandina T MmbagaKilimanjaro Christian Medical Center, Moshi, Tanzania.
Kilimanjaro Christian Medical Centre · TZSokoine University of Agriculture · TZUniversity of Glasgow · GBAnimal and Plant Health Agency · GBEast, Central and Southern Africa Health Community · TZNelson Mandela African Institution of Science and Technology · TZUniversity of Otago · NZ

Funding

Biotechnology and Biological Sciences Research Council BB/L017679Biotechnology and Biological Sciences Research Council BB/L018845Biotechnology and Biological Sciences Research Council BB/L018845/1EPA EP-C-15-008
6 · The paper itself

Abstract

The control of brucellosis across sub-Saharan Africa is hampered by the lack of standardized testing and the use of tests with poor performance. This study evaluated the performance and costs of serological assays for human brucellosis in a pastoralist community in northern Tanzania. Serum collected from 218 febrile hospital patients was used to evaluate the performance of seven index tests, selected based on international recommendation or current use. We evaluated the Rose Bengal test (RBT) using two protocols, four commercial agglutination tests and a competitive enzyme-linked immunosorbent assay (cELISA). The sensitivity, specificity, positive predictive value, negative predictive value, Youden's index, diagnostic accuracy, and per-sample cost of each index test were estimated. The diagnostic accuracy estimates ranged from 95.9 to 97.7% for the RBT, 55.0 to 72.0% for the commercial plate tests, and 89.4% for the cELISA. The per-sample cost range was $0.69-$0.79 for the RBT, $1.03-$1.14 for the commercial plate tests, and $2.51 for the cELISA. The widely used commercial plate tests performed poorly and cost more than the RBT. These findings provide evidence for the public health value of discontinuing the use of commercial agglutination tests for human brucellosis in Tanzania.

Indexed as

AdolescentAdultAgedAgglutination TestsBrucellaBrucellosisChildChild, PreschoolEnzyme-Linked Immunosorbent AssayFemaleHumansInfantMaleMiddle AgedSensitivity and SpecificitySerologic Tests

Identifiers

PMID33750848
PMCPMC7943594
OpenAlexW3136177451

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.