Evidence map›Paper›PMID 34138947›Full record

ArticlePloS one2021

Development of a multiplex real-time PCR assay for the simultaneous detection of four bacterial pathogens causing pneumonia.

Ho Jae Lim, Eun-Rim Kang, Min Young Park, Bo Kyung Kim, Min Jin Kim, Sunkyung Jung, Kyoung Ho Roh, Nackmoon Sung, Jae-Hyun Yang, Min-Woo Lee and 2 more

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

  1. A colorimetric amplification-based method for identification ofBiochemistry and biophysics reports · 2026
    Article
  2. Establishment and clinical application of a rapid RPA-LFS assay for detectingFrontiers in cellular and infection microbiology · 2026
    Article
  3. Advances in methods for rapid detection of Staphylococcus aureus and methicillin-resistant S. aureus.Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2025
    Review
  4. Article
  5. Article
  6. Characteristics of theAntibiotics (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Simultaneous Genetically Detection ofIranian journal of pathology · 2023
    Article
  11. Rapid detection ofFrontiers in cellular and infection microbiology · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

12 authors.

Ho Jae LimDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.ORCID 0000-0003-0115-5170
Eun-Rim KangDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.
Min Young ParkDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.
Bo Kyung KimDepartment of Laboratory Medicine, Seegene Medical Foundation, Seoul, Republic of Korea.
Min Jin KimDepartment of Laboratory Medicine, Seegene Medical Foundation, Seoul, Republic of Korea.
Sunkyung JungDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.ORCID 0000-0002-1450-8150
Kyoung Ho RohDepartment of Laboratory Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Gyeonggi, Republic of Korea.
Nackmoon SungClinical Research Institute, Seegene Medical Foundation, Seoul, Republic of Korea.
Jae-Hyun YangPaul F. Glenn Center for Biology of Aging Research, Department of Genetics, Blavatnik Institute, Harvard Medical School, Boston, MA, United States of America.
Min-Woo LeeSoonchunhyang Institute of Medi-bio Science (SIMS) and Department of Integrated Biomedical Science, Soonchunhyang University, Cheonan-si, Republic of Korea.
Sun-Hwa LeeDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.
Yong-Jin YangDepartment of Molecular Diagnostics, Seegene Medical Foundation, Seoul, Republic of Korea.ORCID 0000-0002-6153-9646

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classification of clinical symptoms and diagnostic microbiology are essential to effectively employ antimicrobial therapy for lower respiratory tract infections (LRTIs) in a timely manner. Empirical antibiotic treatment without microbial identification hinders the selective use of narrow-spectrum antibiotics and effective patient treatment. Thus, the development of rapid and accurate diagnostic procedures that can be readily adopted by the clinic is necessary to minimize non-essential or excessive use of antibiotics and accelerate patient recovery from LRTI-induced damage. We developed and validated a multiplex real-time polymerase chain reaction (mRT-PCR) assay with good analytical performance and high specificity to simultaneously detect four bacterial pathogens causing pneumonia: Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, and Moraxella catarrhalis. The analytical performance of mRT-PCR against target pathogens was evaluated by the limit of detection (LOD), specificity, and repeatability. Two hundred and ten clinical specimens from pneumonia patients were processed using an automatic nucleic acid extraction system for the "respiratory bacteria four" (RB4) mRT-PCR assay, and the results were directly compared to references from bacterial culture and/or Sanger sequencing. The RB4 mRT-PCR assay detected all target pathogens from sputum specimens with a coefficient of variation ranging from 0.29 to 1.71 and conservative LOD of DNA corresponding to 5 × 102 copies/reaction. The concordance of the assay with reference-positive specimens was 100%, and additional bacterial infections were detected from reference-negative specimens. Overall, the RB4 mRT-PCR assay showed a more rapid turnaround time and higher performance that those of reference assays. The RB4 mRT-PCR assay is a high-throughput and reliable tool that assists decision-making assessment and outperforms other standard methods. This tool supports patient management by considerably reducing the inappropriate use of antibiotics.

Indexed as

HumansKlebsiella pneumoniaeMoraxella catarrhalisMultiplex Polymerase Chain ReactionPneumoniaPseudomonas aeruginosaSensitivity and SpecificityStaphylococcus aureus

Identifiers

PMID34138947
PMCPMC8211157

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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.