Evidence map›Paper›PMID 35152885›Full record

ArticleBMC infectious diseases2022

RT-PCR negative COVID-19.

Heta Parmar, Margaret Montovano, Padmapriya Banada, Sri Ram Pentakota, Stephanie Shiau, Zhongjie Ma, Kaheerman Saibire, Abby Chopoorian, Michael O'Shaughnessy, Mitchell Hirsch and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06047067 (BIOAEROSOL SAMPLING DEVICE), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT06047067 unknown statusnot on this mapstarted 2023, after this paper: background citation

BIOAEROSOL SAMPLING DEVICE (BSD) CLINICAL STUDY: Performance of Respiratory Pathogen Bioaerosol Sampling Device Compared to Matched Swab Sample With Molecular and Antigen Assays That Can Detect SARS-CoV-2 Phase II Validation

TypeobservationalSponsorCantor BioConnect, Inc.Ran2023 to 2024Enrolled330ConditionsCOVID-19
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Observational
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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

18 authors at 4 institutions in 1 country.

Heta ParmarThe Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Margaret MontovanoSchool of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Padmapriya BanadaThe Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Sri Ram PentakotaThe Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Stephanie ShiauDepartment of Biostatistics & Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.
Zhongjie MaDepartment of Biostatistics & Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA.
Kaheerman SaibireThe Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Abby ChopoorianThe Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Michael O'ShaughnessySchool of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Mitchell HirschSchool of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Priyanshi JainSchool of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
Gaiane DemirdjianBeckman Coulter Inc., Brea, CA, USA.
Magali KaragueuzianBeckman Coulter Inc., Brea, CA, USA.
Thomas RobinBeckman Coulter Inc., Brea, CA, USA.
Michael SalvatiBeckman Coulter Inc., Brea, CA, USA.
Bhavana PatelUniversity Hospital, Newark, NJ, USA.
David Alland *The Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA. allandda@njms.rutgers.edu.
Yingda L Xie *The Public Health Research Institute and the Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA. yingda.xie@rutgers.edu.
Rutgers, The State University of New Jersey · USRutgers New Jersey Medical SchoolBeckman Coulter Foundation · USUniversity Hospital, Newark · US

Funding

TB detection in children using a novel stool-based GeneXpert assayR01AI131617 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI ALLAND, DAVID, NICOL, MARK PATRICK · 2018 to 2022
$2.9M
NIAID NIH HHS R01 AI131617
6 · The paper itself

Abstract

backgroundCOVID-19 is a multi-system infection with emerging evidence-based antiviral and anti-inflammatory therapies to improve disease prognosis. However, a subset of patients with COVID-19 signs and symptoms have repeatedly negative RT-PCR tests, leading to treatment hesitancy. We used comparative serology early in the COVID-19 pandemic when background seroprevalence was low to estimate the likelihood of COVID-19 infection among RT-PCR negative patients with clinical signs and/or symptoms compatible with COVID-19.

methodsBetween April and October 2020, we conducted serologic testing of patients with (i) signs and symptoms of COVID-19 who were repeatedly negative by RT-PCR ('Probables'; N = 20), (ii) signs and symptoms of COVID-19 but with a potential alternative diagnosis ('Suspects'; N = 15), (iii) no signs and symptoms of COVID-19 ('Non-suspects'; N = 43), (iv) RT-PCR confirmed COVID-19 patients (N = 40), and (v) pre-pandemic samples (N = 55).

resultsProbables had similar seropositivity and levels of IgG and IgM antibodies as propensity-score matched RT-PCR confirmed COVID-19 patients (60.0% vs 80.0% for IgG, p-value = 0.13; 50.0% vs 72.5% for IgM, p-value = 0.10), but multi-fold higher seropositivity rates than Suspects and matched Non-suspects (60.0% vs 13.3% and 11.6% for IgG; 50.0% vs 0% and 4.7% for IgM respectively; p-values < 0.01). However, Probables were half as likely to receive COVID-19 treatment than the RT-PCR confirmed COVID-19 patients with similar disease severity.

conclusionsFindings from this study indicate a high likelihood of acute COVID-19 among RT-PCR negative with typical signs/symptoms, but a common omission of COVID-19 therapies among these patients. Clinically diagnosed COVID-19, independent of RT-PCR positivity, thus has a potential vital role in guiding treatment decisions.

Indexed as

COVID-19 Drug TreatmentAntibodies, ViralHumansImmunoglobulin MPandemicsReverse Transcriptase Polymerase Chain ReactionSARS-CoV-2Seroepidemiologic StudiesAntibodies, ViralImmunoglobulin MCOVID-19DiagnosisRT-PCRSARS-CoV-2Suspects

Identifiers

PMID35152885
PMCPMC8841043
OpenAlexW4213158673

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.