Evidence map›Paper›PMID 35303873›Full record

SynthesisAnnals of clinical microbiology and antimicrobials2022

Detection performance of PCR for Legionella pneumophila in environmental samples: a systematic review and meta-analysis.

Xin Yin, Ying-Zhou Chen, Qi-Qing Ye, Li-Juan Liao, Zhuo-Rui Cai, Min Lin, Jia-Na Li, Geng-Biao Zhang, Xiao-Li Peng, Wen-Fang Shi and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of clinical microbiology and antimicrobials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. A Rapid and Sensitive CRISPR-Cas12a for the Detection ofPolish journal of microbiology · 2025
    Article
  2. Development of a PCR Assay for the Detection ofInfectious disease reports · 2025
    Article
  3. Article
  4. A Pilot Study forSensors (Basel, Switzerland) · 2023
    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

11 authors.

Xin YinDepartment of Clinical Laboratory Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China.
Ying-Zhou ChenDepartment of Clinical Laboratory Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China.
Qi-Qing YeDepartment of Clinical Laboratory Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China.
Li-Juan LiaoDepartment of Clinical Medicine, The First Clinical School of Guangzhou Medical University, Guangzhou, 511436, China.
Zhuo-Rui CaiDepartment of Preventive Medicine, The School of Public Health of Guangzhou Medical University, Guangzhou, 511436, China.
Min LinDepartment of Traditional Chinese and Western Medicine in Clinical Medicine, The Clinical School of Traditional Chinese and Western Medicine of Guangzhou Medical University, Guangzhou, 511436, China.
Jia-Na LiDepartment of Medical Imaging, The Second Clinical School of Guangzhou Medical University, Guangzhou, 511436, China.
Geng-Biao ZhangDepartment of Medical Imaging, The Second Clinical School of Guangzhou Medical University, Guangzhou, 511436, China.
Xiao-Li PengDepartment of Traditional Chinese and Western Medicine in Clinical Medicine, The Clinical School of Traditional Chinese and Western Medicine of Guangzhou Medical University, Guangzhou, 511436, China.
Wen-Fang ShiDepartment of Clinical Medicine, The Third Clinical School of Guangzhou Medical University, Guangzhou, 511436, China.
Xu-Guang GuoDepartment of Clinical Laboratory Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, China. gysygxg@gmail.com.ORCID http://orcid.org/0000-0003-1302-5234

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLegionellosis remains a public health problem. The most common diagnostic method to detect Legionella pneumophila (L. pneumophila) is culture. Polymerase chain reaction (PCR) is a fast and accurate method for this detection in environmental samples.

methodsFour databases were searched for studies that evaluated the detection efficiency of PCR in L. pneumophila. The quality evaluation was conducted using Review Manager 5.3. We used Meta-DiSc 1.4 software and the Stata 15.0 software to create forest plots, a meta-regression, a bivariate boxplot and a Deeks' funnel plot.

resultsA total of 18 four-fold tables from 16 studies were analysed. The overall pooled sensitivity and specificity of PCR was 94% and 72%, respectively. The positive likelihood ratio (RLR) and negative likelihood ratio (NLR) was 2.73 and 0.12, respectively. The result of the diagnostic odds ratio (DOR) was 22.85 and the area under the curve (AUC) was 0.7884.

conclusionEstablishing a laboratory diagnostic tool for L. pneumophila detection is important for epidemiological studies. In this work, PCR demonstrated a promising diagnostic accuracy for L. pneumophila.

Indexed as

Legionella pneumophilaDatabases, BibliographicEnvironmental MicrobiologyHumansOdds RatioPolymerase Chain ReactionSensitivity and SpecificityDiagnosisLegionella pneumophilaL. pneumophilaPCR

Identifiers

PMID35303873
PMCPMC8934000

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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.