Evidence map›Paper›PMID 36091347›Full record

ArticleAfrican journal of laboratory medicine2022

Tuberculosis-loop-mediated isothermal amplification implementation in Cameroon: Challenges, lessons learned and recommendations.

Valerie F Donkeng-Donfack, Suzanne M Ongoulal, Yvonne J Djieugoue, Yannick Kamdem Simo, Henri Manga, Danielle A D Tollo, Edwige M A Belinga, Vincent Mbassa, Jean L Abena, Sara Eyangoh

Open access · diamondAbstract read
In one paragraph

Article in African journal of laboratory medicine, 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
0.3field-weighted citation impact, top 49% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
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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

10 authors at 2 institutions in 1 country.

Valerie F Donkeng-DonfackMycobacteriology Unit, National Tuberculosis Reference Laboratory, Centre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-1643-4909
Suzanne M OngoulalMycobacteriology Unit, National Tuberculosis Reference Laboratory, Centre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-2316-0651
Yvonne J DjieugoueMycobacteriology Unit, National Tuberculosis Reference Laboratory, Centre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0001-6828-5485
Yannick Kamdem SimoMycobacteriology Unit, National Tuberculosis Reference Laboratory, Centre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-5076-5832
Henri MangaNational Tuberculosis Control Program, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0001-6607-2216
Danielle A D TolloNational Tuberculosis Control Program, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0001-5076-6838
Edwige M A BelingaNational Tuberculosis Control Program, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-0193-7423
Vincent MbassaNational Tuberculosis Control Program, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-1906-9337
Jean L AbenaNational Tuberculosis Control Program, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0003-0402-466X
Sara EyangohCentre Pasteur du Cameroun, Yaoundé, Cameroon.ORCID https://orcid.org/0000-0002-0557-3815
Centre Pasteur du Cameroun · CMNational Radiation Protection Agency of Cameroon · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Until 2016, microscopy was the main tool for the early detection of pulmonary tuberculosis in Cameroon, especially in remote settings. Due to the poor sensitivity of microscopy, there was a need to implement a molecular assay in order to improve tuberculosis case detection. Intervention: In 2017, tuberculosis loop-mediated isothermal amplification (TB-LAMP), a molecular rapid diagnostic test recommended by the World Health Organization, was implemented in Cameroon as a replacement test of microscopy for initial diagnosis of pulmonary tuberculosis and also as a follow-on test to microscopy for smear-negative sputum specimens. A roll out plan for TB-LAMP implementation in Cameroon had been developed from January 2017 to April 2017, followed by initial implementation at four sites in May 2017. Additional sites were added progressively. Lessons learnt: The use of TB-LAMP as a follow-on test to microscopy for smear-negative sputum specimens helped in the detection of tuberculosis in 14.77% of those who were sputum-smear negative in 2019. Tuberculosis-loop-mediated isothermal amplification usage as an initial test, followed by testing with Xpert MTB/RIF for rapid tuberculosis and rifampicin resistance detection during tuberculosis mass screening campaigns, reduced the turn-around time by 73.23% as compared to when the Gene Xpert instrument was used alone. Recommendations: The implementation and scaling up of TB-LAMP in Cameroon contributed to increase access to tuberculosis molecular diagnosis in remote settings and as such improved tuberculosis case notification. However, to better enhance this notification and optimise the use of a TB-LAMP instrument, a suitable sample transport system is recommended.

Indexed as

implementationmolecular testnotificationroll outTB-LAMP

Identifiers

PMID36091347
PMCPMC9453169
OpenAlexW4294281699

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.