Evidence map›Paper›PMID 36183189›Full record

SynthesisJournal of medical virology2023

Laboratory validation and clinical performance of a saliva-based test for monkeypox virus.

Lao-Tzu Allan-Blitz, Kevin Carragher, Adam Sukhija-Cohen, Phyllis Ritchie, Hyman Scott, Hong Li, Jeffrey D Klausner

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical virology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Monkeypox: a global health emergency.Frontiers in microbiology · 2023
    Review
  12. Review
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

7 authors.

Lao-Tzu Allan-BlitzDepartment of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4077-3476
Kevin CarragherDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, California, Los Angeles, USA.
Adam Sukhija-CohenAIDS Healthcare Foundation, Public Health Division, Los Angeles, California, USA.
Phyllis RitchiePS Test, Palm Springs, California, USA.
Hyman ScottSan Francisco Department of Public Health, San Francisco, California, USA.
Hong LiFlow Health, Los Angeles, California, USA.
Jeffrey D KlausnerDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, California, Los Angeles, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improved diagnostic tests and accessibility are essential for controlling the outbreak of monkeypox. We describe a saliva-based polymerase chain reaction (PCR) assay for monkeypox virus, in vitro test performance, and clinical implementation of that assay in Los Angeles, San Francisco, and Palm Springs, CA. Finally, using prespecified search terms, we conducted a systematic rapid review of PubMed and Web of Science online databases of studies reporting the performance of oral pharyngeal or saliva-based tests for the monkeypox virus. The assay showed in silico inclusivity of 100% for 97 strains of monkeypox virus, with an analytic sensitivity of 250 copies/ml, and 100% agreement compared to known positive and negative specimens. Clinical testing identified 22 cases of monkeypox among 132 individuals (16.7%), of which 16 (72.7%) reported symptoms, 4 (18.2%) without a rash at the time of testing. Of an additional 18 patients with positive lesion tests, 16 (88.9%) had positive saliva tests. Our systematic review identified six studies; 100% of tests on oropharyngeal specimens from 23 patients agreed with the PCR test result of a lesion. Saliva-based PCR tests are potential tools for case identification, and further evaluation of the performance of such tests is warranted.

Indexed as

Monkeypox virusMpox, MonkeypoxDisease OutbreaksHumansPolymerase Chain ReactionSalivaclinical performancediagnosticslaboratory validationmonkeypoxsaliva tests

Identifiers

PMID36183189
PMCPMC10091791

What OpenQuestion holds

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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.