Evidence map›Paper›PMID 37601895›Full record

ArticleFrontiers in reproductive health2023

Use of viability PCR for detection of live Chlamydia trachomatis in clinical specimens.

Lucia Vojtech, Shahrokh Paktinat, Tiffany Luu, Stella Teichmann, Olusegun O Soge, Robert Suchland, Lindley A Barbee, Christine M Khosropour

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. ExploringFrontiers in public health · 2025
    Article
  5. Article
  6. Article
  7. Association ofFrontiers in cellular and infection microbiology · 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

8 authors.

Lucia VojtechDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
Shahrokh PaktinatDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
Tiffany LuuDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
Stella TeichmannDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States.
Olusegun O SogeDepartment of Medicine, University of Washington, Seattle, WA, United States.
Robert SuchlandDepartment of Medicine, University of Washington, Seattle, WA, United States.
Lindley A BarbeeDepartment of Medicine, University of Washington, Seattle, WA, United States.
Christine M KhosropourDepartment of Epidemiology, University of Washington, Seattle, WA, United States.

Funding

Coordinated studies in monkeys and humans to assess the immunological impact of rectal Chlamydia trachomatis infection on protection against genital infectionR01AI175153 · NIAID · UNIVERSITY OF WASHINGTON · PI Lucia N Vojtech · 2023 to 2026
$4.1M
NIAID NIH HHS R01 AI175153
6 · The paper itself

Abstract

Background: The current testing approach to diagnose Methods: The vPCR relies on a propidium monoazide dye (PMAxx), which intercalates into accessible DNA from dead organisms and prevents their detection in a PCR assay for the CT Results: In laboratory stocks of CT, vPCR using defined ratios of heat-killed to live bacteria tracked closely with expected results. In vaginal clinical specimens, vPCR and total DNA results were correlated, though total DNA genomes outnumbered viable genomes by 2.2-52.6-fold more copies. As expected, vPCR detected more total genomes than culture results. Both vPCR and total DNA correlated with culture results (Spearman correlation Conclusions: vPCR is a fast and easy method to assess viability in clinical specimens and is more correlated with culture results than total DNA PCR. Inconsistent ratios between total DNA and vPCR results suggest that the amount of dead bacteria varies considerably in clinical specimens. Results from rectal specimens suggest that many NAAT positive specimens do not in fact represent live replicating bacteria, and likely result in significant overuse of unnecessary antibiotics.

Indexed as

ChlamydiaDNA extractionNAATnucleic acidsPCRsexually transmitted infection

Identifiers

PMID37601895
PMCPMC10436598

What OpenQuestion holds

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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.