Evidence map›Paper›PMID 38353873›Full record

ArticleInfection2024

Portable smartphone-based molecular test for rapid detection of Leishmania spp.

Rea Maja Kobialka, Arianna Ceruti, Madhurima Roy, Sutopa Roy, Rajashree Chowdhury, Prakash Ghosh, Faria Hossain, Manfred Weidmann, Elena Graf, Jesus Bueno Alvarez and 5 more

Abstract read
In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

15 authors.

Rea Maja KobialkaInstitute of Animal Hygiene and Veterinary Public Health, Leipzig University, Leipzig, Germany. rea_maja.kobialka@vetmed.uni-leipzig.de.
Arianna CerutiInstitute of Animal Hygiene and Veterinary Public Health, Leipzig University, Leipzig, Germany.
Madhurima RoyInstitute of Post Graduate Medical Education and Research, Kolkata, India.
Sutopa RoyInstitute of Post Graduate Medical Education and Research, Kolkata, India.
Rajashree ChowdhuryNutrition Research Division, International Centre for Diarrheal Disease Research Bangladesh, Dhaka, Bangladesh.
Prakash GhoshNutrition Research Division, International Centre for Diarrheal Disease Research Bangladesh, Dhaka, Bangladesh.
Faria HossainNutrition Research Division, International Centre for Diarrheal Disease Research Bangladesh, Dhaka, Bangladesh.
Manfred WeidmannMidge Medical GmbH, Berlin, Germany.
Elena GrafMidge Medical GmbH, Berlin, Germany.
Jesus Bueno AlvarezMidge Medical GmbH, Berlin, Germany.
Javier MorenoWHO Collaborating Center for Leishmaniasis, National Center for Microbiology, Instituto de Salud Carlos III, CIBER de Enfermedades Infecciosas-CIBERINFEC, Madrid, Spain.
Uwe TruyenInstitute of Animal Hygiene and Veterinary Public Health, Leipzig University, Leipzig, Germany.
Dinesh MondalNutrition Research Division, International Centre for Diarrheal Disease Research Bangladesh, Dhaka, Bangladesh.
Mitali ChatterjeeInstitute of Post Graduate Medical Education and Research, Kolkata, India.
Ahmed Abd El WahedInstitute of Animal Hygiene and Veterinary Public Health, Leipzig University, Leipzig, Germany.

Funding

Bill and Melinda Gates Foundation INV-048694
6 · The paper itself

Abstract

purposeLeishmaniasis, caused by the parasite of the genus Leishmania, is a neglected tropical disease which is endemic in more than 60 countries. In South-East Asia, Brazil, and East Africa, it mainly occurs as kala-azar (visceral leishmaniasis, VL), and subsequently as post kala-azar dermal leishmaniasis (PKDL) in a smaller portion of cases. As stated per WHO roadmap, accessibility to accurate diagnostic methods is an essential step to achieve elimination. This study aimed to test the accuracy of a portable minoo device, a small battery-driven, multi-use fluorimeter operating with isothermal technology for molecular diagnosis of VL and PKDL.

methodsFluorescence data measured by the device within 20 min are reported back to the mobile application (or app) via Bluetooth and onward via the internet to a backend. This allows anonymous analysis and storage of the test data. The test result is immediately returned to the app displaying it to the user.

resultsThe limit of detection was 11.2 genome copies (95% CI) as determined by screening a tenfold dilution range of whole Leishmania donovani genomes using isothermal recombinase polymerase amplification (RPA). Pathogens considered for differential diagnosis were tested and no cross-reactivity was observed. For its diagnostic performance, DNA extracted from 170 VL and PKDL cases, comprising peripheral blood samples (VL, n = 96) and skin biopsies (PKDL, n = 74) from India (n = 108) and Bangladesh (n = 62), was screened. Clinical sensitivity and specificity were 88% and 91%, respectively.

conclusionMinoo devices can offer a convenient, cheaper alternative to other molecular diagnostics. Its easy handling makes it ideal for use in low-resource settings to identify parasite burden.

Indexed as

Molecular Diagnostic TechniquesSmartphoneHumansLeishmaniaLeishmania donovaniLeishmaniasis, CutaneousLeishmaniasis, VisceralNucleic Acid Amplification TechniquesSensitivity and SpecificityIsothermal amplificationLeishmania donovaniNeglected tropical diseasesPoint-of-need testPost kala-azar dermal leishmaniasisVisceral leishmaniasis

Identifiers

PMID38353873
PMCPMC11288998

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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.