Evidence map›Paper›PMID 39188885›Full record

ArticleIJID regions2024

Rapid CD4 cell count determination and

Mariana Andreani, Claudia E Frola, Diego H Cáceres, Claudia Bozzano, Liliana Diaz, Maria E Cattani, Juan L Rodriguez-Tudela, Maria J Rolón, Liliana Guelfand

Abstract read
In one paragraph

Article in IJID regions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. 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

9 authors.

Mariana AndreaniDivisión Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Claudia E FrolaDivisión Infectología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Diego H CáceresCenter of Expertise in Mycology Radboudumc/Canisius Wilhelmina Hospital, 6532 SZ, Nijmegen, The Netherlands.
Claudia BozzanoDivisión Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Liliana DiazDivisión Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Maria E CattaniDivisión Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Juan L Rodriguez-TudelaGlobal Action for Fungal Infections. Rue Le Corbusier 12, 1208 Geneva, Switzerland.
Maria J RolónDivisión Infectología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.
Liliana GuelfandDivisión Laboratorio de Análisis Clínicos, Sección Microbiología, Hospital General de Agudos "Dr. Juan A. Fernández", 1425, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Despite advancements in HIV diagnosis and treatment, advanced HIV disease (AHD) is still a significant concern worldwide, especially in countries with a high percentage of undiagnosed cases and late-stage diagnoses. Methods: A prospective pilot study was conducted in Buenos Aires, Argentina to assess the feasibility of implementing a package for people living with HIV, integrating a point-of-care clusters of differentiation (CD4) test, followed by rapid Results: A total of 105 people living with HIV were enrolled, during June 2021 to October 2021. The VISITECT CD4 Advanced Disease Lateral Flow Assay (CD4-LFA) (Accubio) classified 98 (93%) patients with AHD. Compared with flow cytometry, the CD4-LFA performed with a high sensitivity (100%) but low specificity (19%) and limited accuracy (47%). In the 98 patients classified with AHD using the CD4-LFA, 16 tested positive for any of the rapid Ag used, including 12 patients positive for the Conclusions: The CD4-LFA correctly classified all patients with CD4 ≤200 cells/µL by flow cytometry, but a high frequency of patients misclassified with AHD was recorded. We also observed a high prevalence of opportunistic fungal infections, as previously observed in the hospital where this pilot study was conducted; however, in contrast with those previous reports, mortality was lower. The study underscores the importance of scaling up comprehensive care strategies and collaborating with governmental and non-governmental partners to enhance access to essential diagnostic tools and treatments for people living with HIV. Further research with larger sample sizes is needed to validate these findings.

Indexed as

Antigen testingCD4CryptococcosisHistoplasmosisHIVRapid testing

Identifiers

PMID39188885
PMCPMC11345679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.