Evidence map›Paper›PMID 39611100›Full record

ArticleFrontiers in cellular and infection microbiology2024

Deciphering the pathogen heterogeneity for precise diagnosis and personalized therapeutics of infections after kidney transplantation: insights from metagenomic next-generation sequencing.

Xin Ye, Yuxin Lin, Jiangnan Yang, Baocui Qi, Xuedong Wei, Yuhua Huang, Liangliang Wang

Abstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2024. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Xin Ye *Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yuxin Lin *Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jiangnan YangDepartment of Medicine, Dinfectome Inc., Nanjing, China.
Baocui QiDepartment of Medicine, Dinfectome Inc., Nanjing, China.
Xuedong WeiDepartment of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yuhua HuangDepartment of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Liangliang WangDepartment of Urology, The First Affiliated Hospital of Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The aim of this study was to compare the detection performance of mNGS against that of conventional tests (CT) in patients suffering from infection after kidney transplantation. Methods: A total of 138 samples from 85 kidney transplant patients with acute or chronic infections were simultaneously analyzed using mNGS and CT from July 2021 to August 2023. Results: Compared with CT, mNGS demonstrated a higher sensitivity (95.96% vs. 27.27%) but lower specificity (48.72% vs. 84.62%) in pathogen detection. Moreover, mNGS exhibited significant advantages in detecting mixed and rare infections. The pathogens commonly identified in kidney transplant patients were severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), followed by Pneumocystis jirovecii and Cytomegalovirus (CMV). mNGS guided the precise clinical diagnosis in 89.13% of cases and assisted in altering therapeutics from empirical antibiotic approaches to personalized plans in 56.10% of cases, including treatment escalation (40.65%), initiation (11.38%), drug adjustment (3.25%), and de-escalation (0.81%). Discussion: Our study demonstrated the superior detection performance of mNGS and its significant clinical value. This reflected the great potential of mNGS as a complementary clinical detection technology for kidney transplant patients.

Indexed as

High-Throughput Nucleotide SequencingKidney TransplantationMetagenomicsPrecision MedicineAdultCOVID-19CytomegalovirusCytomegalovirus InfectionsFemaleHumansMaleMiddle AgedPneumocystis cariniiSARS-CoV-2Sensitivity and Specificityclinical decision-makinginfectionkidney transplantationmetagenomic next-generation sequencingpathogen detection

Identifiers

PMID39611100
PMCPMC11602478

What OpenQuestion holds

Textmetadata
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.