Evidence map›Paper›PMID 33720928›Full record

SynthesisPloS one2021

Reliability of dried blood spot (DBS) cards in antibody measurement: A systematic review.

Fahimah Amini, Erick Auma, Yingfen Hsia, Sam Bilton, Tom Hall, Laxmee Ramkhelawon, Paul T Heath, Kirsty Le Doare

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% of its field
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Sources and transmission dynamics ofmedRxiv : the preprint server for health sciences · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Dried Spot Paradigm: Problems and Prospects in Proteomics.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. RSV Neutralizing Antibodies in Dried Blood.The Journal of infectious diseases · 2024
    Article
  20. 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 at 4 institutions in 2 countries.

Fahimah AminiPaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.ORCID 0000-0003-0799-4207
Erick AumaDepartment of Biology, University of Lyon, Université Claude Bernard Lyon, ENS de Lyon, CNRS, UMR, Lyon, France.
Yingfen HsiaPaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.ORCID 0000-0002-7955-852X
Sam BiltonSt Georges University Hospitals NHS Foundation Trust, Tooting, London, United Kingdom.
Tom HallPaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.ORCID 0000-0002-9001-6684
Laxmee RamkhelawonPaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.ORCID 0000-0001-8038-8313
Paul T HeathPaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.
Kirsty Le DoarePaediatric Infectious Disease Research Group, Institute for Infection and Immunity, St. George's University of London, London, United Kingdom.
St George's, University of London · GBQueen's University Belfast · GBSt George’s University Hospitals NHS Foundation Trust · GBUniversité Claude Bernard Lyon 1 · FR

Funding

Biotechnology and Biological Sciences Research CouncilMedical Research Council MR/S016570/1
6 · The paper itself

Abstract

backgroundIncreasingly, vaccine efficacy studies are being recommended in low-and-middle-income countries (LMIC), yet often facilities are unavailable to take and store infant blood samples correctly. Dried blood spots (DBS), are useful for collecting blood from infants for diagnostic purposes, especially in low-income settings, as the amount of blood required is miniscule and no refrigeration is required. Little is known about their utility for antibody studies in children. This systematic review aims to investigate the correlation of antibody concentrations against infectious diseases in DBS in comparison to serum or plasma samples that might inform their use in vaccine clinical trials. METHODS AND

findingsWe searched MEDLINE, Embase and the Cochrane library for relevant studies between January 1990 to October 2020 with no language restriction, using PRISMA guidelines, investigating the correlation between antibody concentrations in DBS and serum or plasma samples, and the effect of storage temperature on DBS diagnostic performance. We included 40 studies in this systematic review. The antibody concentration in DBS and serum/plasma samples reported a good pooled correlation, (r2 = 0.86 (ranged 0.43 to 1.00)). Ten studies described a decline of antibody after 28 days at room temperature compared to optimal storage at -20°C, where antibodies were stable for up to 200 days. There were only five studies of anti-bacterial antibodies.

conclusionsThere is a good correlation between antibody concentrations in DBS and serum/plasma samples, supporting the wider use of DBS in vaccine and sero-epidemiological studies, but there is limited data on anti-bacterial antibodies. The correct storage of DBS is critical and may be a consideration for longer term storage.

Indexed as

AntibodiesAntibodies, BacterialCommunicable DiseasesDried Blood Spot TestingHumansProtein StabilitySensitivity and SpecificityTemperatureAntibodiesAntibodies, Bacterial

Identifiers

PMID33720928
PMCPMC7959368
OpenAlexW3137778049

What Socratic 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 Socratic graph.