Journal
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
Volume 40, Issue 10, Pages 2227-2234Publisher
SPRINGER
DOI: 10.1007/s10096-021-04213-6
Keywords
Superinfection; Coinfection; COVID-19; Multiplex PCR; Antibiotic stewardship
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This study evaluated the performance and impact of the BioFire® FilmArray® Pneumonia plus Panel in COVID-19 ICU patients, demonstrating its potential role in improving antibiotic stewardship by facilitating timely administration of appropriate antibiotics and avoiding unnecessary prescriptions.
Because the diagnosis of co/superinfection in COVID-19 patients is challenging, empirical antibiotic therapy is frequently initiated until microbiological analysis results. We evaluated the performance and the impact of the BioFire (R) FilmArray (R) Pneumonia plus Panel on 112 respiratory samples from 67 COVID-19 ICU patients suspected of co/superinfections. Globally, the sensitivity and specificity of the test were 89.3% and 99.1%, respectively. Positive tests led to antibiotic initiation or adaptation in 15% of episodes and de-escalation in 4%. When negative, 28% of episodes remained antibiotic-free (14% no initiation, 14% withdrawal). Rapid multiplex PCRs can help to improve antibiotic stewardship by administering appropriate antibiotics earlier and avoiding unnecessary prescriptions.
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