期刊
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE
卷 99, 期 2, 页码 -出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.diagmicrobio.2020.115236
关键词
BioFire; FilmArray; Lower respiratory tract infections; Pneumonia; Antimicrobial resistance; Infection prevention and control; Multiplex PCR
The study evaluated the diagnostic performance of the FAPP panel in lower respiratory tract specimens, demonstrating high sensitivity and specificity in bacterial detection and antibiotic resistance testing.
Lower respiratory tract infections are important causes of morbidity and mortality. The global increase in antimicrobial resistance necessitates rapid diagnostic assays. The BioFire FilmArray Pneumonia plus (FAPP) panel is a Food and Drug Administration-approved multiplex polymerase chain reaction assay that detects the most important etiological agents of pneumonia and associated antibiotic resistance genes, in approximately 1 hour. This study assessed the diagnostic performance of this assay by comparing it to conventional culture methods in the analysis of 59 lower respiratory tract specimens. The sensitivity and specificity of the FAPP panel for bacterial detection were 92.0% (95% confidence interval [CI], 80.8% to 97.8%) and 93.8% (95% CI, 91.1% to 95.3%) respectively. For detecting antibiotic resistance, the positiveand negative percent agreement were 100% (95% CI, 81.5% to 100.0%) and 98.5% (95% CI, 216 96.7% to 99.4%) respectively. The FAPP panel was found to be highly accurate in evaluating tracheal aspirate specimens from hospitalized patients. (C) 2020 Elsevier Inc. All rights reserved.
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