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Potential value of a rapid syndromic multiplex PCR for the diagnosis of native and prosthetic joint infections: a real-world evidence study

S. Pascual, B. Noble, N. Ahmad-Saeed, C. Aldridge, S. Ambretti, S. Amit, R. Annett, SA. O'Shea, AM. Barbui, G. Barlow, L. Barrett, M. Berth, A. Bondi, N. Boran, SE. Boyd, C. Chaves, M. Clauss, P. Davies, IT. Dianzo-Delgado, J. Esteban, S. Fuchs,...

. 2024 ; 9 (1) : 87-97. [pub] 20240228

Status neindexováno Jazyk angličtina Země Německo

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24013144

Introduction: The BIOFIRE Joint Infection (JI) Panel is a diagnostic tool that uses multiplex-PCR testing to detect microorganisms in synovial fluid specimens from patients suspected of having septic arthritis (SA) on native joints or prosthetic joint infections (PJIs). Methods: A study was conducted across 34 clinical sites in 19 European and Middle Eastern countries from March 2021 to June 2022 to assess the effectiveness of the BIOFIRE JI Panel. Results: A total of 1527 samples were collected from patients suspected of SA or PJI, with an overall agreement of 88.4 % and 85 % respectively between the JI Panel and synovial fluid cultures (SFCs). The JI Panel detected more positive samples and microorganisms than SFC, with a notable difference on Staphylococcus aureus, Streptococcus species, Enterococcus faecalis, Kingella kingae, Neisseria gonorrhoeae, and anaerobic bacteria. The study found that the BIOFIRE JI Panel has a high utility in the real-world clinical setting for suspected SA and PJI, providing diagnostic results in approximately 1 h. The user experience was positive, implying a potential benefit of rapidity of results' turnover in optimising patient management strategies. Conclusion: The study suggests that the BIOFIRE JI Panel could potentially optimise patient management and antimicrobial therapy, thus highlighting its importance in the clinical setting.

Allgemeines Krankenhaus Wien Vienna Austria

Ankara University School of Medicine Department of Medical Microbiology Ankara Türkiye

AZ Alma Eeklo Belgium

bioMérieux Marcy l'Etoile France

bioMérieux Salt Lake City USA

Careggi University Hospital Florence Italy

Centre Hospitalier Universitaire de Lille Lille France

Centro Hospitalar e Universitário de Coimbra Coimbra Portugal

Chelsea and Westminster NHS Foundation Trust London United Kingdom

CIBER de Enfermedades Infecciosas Instituto de Salud Carlos 3 Servicio de Microbiología Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria Madrid Spain

Copenhagen University Hospital Bispebjerg Copenhagen Denmark

Department of Public Health and Pediatrics University of Turin Turin Italy

Dept Clinical Microbiology at Rigshospitalet Copenhagen Denmark

Dept of Clinical Microbiology IIS Fundación Jiménez Díaz CIBERINFEC CIBER de Enfermedades Infecciosas Madrid Spain

East Tallinn Central Hospital Tallin Estonia

Hampshire Hospitals NHS Foundation Trust Winchester UK

Hôpital Ambroise Paré APHP Boulogne Billancourt France

Hospices Civils de Lyon Lyon France

Hospital Universitario Marqués de Valdecilla Santander Spain

Hull University Teaching Hospitals NHS Trust Hull United Kingdom

Institute of Hygiene and Medical Microbiology Medizinische Universität Innsbruck Innsbruck Austria

Koper lab Orthopedic Hospital Valdoltra Valdoltra Slovenia

Krankenhaus Göttlicher Heiland Vienna Austria

Mater Misericordiae University Hospital Dublin Ireland

MVZ Labor Dr Reising Ackermann und Kollegen Limbach Leipzig Germany

Newcastle Upon Tyne Hospitals NHS Foundation Trust Newcastle Upon Tyne United Kingdom

NHS Greater Glasgow and Clyde Glasgow Royal Infirmary University of Glasgow Glasgow United Kingdom

NZOLH Maribor Maribor Slovenia

Oxford University Hospitals Oxford United Kingdom

Regional Hospital Příbram Příbram Czech Republic

S Orsola Bologna Microbiology Unit IRCCS Azienda Ospedaliero Universitaria di Bologna Bologna Italy

San Giovanni Battista Department of Public Health and Pediatrics Microbiology and Virology Unit Città della Salute e della Scienza Turin Italy

Servicio de Microbiología Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria Madrid Spain

Sheba Medical Center Ramat Gan Israel

University Hospital Basel Basel Switzerland

University Hospital of Wales Cardiff Wales United Kingdom

University Hospital Southampton NHS Foundation Trust Southampton United Kingdom

University Hospital St George Plovdiv Bulgaria

University Medical Center Groningen Groningen the Netherlands

Varsinais Suomen sairaanhoitopiiri Loimaa Finland

Citace poskytuje Crossref.org

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