دورية أكاديمية

Use of multiplex PCR in pleural effusion: is it necessary to change the paradigm of culture-based methods?

التفاصيل البيبلوغرافية
العنوان: Use of multiplex PCR in pleural effusion: is it necessary to change the paradigm of culture-based methods?
المؤلفون: Londono-Ruiz JP; Pediatrics Infectious Diseases, Clinica Infantil Colsubsidio, Bogotá, Colombia.; Pediatrics Infectious Diseases, Clinica Infantil Santa Maria del Lago, Bogotá, Colombia., Vargas-Garcia A; Pediatrics Infectious Diseases Fellow, Instituto Nacional de Pediatria, Ciudad de Mexico, Mexico., Cardenas-Muller A; Pediatric Intensive Care Unit, Clinica Infantil Colsubsidio, Bogotá, Colombia., Bejarano-Quintero AM; Pediatric Intensive Care Unit, Clinica Infantil Colsubsidio, Bogotá, Colombia., Mantilla MX; Microbiology Laboratory, Clinica Infantil Colsubsidio, Bogotá, Colombia., Gutierrez-Tobar IF; Pediatrics Infectious Diseases, Clinica Infantil Colsubsidio, Bogotá, Colombia.; Pediatrics Infectious Diseases, Clinica Infantil Santa Maria del Lago, Bogotá, Colombia.
المصدر: Access microbiology [Access Microbiol] 2023 Nov 15; Vol. 5 (11). Date of Electronic Publication: 2023 Nov 15 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Microbiology Society Country of Publication: England NLM ID: 101746927 Publication Model: eCollection Cited Medium: Internet ISSN: 2516-8290 (Electronic) Linking ISSN: 25168290 NLM ISO Abbreviation: Access Microbiol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : Microbiology Society, [2019]-
مستخلص: The microbiological diagnosis of pleural effusion is based largely on classical microbiology methods, but these methods have a high rate of false negative results. Some previous studies have shown improved diagnostic performance for pathogens such as Streptococcus pneumoniae using molecular biology methods. We present the use of a multiplex PCR platform (BIOFIRE FILMARRAY Pneumonia Panel) for the aetiological diagnosis of pleural effusion in paediatric pneumonia. We present a case series of 17 pleural fluid samples that were processed by culture-based microbiology and molecular biology methods. Microbiological isolation was successful in four cases (25 %) through traditional culture methods. In contrast, the molecular biology panels allowed for detection in 16 out of 17 cases (94 %). The results from these panels led to a change in management for nine out of the 17 cases (52 %). This study found an increase in aetiological diagnosis in complicated pneumonia in children by using molecular biology methods, which led to a significant change in patient management.
Competing Interests: The authors declare that there are no conflicts of interest.
(© 2023 The Authors.)
References: Respir Med. 2016 Jul;116:28-33. (PMID: 27296817)
BMC Infect Dis. 2020 Feb 1;20(1):99. (PMID: 32007106)
J Med Microbiol. 2015 Dec;64(12):1481-1488. (PMID: 26432445)
J Clin Microbiol. 2015 Feb;53(2):710-2. (PMID: 25520440)
J Int Med Res. 2021 Feb;49(2):300060521990244. (PMID: 33530809)
Pediatr Infect Dis J. 2011 Apr;30(4):289-94. (PMID: 21057372)
Pediatr Infect Dis J. 2023 Apr 1;42(4):e133-e134. (PMID: 36728116)
Vaccine. 2022 May 3;40(20):2875-2883. (PMID: 35396166)
Clin Infect Dis. 2006 Apr 15;42(8):1135-40. (PMID: 16575731)
فهرسة مساهمة: Keywords: children; multiplex PCR; pleural effusion; pleural empyema; pneumonia
تواريخ الأحداث: Date Created: 20231211 Latest Revision: 20231211
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10702381
DOI: 10.1099/acmi.0.000612.v3
PMID: 38074107
قاعدة البيانات: MEDLINE