Evidence map›Paper›PMID 26677254›Full record

ArticleJournal of clinical microbiology2016

Optimized Use of the MALDI BioTyper System and the FilmArray BCID Panel for Direct Identification of Microbial Pathogens from Positive Blood Cultures.

B Fiori, T D'Inzeo, A Giaquinto, G Menchinelli, F M Liotti, F de Maio, G De Angelis, G Quaranta, D Nagel, M Tumbarello and 3 more

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Blood culture identification (BCID) performance in polymicrobial bacteremia.Diagnostic microbiology and infectious disease · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Proteome-Based Serotyping of the Food-Borne PathogensMolecules (Basel, Switzerland) · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Bordetella pertussis DNA detected in a tracheostomized child blood before seroconversion.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    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

13 authors at 1 institution in 1 country.

B FioriInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
T D'InzeoInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
A GiaquintoInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
G MenchinelliInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
F M LiottiInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
F de MaioInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
G De AngelisInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
G QuarantaInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
D NagelInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
M TumbarelloInstitute of Infectious Diseases, Università Cattolica del Sacro Cuore, Rome, Italy.
B PosteraroInstitute of Public Health (Section of Hygiene), Università Cattolica del Sacro Cuore, Rome, Italy bposteraro@rm.unicatt.it msanguinetti@rm.unicatt.it.
M SanguinettiInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy.
T SpanuInstitute of Microbiology, Università Cattolica del Sacro Cuore, Rome, Italy bposteraro@rm.unicatt.it msanguinetti@rm.unicatt.it.
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the current reliance on blood cultures (BCs), the diagnosis of bloodstream infections (BSIs) can be sped up using new technologies performed directly on positive BC bottles. Two methods (the MALDI BioTyper system and FilmArray blood culture identification [BCID] panel) are potentially applicable. In this study, we performed a large-scale clinical evaluation (1,585 microorganisms from 1,394 BSI episodes) on the combined use of the MALDI BioTyper and FilmArray BCID panel compared to a reference (culture-based) method. As a result, the causative organisms of 97.7% (1,362/1,394) of the BSIs were correctly identified by our MALDI BioTyper and FilmArray BCID-based algorithm. Specifically, 65 (5.3%) out of 1,223 monomicrobial BCs that provided incorrect or invalid identifications with the MALDI BioTyper were accurately detected by the FilmArray BCID panel; additionally, 153 (89.5%) out of 171 polymicrobial BCs achieved complete identification with the FilmArray BCID panel. Conversely, full use of the MALDI BioTyper would have resulted in the identification of only 1 causative organism in 97/171 (56.7%) of the polymicrobial cultures. By applying our diagnostic algorithm, the median time to identification was shortened (19.5 h versus 41.7 h with the reference method; P < 0.001), and the minimized use of the FilmArray BCID panel led to a significant cost savings. Twenty-six out of 31 microorganisms that could not be identified were species/genera not designed to be detected with the FilmArray BCID panel, indicating that subculture was not dispensable for a few of our BSI episodes. In summary, the fast and effective testing of BC bottles is realistically adoptable in the clinical microbiology laboratory workflow, although the usefulness of this testing for the management of BSIs remains to be established.

Indexed as

AlgorithmsBloodHumansMicrobiological TechniquesMolecular Diagnostic TechniquesPolymerase Chain ReactionProspective StudiesSensitivity and SpecificitySepsisSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationTime Factors

Identifiers

PMID26677254
PMCPMC4767970
OpenAlexW2209955639

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.