Evidence map›Paper›PMID 28494766›Full record

ArticleBMC microbiology2017

FilmArray™ GI panel performance for the diagnosis of acute gastroenteritis or hemorragic diarrhea.

Antonio Piralla, Giovanna Lunghi, Gianluigi Ardissino, Alessia Girello, Marta Premoli, Erika Bava, Milena Arghittu, Maria Rosaria Colombo, Alessandra Cognetto, Patrizia Bono and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 84 citations in OpenAlex.

  1. Impact of the BioFireBMC infectious diseases · 2026
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  5. Acute infectious gastroenteritis in childhood: the role of rapid multiplex molecular syndromic panels in diagnosis and clinical management.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
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  7. Observational
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  10. Clinical Performance of the LiquidArrayDiagnostics (Basel, Switzerland) · 2024
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  13. Review
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  15. Article
  16. Article
  17. Article
  18. Article
  19. Clinical decision support for gastrointestinal panel testing.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
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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 4 institutions in 1 country.

Antonio PirallaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Giovanna LunghiMicrobiology and Virology Unit, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Gianluigi ArdissinoCenter of HUS Control, Prevention and Management, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alessia GirelloMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Marta PremoliMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Erika BavaMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Milena ArghittuMicrobiology and Virology Unit, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Maria Rosaria ColomboMicrobiology and Virology Unit, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Alessandra CognettoMicrobiology and Virology Unit, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Patrizia BonoMicrobiology and Virology Unit, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giulia CampaniniMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Piero MaroneMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Fausto BaldantiMicrobiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. f.baldanti@smatteo.pv.it.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITPoliclinico San Matteo Fondazione · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute gastroenteritis is a common cause of morbidity and mortality in humans worldwide. The rapid and specific identification of infectious agents is crucial for correct patient management. However, diagnosis of acute gastroenteritis is usually performed with diagnostic panels that include only a few pathogens. In the present bicentric study, the diagnostic value of FilmArray™ GI panels was assessed in unformed stool samples of patients with acute gastroenteritis and in a series of samples collected from pediatric patients with heamorragic diarrhea. The clinical performance of the FilmArray™ gastrointestinal (GI) panel was assessed in 168 stool samples collected from patients with either acute gastroenteritis or hemorragic diarrhea. Samples showing discordant results between FilmArray and routine methods were further analyzed with an additional assay.

resultsOverall, the FilmArray™ GI panel detected at least one potential pathogen in 92/168 (54.8%) specimens. In 66/92 (71.8%) samples, only one pathogen was detected, while in 26/92 (28.2%) multiple pathogens were detected. The most frequent pathogens were rotavirus 13.9% (22/168), Campylobacter 10.7% (18/168), Clostridium difficile 9.5% (16/168), and norovirus 8.9% (15/168). Clostridium difficile was identified only in patients with acute gastroenteritis (p < 0.01), while STEC was detected exclusively in patients with hemorragic diarrhea (p < 0.01). In addition, Campylobacter spp., Salmonella spp., EPEC and E. coli producing Shiga-like toxin were more frequently detected in patients with hemorragic diarrhea (p < 0.05). The overall percent agreement calculated in samples was 73.8% and 65.5%, while 34.5% were discordant. After additional confirmatory analyses, the proportion of discordant samples decreased to 7.7%. Rotavirus and astrovirus were the most frequently unconfirmed pathogens.

conclusionIn conclusion, the FilmArray™ GI panel has proved to be a valuable new diagnostic tool for improving the diagnostic efficiency of GI pathogens.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteriaBacterial InfectionsCampylobacterChildChild, PreschoolClostridioides difficileDiarrheaEscherichia coliFemaleGastroenteritisHemorrhageHumansAcute gastroenteritisFilmArray™Hemorragic diarrheaMultiplex PCR

Identifiers

PMID28494766
PMCPMC5427568
OpenAlexW2613652686

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.