Evidence map›Paper›PMID 29099868›Full record

Observational studyPloS one2017

Evaluation of a multiplex panel for the diagnosis of acute infectious diarrhea in immunocompromised hematologic patients.

Izaskun Alejo-Cancho, Francesc Fernández Avilés, Alicia Capón, Cristina Rodríguez, Josep Barrachina, Pilar Salvador, Mª Eugenia Valls, Miriam J Álvarez-Martínez, Yuliya Zboromyrska, Jordi Vila and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Diagnostical Performances of the FilmArray Gastro-Intestinal Panel in Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Diagnostic performance of microscopic stool examination inJournal of general and family medicine · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Utility of multiplex  polymerase chain reaction (PCR) in diarrhea-An Indian perspective.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  14. Rationale of using multiplex polymerase chain reaction (PCR) panels for etiological diagnosis of infective diarrhea in the tropics.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  15. Article
  16. Review
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

11 authors at 1 institution in 1 country.

Izaskun Alejo-CanchoMicrobiology Department, Hospital Clinic, Barcelona, Spain.ORCID http://orcid.org/0000-0003-2488-7139
Francesc Fernández AvilésHematology Department, Hospital Clinic, Barcelona, Spain.
Alicia CapónMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Cristina RodríguezMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Josep BarrachinaMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Pilar SalvadorMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Mª Eugenia VallsMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Miriam J Álvarez-MartínezMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Yuliya ZboromyrskaMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Jordi VilaMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Mª Ángeles MarcosMicrobiology Department, Hospital Clinic, Barcelona, Spain.
Hospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiarrhea is a frequent complication in hematologic patients, being an infectious cause frequently suspected. Rapid and accurate detection of gastrointestinal pathogens is vital in immunocompromised hosts. The aim of this study was to compare routine diagnostic methods versus a multiplex polymerase chain reaction (PCR) assay for the diagnosis of infectious diarrhea in immunocompromised hematologic patients. MATERIAL AND

methodsWe conducted a prospective observational study from March 2015 to January 2016 to compare conventional methods for the diagnosis of infectious diarrhea with FIlmArray GI Panel (BioFire-bioMérieux, France). Samples from adult immunocompromised hematologic patients with acute diarrhea were collected. In cases with discordant results, a second multiplex assay was performed (Allplex, Seegene, Korea). The result was considered positive or negative when the same result was obtained by at least two of the methods.

resultsA total of 95 samples were obtained from 95 patients (median age of 52 years (46-64)). Sixty-one (64%) episodes were hospital-acquired and 34 (36%) were community-acquired diarrhea. Twenty-five (26%) patients had a positive microbiological result, being Clostridium difficile the most frequent pathogen, followed by Campylobacter spp and norovirus. The concordance between FilmArray methods was good (k = 0.79). The FilmArray GI panel showed a sensitivity of 95%, a specificity of 100% for positive results. The time required to obtain results was markedly reduced with the use of multiplex PCR methods.

conclusionsMultiplex molecular panels provide a rapid and sensitive tool for the diagnosis of infectious diarrhea, thereby allowing more timely clinical decisions in immunocompromised hematologic patients.

Indexed as

Immunocompromised HostDiarrheaFemaleHematologic NeoplasmsHumansMaleMiddle AgedMultiplex Polymerase Chain ReactionProspective Studies

Identifiers

PMID29099868
PMCPMC5669492
OpenAlexW2765862339

What OpenQuestion holds

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LicenceCC BY
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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.