Evidence map›Paper›PMID 29669791›Full record

ArticleJournal of clinical microbiology2018

Retrospective Evaluation of Infants Aged 1 to 60 Days with Residual Cerebrospinal Fluid (CSF) Tested Using the FilmArray Meningitis/Encephalitis (ME) Panel.

Anne J Blaschke, Kristen M Holmberg, Judy A Daly, Amy L Leber, Jennifer Dien Bard, Ernest K Korgenski, Kevin M Bourzac, Kristen J Kanack

Open access · hybridAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of clinical microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.3field-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

29 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  5. Review
  6. Review
  7. Observational
  8. Article
  9. Article
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  11. Group B Streptococcal Neonatal Meningitis.Clinical microbiology reviews · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The yield of CSF molecular testing in febrile neonates.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  18. Panels and Syndromic Testing in Clinical Microbiology.Clinics in laboratory medicine · 2020
    Review
  19. Impact of cerebrospinal fluid syndromic testing in the management of children with suspected central nervous system infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  20. 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

8 authors at 5 institutions in 1 country.

Anne J BlaschkeUniversity of Utah School of Medicine, Department of Pediatrics, Division of Pediatric Infectious Diseases, Salt Lake City, Utah, USA anne.blaschke@hsc.utah.edu.
Kristen M HolmbergBioFire Diagnostics, LLC, Salt Lake City, Utah, USA.
Judy A DalyPrimary Children's Hospital, Salt Lake City, Utah, USA.
Amy L LeberNationwide Children's Hospital, Columbus, Oklahoma, USA.
Jennifer Dien BardChildren's Hospital of Los Angeles, Los Angeles, California, USA.
Ernest K KorgenskiUniversity of Utah School of Medicine, Department of Pediatrics, Division of Pediatric Infectious Diseases, Salt Lake City, Utah, USA.
Kevin M BourzacBioFire Diagnostics, LLC, Salt Lake City, Utah, USA.
Kristen J KanackBioFire Diagnostics, LLC, Salt Lake City, Utah, USA.
BioFire Diagnostics (United States) · USUniversity of Utah · USChildren's Hospital of Los Angeles · USNationwide Children's Hospital · USPrimary Children's Hospital · US

Funding

Pilot utility and prospective performance study of a rapid automated diagnostic fR03AI112865 · NIAID · BIOFIRE DIAGNOSTICS, LLC · PI KANACK, KRISTEN JENNIFER · 2014 to 2015
$168k
NIAID NIH HHS R03 AI112865
6 · The paper itself

Abstract

In pediatric practice it is common for infants under 2 months of age to undergo evaluation for sepsis when they are ill, often including lumbar puncture to assess for central nervous system (CNS) infection. The FilmArray Meningitis/Encephalitis (ME) panel is a newly approved test for rapid identification of CNS pathogens. Our objective was to study the epidemiology of CNS infection in young infants and the potential impact of rapid multiplex PCR on their care. A performance evaluation of the FilmArray ME panel was conducted from February 2014 to September 2014 at 11 sites. FilmArray ME panel results were compared to reference standards but not shared with providers. In our study, medical records for infants (aged 1 to 60 days) enrolled at three sites were reviewed for clinical, laboratory, and outcome data. A total of 145 infants were reviewed. The median age was 25 days. Most of the infants were hospitalized (134/145 [92%]) and received antibiotics (123/145 [85%]), and almost half (71/145 [49%]) received acyclovir. One infant had a bacterial pathogen, likely false positive, identified by the FilmArray ME panel. Thirty-six infants (25%) had a viral pathogen detected, including 21 enteroviruses. All infants with enteroviral meningitis detected by the FilmArray ME panel and conventional PCR were hospitalized, but 20% were discharged in less than 24 h when conventional PCR results became available. The FilmArray ME panel may play a role in the evaluation of young infants for CNS infection. Results may be used to guide management, possibly resulting in a decreased length of stay and less antimicrobial exposure for infants with low-risk viral infection detected.

Indexed as

Molecular Diagnostic TechniquesBacteriaCentral Nervous System InfectionsCerebrospinal FluidDiagnostic Tests, RoutineEncephalitisFemaleHumansInfantInfant, NewbornMaleMeningitisMultiplex Polymerase Chain ReactionRetrospective StudiesTime FactorsUnited Statesfebrile infantFilmArraymeningitismolecular diagnosticsPCRsepsis

Identifiers

PMID29669791
PMCPMC6018345
OpenAlexW2801569283

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.