Evidence map›Paper›PMID 30487304›Full record

ArticleJournal of clinical microbiology2019

Evaluation of the ePlex Blood Culture Identification Panels for Detection of Pathogens in Bloodstream Infections.

Te-Din Huang, Ekaterina Melnik, Pierre Bogaerts, Stephanie Evrard, Youri Glupczynski

Registry-linked trialOpen access · hybridAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03876990 (Clinical and Medico-economic Evaluation of a Rapid Test), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.8field-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.

NCT03876990 nacompletednot on this map

Clinical and Medico-economic Evaluation of a Rapid Test (ePlex-BCID®, GenMark) for the Diagnosis of Bacteremia or Fungemia From Positive Blood Culture Bottles, Combining Fast Identification of Bacteria and Fungi and Evaluation of Bacterial Resistance to First Line Antibiotics.

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2019 to 2021Enrolled312ConditionsBacteremia Sepsis, FungemiaArmsMultiplex PCR, Current strategy alone
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 91 citations in OpenAlex.

  1. Clinical impact and cost-consequence analysis of ePlex® blood culture identification panels for the rapid diagnosis of bloodstream infections: a single-center randomized controlled trial.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Trial
  2. Article
  3. Article
  4. Article
  5. Rapid commercial CTX-M diagnostics: Performance, limitations and clinical impact.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  6. Article
  7. Article
  8. Evaluation of a new protocol for rapid identification ofJournal of clinical microbiology · 2025
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
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  15. Article
  16. Review
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  20. Observational
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

5 authors at 1 institution in 1 country.

Te-Din HuangLaboratory of Microbiology, CHU UCL Namur, Yvoir, Belgium te-din.huang@uclouvain.be.
Ekaterina MelnikLaboratory of Microbiology, CHU UCL Namur, Yvoir, Belgium.
Pierre BogaertsLaboratory of Microbiology, CHU UCL Namur, Yvoir, Belgium.
Stephanie EvrardLaboratory of Microbiology, CHU UCL Namur, Yvoir, Belgium.
Youri GlupczynskiLaboratory of Microbiology, CHU UCL Namur, Yvoir, Belgium.
CHU Dinant Godinne UCL Namur · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid identification and susceptibility testing results are of importance for the early appropriate therapy of bloodstream infections. The ePlex (GenMark Diagnostics) blood culture identification (BCID) panels are fully automated PCR-based assays designed to identify Gram-positive and Gram-negative bacteria, fungi, and bacterial resistance genes within 1.5 h from positive blood culture. Consecutive non-duplicate positive blood culture episodes were tested by the ePlex system prospectively. The choice of panel(s) (Gram-positive, Gram-negative, and/or fungal pathogens) was defined by Gram-stained microscopy of blood culture-positive bottles (BacT/Alert; bioMérieux). Results with the ePlex panels were compared to the identification results obtained by standard culture-based workflow. In total, 216 positive blood culture episodes were evaluable, yielding 263 identification results. The sensitivity/positive predictive value for detection by the ePlex panels of targeted cultured isolates were 97% and 99% for the Gram-positive panel and 99% and 96% for the Gram-negative panel, resulting in overall agreement rates of 96% and 94% for the Gram-positive and Gram-negative panel, respectively. All 26 samples with targeted resistance results were correctly detected by the ePlex panels. The ePlex panels provided highly accurate results and proved to be an excellent diagnostic tool for the rapid identification of pathogens causing bloodstream infections. The short time to results may be of added value for optimizing the clinical management of patients with sepsis.

Indexed as

Automation, LaboratoryBacteremiaBacteriaBlood CultureFungemiaFungiHumansMolecular Diagnostic TechniquesPolymerase Chain ReactionPredictive Value of TestsProspective StudiesSensitivity and Specificitymultiplexsepsissyndromic

Identifiers

PMID30487304
PMCPMC6355516
OpenAlexW2903560121

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.