Evidence map›Paper›PMID 31786832›Full record

ArticleInfluenza and other respiratory viruses2020

Rapid detection of respiratory organisms with FilmArray respiratory panel and its impact on clinical decisions in Shanghai, China, 2016-2018.

Yiyi Qian, Jingwen Ai, Jing Wu, Shenglei Yu, Peng Cui, Yan Gao, Jialin Jin, Xinhua Weng, Wenhong Zhang

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 12% 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, 31 citations in OpenAlex.

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  9. Urgent need for a rapid microbiological diagnosis in critically ill pneumonia.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
  10. Rapid multiplex PCR assays in patients with respiratory viral infections: is semi-quantitative data useful? A pilot study.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2021
    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

9 authors at 2 institutions in 1 country.

Yiyi QianDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-0714-3894
Jingwen AiDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Jing WuDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Shenglei YuDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Peng CuiDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Yan GaoDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Jialin JinDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Xinhua WengDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Wenhong ZhangDepartment of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
Fudan University · CNShanghai Medical College of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we evaluated the diagnostic potential and clinical impact of an automated multiplex PCR platform (the FilmArray Respiratory Panel; FA-RP), specially designed for pathogen detection in respiratory tract infections in adults with unexplained pneumonia (UP).

methodsA total of 112 UP patients in Shanghai, China, were enrolled prospectively and assessed using the FA-RP from October 2016 to March 2018. We examined the test results and their influence on clinical decisions. Furthermore, as a control group, we retrospectively obtained the clinical data of 70 UP patients between October 2014 and March 2016 (before the FA-RP was available). The two patient groups were compared with respect to factors, including general antimicrobial use and defined daily dose (DDD) numbers.

resultsBetween October 2016 and March 2018, the positive rate obtained using FA-RP for UP was 76.8%. The primary pathogens in adults with UP were Influenza A/B (47.3%, 53/112). Compared with the patients before FA-RP was available, patients who underwent FA-RP testing had higher rates of antiviral drug use and antibiotic de-escalation during clinical treatment. FA-RP significantly decreased the total DDDs of antibiotic or antifungal drugs DDDs by 7 days after admission (10.6 ± 2.5 vs 14.1 ± 8.8, P < .01).

conclusionsThe FA-RP is a rapid and sensitive nucleic acid amplification test method for UP diagnosis in adults. The application of FA-RP may lead to a more accurately targeted antimicrobial treatment and reduced use of antibiotic/antifungal drugs.

Indexed as

AdultAgedAnti-Bacterial AgentsAntiviral AgentsChinaFemaleHospitalizationHumansMaleMiddle AgedMolecular Diagnostic TechniquesMultiplex Polymerase Chain ReactionPneumoniaRespiratory Tract InfectionsRNA, ViralVirusesAnti-Bacterial AgentsAntiviral AgentsRNA, Viralantibiotic useclinical decisionFilmArray respiratory panelrespiratory virusunexplained pneumonia

Identifiers

PMID31786832
PMCPMC7040966
OpenAlexW2991036425

What OpenQuestion holds

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Registered trials

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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.