Evidence map›Paper›PMID 32551433›Full record

ReviewACS pharmacology & translational science2020

Rapid and Point-of-Care Testing in Respiratory Tract Infections: An Antibiotic Guardian?

Zaneeta Dhesi, Virve I Enne, Justin O'Grady, Vanya Gant, David M Livermore

Open access · greenAbstract readReview
In one paragraph

Review in ACS pharmacology & translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Observational
  7. Review
  8. Review
  9. Review
  10. The Evaluation of EazyplexAntibiotics (Basel, Switzerland) · 2022
    Article
  11. Review
  12. Review
  13. Antimicrobial Resistance inAntibiotics (Basel, Switzerland) · 2021
    Review
  14. Targeting Antibiotic Resistance: From Diagnostics to Novel Antibiotics.ACS pharmacology & translational science · 2020
    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

5 authors at 4 institutions in 1 country.

Zaneeta DhesiUniversity College London, Gower Street, London WC1E 6BT, United Kingdom.
Virve I EnneUniversity College London, Gower Street, London WC1E 6BT, United Kingdom.
Justin O'GradyQuadram Institute Bioscience, Norwich Research Park, Norwich NR4 7UA, United Kingdom.
Vanya GantUniversity College London Hospitals NHS Foundation Trust, London NW1 2PG, United Kingdom.
David M LivermoreUniversity of East Anglia, Norwich Research Park, Norwich NR4 7TJ, United Kingdom.
University College London · GBNorwich Research Park · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a narrative review on the potential of rapid and point-of-care microbiological testing in pneumonia patients, focusing particularly on hospital-acquired and ventilator-associated pneumonia, which have substantial mortality and diverse microbiology. This work is written from a United Kingdom perspective, but much of it is generalizable internationally. In a world where antimicrobial resistance is a major international threat, the use of rapid molecular diagnostics has great potential to improve both the management of pneumonia patients and the stewardship of antibiotics. Rapid tests potentially can distinguish patients with bacterial versus viral infection and can swiftly identify bacterial pathogens and their resistances. We seek to answer the question: "Can such tests be used as an antibiotic guardian?" Their availability at the bedside rather than in the laboratory should best ensure that results are swiftly used to optimize patient management but will raise new challenges, not the least with respect to maintaining quality control and microbiology/infection control input. A further challenge lies in assessing the degree of trust that treating clinicians will place in these molecular diagnostic tests, particularly when early de-escalation of antibiotic therapy is indicated.

Identifiers

PMID32551433
PMCPMC7233852
OpenAlexW3025042341

What OpenQuestion holds

Textmetadata
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.