Evidence map›Paper›PMID 34646911›Full record

ArticleOpen forum infectious diseases2021

Impact of a Multiplex Polymerase Chain Reaction Panel on Duration of Empiric Antibiotic Therapy in Suspected Bacterial Meningitis.

Justin J Choi, Lars F Westblade, Lee S Gottesdiener, Kyle Liang, Han A Li, Graham T Wehmeyer, Marshall J Glesby, Matthew S Simon

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Justin J ChoiDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Lars F WestbladeDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, New York, USA.
Lee S GottesdienerDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Kyle LiangDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Han A LiDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Graham T WehmeyerDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Marshall J GlesbyDivision of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Matthew S SimonDivision of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Cornell University · USWeill Cornell Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiplex polymerase chain reaction (PCR) panels allow for rapid detection or exclusion of pathogens causing meningitis and encephalitis (ME). The clinical impact of rapid multiplex PCR ME panel results on the duration of empiric antibiotic therapy is not well characterized.

methodsWe performed a retrospective prepost study at our institution that evaluated the clinical impact of a multiplex PCR ME panel among adults with suspected bacterial meningitis who received empiric antibiotic therapy and underwent lumbar puncture in the emergency department. The primary outcome was the duration of empiric antibiotic therapy.

resultsThe positive pathogen detection rates were similar between pre- and post-multiplex PCR ME panel periods (17.5%, 24 of 137 vs 20.3%, 14 of 69, respectively). The median duration of empiric antibiotic therapy was significantly reduced in the post-multiplex PCR ME panel period compared with the pre-multiplex PCR ME panel period (34.7 vs 12.3 hours,

conclusionsThe implementation of the multiplex PCR ME panel for bacterial meningitis reduced the duration of empiric antibiotic therapy and possibly hospital length of stay compared with traditional microbiological testing methods.

Indexed as

antibioticsFilmArray ME panelmeningitismultiplex PCR

Identifiers

PMID34646911
PMCPMC8500300
OpenAlexW3203816866

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.