Evidence map›Paper›PMID 36627688›Full record

Observational studyCritical care (London, England)2023

The rapid detection of respiratory pathogens in critically ill children.

John A Clark, Andrew Conway Morris, Martin D Curran, Deborah White, Esther Daubney, Iain R L Kean, Vilas Navapurkar, Josefin Bartholdson Scott, Mailis Maes, Rachel Bousfield and 9 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Application of targeted next-generation sequencing in children with community-acquired pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

19 authors at 3 institutions in 1 country.

John A ClarkDepartment of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Level 8, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. jac302@cam.ac.uk.ORCID 0000-0001-6916-9195
Andrew Conway MorrisCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-3211-3216
Martin D CurranClinical Microbiology and Public Health Laboratory, United Kingdom Health Security Agency, Cambridge, UK.
Deborah WhiteCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-9254-996X
Esther DaubneyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Iain R L KeanDepartment of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Level 8, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.ORCID 0000-0003-1066-8285
Vilas NavapurkarCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-3610-3568
Josefin Bartholdson ScottCambridge Institute of Therapeutic Immunology and Infectious Disease, University of Cambridge, Cambridge, UK.ORCID 0000-0003-3380-4446
Mailis MaesCambridge Institute of Therapeutic Immunology and Infectious Disease, University of Cambridge, Cambridge, UK.ORCID 0000-0002-0266-6557
Rachel BousfieldCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-7828-4048
M Estée TörökCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-9098-8590
David InwaldCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-9518-7821
Zhenguang ZhangDepartment of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Level 8, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
Shruti AgrawalDepartment of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Level 8, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
Constantinos KanarisCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Fahad KhokharCambridge Institute of Therapeutic Immunology and Infectious Disease, University of Cambridge, Cambridge, UK.ORCID 0000-0001-5959-0680
Theodore GouliourisCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0002-2011-1205
Stephen BakerCambridge Institute of Therapeutic Immunology and Infectious Disease, University of Cambridge, Cambridge, UK.ORCID 0000-0003-1308-5755
Nazima PathanDepartment of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Level 8, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.ORCID 0000-0002-9447-4252
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBQueen Mary University of London · GB

Funding

Addenbrooke's Charitable Trust, Cambridge University Hospitals 900240Gates Cambridge Trust OPP1144Medical Research Council MR/N029399/1Medical Research Council MR/V006118/1Wellcome Trust 205214/Z/16/Z
6 · The paper itself

Abstract

purposeRespiratory infections are the most common reason for admission to paediatric intensive care units (PICU). Most patients with lower respiratory tract infection (LRTI) receive broad-spectrum antimicrobials, despite low rates of bacterial culture confirmation. Here, we evaluated a molecular diagnostic test for LRTI to inform the better use of antimicrobials.

methodsThe Rapid Assay for Sick Children with Acute Lung infection Study was a single-centre, prospective, observational cohort study of mechanically ventilated children (> 37/40 weeks corrected gestation to 18 years) with suspected community acquired or ventilator-associated LRTI. We evaluated the use of a 52-pathogen custom TaqMan Array Card (TAC) to identify pathogens in non-bronchoscopic bronchoalveolar lavage (mini-BAL) samples. TAC results were compared to routine microbiology testing. Primary study outcomes were sensitivity and specificity of TAC, and time to result.

resultsWe enrolled 100 patients, all of whom were tested with TAC and 91 of whom had matching culture samples. TAC had a sensitivity of 89.5% (95% confidence interval (CI

conclusionsTAC is a reliable and rapid adjunct diagnostic approach for LRTI in critically ill children, with the potential to aid early rationalisation of antimicrobial therapy.

Indexed as

PneumoniaRespiratory Tract InfectionsBacteriaBronchoalveolar Lavage FluidChildCritical IllnessHumansProspective StudiesCritical careDiagnostic techniquesHealthcare-associated pneumoniaPaediatricPneumoniaRespiratory system

Identifiers

PMID36627688
PMCPMC9831374
OpenAlexW4315478088

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.