Evidence map›Paper›PMID 38156045›Full record

ArticleOpen forum infectious diseases2023

Impact of Multiplex Polymerase Chain Reaction Test in Patients With Meningitis or Encephalitis.

Daisuke Kitagawa, Taito Kitano, Yuto Uchihara, Takafusa Ando, Hiroki Nishikawa, Rika Suzuki, Masayuki Onaka, Takehito Kasamatsu, Naoyuki Shiraishi, Kiyoshi Takemoto and 10 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

20 authors at 3 institutions in 2 countries.

Daisuke KitagawaDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, Nara, Japan.ORCID https://orcid.org/0000-0002-5352-8621
Taito KitanoJohns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Yuto UchiharaDepartment of Neurology, Nara Prefecture General Medical Center, Nara, Japan.
Takafusa AndoDepartment of Neurology, Nara Prefecture General Medical Center, Nara, Japan.
Hiroki NishikawaDepartment of Pediatrics, Nara Prefecture General Medical Center, Nara, Japan.
Rika SuzukiDepartment of Pediatrics, Nara Prefecture General Medical Center, Nara, Japan.
Masayuki OnakaDepartment of Pediatrics, Nara Prefecture General Medical Center, Nara, Japan.
Takehito KasamatsuDepartment of Infectious Diseases, Nara Prefecture General Medical Center, Nara, Japan.
Naoyuki ShiraishiDepartment of Infectious Diseases, Nara Prefecture General Medical Center, Nara, Japan.
Kiyoshi TakemotoDepartment of Critical Care Medicine, Nara Prefecture General Medical Center, Nara, Japan.ORCID https://orcid.org/0000-0001-8072-6298
Madoka SekineDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, Nara, Japan.
Soma SuzukiDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, Nara, Japan.
Yuki SuzukiDepartment of Microbiology and Infectious Diseases, Nara Medical University, Kashihara, Japan.
Akiyo NakanoDepartment of Microbiology and Infectious Diseases, Nara Medical University, Kashihara, Japan.
Ryuichi NakanoDepartment of Microbiology and Infectious Diseases, Nara Medical University, Kashihara, Japan.
Hisakazu YanoDepartment of Microbiology and Infectious Diseases, Nara Medical University, Kashihara, Japan.
Sayaka YoshidaDepartment of Pediatrics, Nara Prefecture General Medical Center, Nara, Japan.
Makoto KawaharaDepartment of Neurology, Nara Prefecture General Medical Center, Nara, Japan.
Koichi MaedaDepartment of Infectious Diseases, Nara Prefecture General Medical Center, Nara, Japan.
Fumihiko NakamuraDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, Nara, Japan.
Nara Prefecture General Medical CenterNara Medical University · JPJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The objective of this study was to evaluate the impact of the FilmArray meningitis/encephalitis panel (FAME) on length of stay (LOS) and duration of antimicrobial treatment in children and adults in a Japanese community hospital. Methods: This retrospective cohort study was conducted in Japan between January 2016 and December 2022. We included hospitalized patients with cerebrospinal fluid (CSF) samples and those aged <2 months or who had 5 or more white blood cells/μL in the CSF. To compare the days of therapy (DOT) and LOS between the pre-FAME and FAME periods, multivariate Poisson regression analyses were conducted without an offset term. Results: The number of cases undergoing pathogen-specific polymerase chain reaction increased from 3.7% in the pre-FAME period to 57.5% in the FAME period ( Conclusions: This study revealed a significant reduction in antiviral use during the FAME period, whereas LOS and antibacterial use did not decrease. Given the possibility of factors (eg, the COVID-19 pandemic) affecting the epidemiology of meningitis and encephalitis, the indications and impact of the FAME test should be evaluated with continuous monitoring of the epidemiology of meningitis and encephalitis and its clinical impact.

Indexed as

antibacterialantiviraldays of therapyFilmArraymeningitis

Identifiers

PMID38156045
PMCPMC10753909
OpenAlexW4389924004

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.