Evidence map›Paper›PMID 39736683›Full record

ReviewCritical care (London, England)2024

The role of rapid multiplex molecular syndromic panels in the clinical management of infections in critically ill patients: an experts-opinion document.

Francisco Javier Candel, Miguel Salavert, Rafael Cantón, José Luis Del Pozo, Fátima Galán-Sánchez, David Navarro, Alejandro Rodríguez, Juan Carlos Rodríguez, Montserrat Rodríguez-Aguirregabiria, Borja Suberviola and 1 more

Abstract readReview
In one paragraph

Review in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
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  8. Challenges and opportunities in the management of severe pneumonia. Key concepts from the Seventh Annual Meeting of Spanish Experts 2025.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
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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

11 authors.

Francisco Javier CandelClinical Microbiology and Infectious Diseases, Hospital Clínico Universitario San Carlos, IdISSC & IML Health Research Institutes, 28040, Madrid, Spain. fj.candel@gmail.com.
Miguel SalavertInfectious Diseases Unit, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Rafael CantónMicrobiology Department, Hospital Universitario Ramón y Cajal and Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain.
José Luis Del PozoInfectious Diseases Unit, Microbiology Department, Clínica Universidad de Navarra, Navarra, Spain.
Fátima Galán-SánchezMicrobiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain.
David NavarroMicrobiology Department, INCLIVA Health Research Institute, Clinic University Hospital, Valencia, Spain.
Alejandro RodríguezIntensive Care Medicine Department, Hospital Universitario de Tarragona Joan XXIII, Universitat Rovira I Virgili, CIBER Enfermedades Respiratorias, d'investigacio Sanitaria Pere Virgili, Tarragona, Spain.
Juan Carlos RodríguezMicrobiology Department, Dr. Balmis University General Hospital, Alicante, Spain.
Montserrat Rodríguez-AguirregabiriaCritical Care Department, Hospital Universitario La Paz. IdiPAZ, Madrid, Spain.
Borja SuberviolaIntensive Care Medicine Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Rafael ZaragozaCritical Care Department, Hospital Universitario Dr. Peset, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid multiplex molecular syndromic panels (RMMSP) (3 or more pathogens and time-to-results < 6 h) allow simultaneous detection of multiple pathogens and genotypic resistance markers. Their implementation has revolutionized the clinical landscape by significantly enhancing diagnostic accuracy and reducing time-to-results in different critical conditions. The current revision is a comprehensive but not systematic review of the literature. We conducted electronic searches of the PubMed, Medline, Embase, and Google Scholar databases to identify studies assessing the clinical performance of RMMSP in critically ill patients until July 30, 2024. A multidisciplinary group of 11 Spanish specialists developed clinical questions pertaining to the indications and limitations of these diagnostic tools in daily practice in different clinical scenarios. The topics covered included pneumonia, sepsis/septic shock, candidemia, meningitis/encephalitis, and off-label uses of these RMMSP. These tools reduced the time-to-diagnosis (and therefore the time-to-appropriate treatment), reduced inappropriate empiric treatment and the length of antibiotic therapy (which has a positive impact on antimicrobial stewardship and might be associated with lower in-hospital mortality), may reduce the length of hospital stay, which could potentially lead to cost savings. Despite their advantages, these RMMSP have limitations that should be known, including limited availability, missed diagnoses if the causative agent or resistance determinants are not included in the panel, false positives, and codetections. Overall, the implementation of RMMSP represents a significant advancement in infectious disease diagnostics, enabling more precise and timely interventions. This document addresses relevant issues related to the use of RMMSP on different critically ill patient profiles, to standardize procedures, assist in making management decisions and help specialists to obtain optimal outcomes.

Indexed as

Critical IllnessExpert TestimonyHumansCritically ill patientInfectionMultidrug resistant pathogensSeptic shock, sepsis, bloodstream infectionSyndromic molecular diagnosis

Identifiers

PMID39736683
PMCPMC11687037

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.