Evidence map›Paper›PMID 40454835›Full record

ArticleJournal of clinical microbiology2025

Performance evaluation of a commercial multiplex pathogen panel for the diagnosis of pediatric joint infections.

Lawson Copley, Gina Lee, Mary Villani, Naureen Tareen, Laura M Filkins

Abstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2025. 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
–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

3 citing papers in PubMed.

  1. An in-houseJournal of clinical microbiology · 2025
    Article
  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

5 authors.

Lawson CopleyDepartment of Pediatric Orthopaedic Surgery, Children's Medical Center of Dallas and University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Gina LeeDepartment of Pediatrics, Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Mary VillaniDepartment of Pediatrics, Division of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Naureen TareenDepartment of Pediatric Orthopaedic Surgery, Children's Health System of Texas, Dallas, Texas, USA.
Laura M FilkinsDepartment of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-0406-4947

Funding

BioFire Diagnostics NA
6 · The paper itself

Abstract

This study evaluates the performance of the BIOFIRE Joint Infection (JI) Panel compared to joint fluid culture and/or 16S rRNA PCR, followed by Sanger sequencing (16S PCR/S) for the diagnosis of joint infections in pediatric patients. An on-panel organism was detected by standard-of-care joint (SOCj) studies (joint fluid culture with or without 16S PCR/S, as ordered by the treating physician) in 29/65 samples (44.6%), and the same organism was detected by the BIOFIRE JI panel in all samples. The cumulative positive percent agreement in the detection of on-panel genus or species-level targets by the BIOFIRE JI panel was 100% (36/36), 100% (25/25), and 100% (27/27), and the negative percent agreement was 99.7% (1,974/1,979), 99.2% (1,974/1,990), and 99.7% (1,303/1,307) compared to detection by SOCj, joint fluid culture only, or 16S PCR/S only, respectively. The potential clinical impact of employing the BIOFIRE JI panel was predicted by retrospective adjudication using a study-specific rubric. We predicted that 27.7% (18/65) of BIOFIRE JI panel results could have had a positive impact on patient care. One case (1.5%) was predicted to potentially have a negative impact, and three cases (4.6%) were adjudicated to have an unknown impact. All organisms detected by 16S PCR/S, but not by culture, were also detected by the BIOFIRE JI panel during this study. IMPORTANCE: The BIOFIRE JI Panel has been limitedly evaluated in pediatric patients. Our study shows a strong agreement between the BIOFIRE JI panel and culture and/or 16S rRNA PCR with Sanger sequencing for the detection of the most common pathogenic causes of joint infection in children. The faster time to results of the BIOFIRE JI panel has the potential to guide optimal treatment faster than conventional methods.

Indexed as

Arthritis, InfectiousBacteriaMolecular Diagnostic TechniquesMultiplex Polymerase Chain ReactionAdolescentChildChild, PreschoolFemaleHumansInfantMaleRNA, Ribosomal, 16SSensitivity and SpecificitySynovial FluidRNA, Ribosomal, 16Sjoint infectionmultiplex panelpediatric infectious disease

Identifiers

PMID40454835
PMCPMC12239719

What OpenQuestion holds

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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.