Evidence map›Paper›PMID 40607535›Full record

ReviewRevista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia2025

Acute infectious gastroenteritis in childhood: the role of rapid multiplex molecular syndromic panels in diagnosis and clinical management.

Ana Belén Jiménez-Jiménez, Fátima Galán-Sánchez, Milagros García-López Hortelano, Victoria Fumadó, Llanos Salar-Vidal, José Tomás Ramos-Amador, Ana Isabel Menasalvas-Ruiz

Abstract readReview
In one paragraph

Review in Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Ana Belén Jiménez-JiménezPediatric Department, Hospital Universitario Fundación Jiménez Díaz, Instituto de Investigación Sanitaria FJD, Madrid, Spain.ORCID 0000-0002-6217-6947
Fátima Galán-SánchezServicio de Microbiología Clínica, Complejo Hospitalario Universitario Puerta del Mar-San Carlos, Instituto de Investigación e Innovación Biomédica de Cádiz (INIBICA), Cádiz, Spain.ORCID 0000-0003-0101-6701
Milagros García-López HortelanoPediatric Tropical Diseases Unit, International Adoption and Consultation of Traveling Children, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0002-5028-1029
Victoria FumadóInfectious and Imported diseases Department. Hospital Universitario San Joan de Déu, Barcelona, Spain.
Llanos Salar-VidalBiomedical Research Network Centre for Infectious Diseases (CIBERINFEC), Carlos III Health Institute, Madrid, Spain.ORCID 0000-0002-3052-0176
José Tomás Ramos-AmadorBiomedical Research Network Centre for Infectious Diseases (CIBERINFEC), Carlos III Health Institute, Madrid, Spain.ORCID 0000-0002-3874-4481
Ana Isabel Menasalvas-RuizSección de Infectología y Pediatría Hospitalaria, Servicio de Pediatría, Hospital Virgen de la Arrixaca, Universidad de Murcia, Murcia, Spain.ORCID 0000-0003-2183-6299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute infectious diarrhea is a major global health issue, especially in children, as gastrointestinal infections are the second most common infectious disease after respiratory infections. The implementation of rapid multiplex molecular syndromic panels (RMMSP) for the comprehensive detection and identification of enteric pathogens in stool samples has enhanced diagnostic precision, supplementing-or, in some cases, replacing-traditional methodologies. This narrative, non-systematic review synthesized the available evidence on the clinical performance of gastrointestinal RMMSP up to December 31, 2024. On May 27, 2024, specialists in Pediatrics and Microbiology met to assess the use of RMMSP in pediatric gastrointestinal infection diagnosis. This review focused on RMMSP applicable to urgent management of infectious acute gastroenteritis (AGE), excluding those panels unsuitable for immediate diagnosis. RMMSP facilitated rapid pathogen detection in pediatric infectious AGE and have shown potential advantages over traditional microbiological methods, including a reduction in time to appropriate treatment. Their use appeared particularly useful in emergency and inpatient settings for inflammatory AGE, prolonged traveler's diarrhea, or cases at risk for complications. They were also considered for outpatient diagnosis in moderate/severe cases, chronic diarrhea, or immunocompromised patients. Within a diagnostic stewardship framework, current evidence suggests that RMMSP can contribute to minimizing unnecessary testing and hospitalizations, improving outbreak control, and optimizing antimicrobial use. However, further research is necessary to refine diagnostic workflows and ensure timely result delivery. This document evaluated key aspects regarding the application of RMMSP in pediatric infectious AGE, aiming to establish standardized protocols, support clinical decision-making, and facilitate optimal patient management.

Indexed as

GastroenteritisMolecular Diagnostic TechniquesAcute DiseaseChildChild, PreschoolDiarrheaFecesHumansAcute gastroenteritisCulture-independent diagnostic testDiarrheaGastrointestinal infectionMultiplex PCR panelRapid multiplex molecular syndromic panels

Identifiers

PMID40607535
PMCPMC12257178

What OpenQuestion holds

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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.