Evidence map›Paper›PMID 40989843›Full record

ReviewFrontiers in pharmacology2025

Impact of pharmacist-interpreted pt-qPCR technology on antimicrobial use and clinical outcomes in patients with lower respiratory tract infections: a retrospective cohort study.

Ziyi Wang, Jing Wang, Yan Liu, Yuanyuan Wei, Yan Zhao, Shizhao Yuan, Shuai Liu, Wanyi Yin, Jing Yu

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Ziyi Wang *Department of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Jing Wang *Department of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Yan LiuDepartment of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Yuanyuan WeiDepartment of Clinical Pharmacy, Hebei Medical University, Shijiazhuang, China.
Yan ZhaoDepartment of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Shizhao YuanDepartment of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Shuai LiuDepartment of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Wanyi YinMedical Affairs Department, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Jing YuDepartment of Clinical Pharmacy, The First Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Lower respiratory tract infections (LRTIs) are a leading cause of morbidity and mortality worldwide and contribute to excessive empirical antibiotic use due to diagnostic delays. Rapid and accurate pathogen identification is essential for guiding targeted antimicrobial therapy and improving drug outcomes. Aim: This study aimed to evaluate the impact of pathogen-targeted quick multiplex PCR (pt-qPCR) compared to conventional microbiological testing on antimicrobial use and clinical outcomes in hospitalized patients with LRTIs. Methods: In this retrospective cohort study conducted at a tertiary hospital in China (March 2023-March 2024), patients with LRTIs were assigned to either a conventional testing group or a pt-qPCR group. Outcomes included pathogen detection rate, length of hospital stay (LOS), antimicrobial days of therapy (DOT), antimicrobial duration before and after testing, time to targeted therapy, mortality, and ICU transfer rate. Results: A total of 220 patients were enrolled (conventional: n = 112; pt-qPCR: n = 108). Baseline characteristics were comparable, except for higher chronic pulmonary disease prevalence (58.0% vs. 20.4%, Conclusion: Pharmacist-interpreted pt-qPCR significantly improves pathogen detection and optimizes antimicrobial therapy in LRTI patients. Its clinical use may enhance antibiotic stewardship, reduce ICU burden, and support precision medicine in respiratory infections.

Indexed as

antimicrobial stewardshiphospital-based studylower respiratory tract infectionspt-qPCRrapid molecular diagnosticsreal-world study

Identifiers

PMID40989843
PMCPMC12450677

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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.