Evidence map›Paper›PMID 41877090›Full record

SynthesisBMC infectious diseases2026

Impact of molecular rapid diagnostic testing on clinical outcomes in bloodstream infections: a meta-analysis.

Bangyao Zhou, Zhixiong Chen, Hongyi Zhu, Baihui Chen, Jing Fang, Xiaomin Jin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2026. 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. 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

6 authors.

Bangyao ZhouRuian Center for Disease Control and Prevention, Zhejiang, 32500, China.
Zhixiong ChenRuian Center for Disease Control and Prevention, Zhejiang, 32500, China.
Hongyi ZhuWenzhou Ouhai Center for Disease Control and Prevention, Zhejiang, 325041, China.
Baihui ChenWenzhou Ouhai Center for Disease Control and Prevention, Zhejiang, 325041, China.
Jing FangRuian Center for Disease Control and Prevention, Zhejiang, 32500, China.
Xiaomin JinWenzhou Ouhai Center for Disease Control and Prevention, Zhejiang, 325041, China. 13738335155@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molecular rapid diagnostic testing is considered superior to conventional microbiological methods for bloodstream infections. Molecular rapid diagnostic testing reduces time to organism identification, facilitates timely initiation of appropriate antimicrobial therapy, and improves clinical outcomes, including reduced mortality. The purpose of the study was to evaluate the impact of molecular rapid diagnostic testing on the results outcomes of bloodstream infections. We studied meta-analysis data and used a dichotomous or continuous model with fixed or random effects to get odds ratios (OR) or mean differences (MD) with 95% confidence intervals (CIs). 51 studies with a total of 14,675 subjects were selected for the study. Molecular rapid diagnostic testing was associated with significantly lower mortality (OR, 0.66; 95% CI, 0.60–0.74, p < 0.001), mortality with Gram-positive organisms (OR, 0.73; 95% CI, 0.59–0.90, p = 0.004), mortality with Gram-negative organisms (OR, 0.72; 95% CI, 0.60–0.87, p < 0.001), mortality with multiple organisms (OR, 0.62; 95% CI, 0.47–0.82, p < 0.001), length of hospital stay (MD, -3.79; 95% CI, -5.61- -1.97, p < 0.001), intensive care unit length of stay (MD, -2.05; 95% CI, -3.21- -0.88, p < 0.001), and cost (MD, -5.48; 95% CI, -9.41- -1.55, p < 0.001) compared to conventional methods in bloodstream infections. Molecular fast diagnostic testing for bloodstream infections significantly reduced mortality risk. Molecular fast diagnostic testing also reduced the time to successful therapy and the duration of hospitalization. Molecular fast diagnostic tests ought to be integrated into the standard of treatment for patients with bloodstream infections. However, more studies are required to validate this finding.

Indexed as

BacteremiaMolecular Diagnostic TechniquesHumansLength of StayRapid Diagnostic TestsTreatment OutcomeConventional methodsGram stainIntensive care unit length of stayLength of hospital stayMolecular rapid diagnostic testingMortality

Identifiers

PMID41877090
PMCPMC13137582

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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.