https://scholars.lib.ntu.edu.tw/handle/123456789/431400
標題: | Usefulness of the FilmArray meningitis/encephalitis (M/E) panel for the diagnosis of infectious meningitis and encephalitis in Taiwan | 作者: | Lee, Sze Hwei SHEY-YING CHEN JUNG-YIEN CHIEN Lee, Tai Fen JONG-MIN CHEN PO-REN HSUEH |
關鍵字: | BioFire ME panel ® | Emergency department | Encephalitis | Meningitis | Multiplex PCR assay | 公開日期: | 1-十月-2019 | 出版社: | ELSEVIER TAIWAN | 卷: | 52 | 期: | 5 | 起(迄)頁: | 760 | 來源出版物: | Journal of Microbiology, Immunology and Infection | 摘要: | © 2019 Background/purpose: Early recognition of causative pathogens is critical for the appropriate management of central nervous system infection and improved outcomes. The BioFire® FilmArray® Meningitis/Encephalitis Panel (BioFire® ME Panel, BioFire Diagnostics) is the first U.S. Food and Drug Administration (FDA)-approved multiplex PCR assay that allows the rapid detection of 14 pathogens, including bacteria (n = 6), viruses (n = 7), and fungi (n = 1), from cerebrospinal fluid (CSF). The performance of the panel is expected to be dependent on the epidemiology of M/E in different geographical regions. Methods: In this preliminary study, we used the BioFire® ME Panel in 42 subjects who presented to the emergency department with symptoms of M/E in our hospital. The results were compared to conventional culture, antigen detection, PCR, and various laboratory findings. Results: The panel detected six positive samples, of which five were viral and one bacterial. We observed an overall agreement rate of 88% between the BioFire® ME Panel results and the conventional methods. There were no false-positive findings, but five discordant results were observed for enterovirus, herpes simplex virus type 1, Escherichia coli, and Cryptococcus species. Conclusions: The BioFire® ME Panel performed equivalently to the traditional PCR methods for virus detection, and better than bacterial cultures. This revolutionary system represents a paradigm shift in the diagnosis of M/E and may aid in the rapid identification of community-acquired M/E. However, the usefulness of this tool is limited in regions with a high prevalence of infectious M/E caused by microorganisms not included in the panel. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/431400 | ISSN: | 16841182 | DOI: | 10.1016/j.jmii.2019.04.005 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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