Impact of rapid multiplex PCR on management of antibiotic therapy in COVID-19-positive patients hospitalized in intensive care unit.
Eur J Clin Microbiol Infect Dis
; 40(10): 2227-2234, 2021 Oct.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1139366
ABSTRACT
Because the diagnosis of co/superinfection in COVID-19 patients is challenging, empirical antibiotic therapy is frequently initiated until microbiological analysis results. We evaluated the performance and the impact of the BioFire® FilmArray® Pneumonia plus Panel on 112 respiratory samples from 67 COVID-19 ICU patients suspected of co/superinfections. Globally, the sensitivity and specificity of the test were 89.3% and 99.1%, respectively. Positive tests led to antibiotic initiation or adaptation in 15% of episodes and de-escalation in 4%. When negative, 28% of episodes remained antibiotic-free (14% no initiation, 14% withdrawal). Rapid multiplex PCRs can help to improve antibiotic stewardship by administering appropriate antibiotics earlier and avoiding unnecessary prescriptions.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Bacterias
/
Infecciones Bacterianas
/
Reacción en Cadena de la Polimerasa Multiplex
/
COVID-19
/
Antibacterianos
Tipo de estudio:
Estudios diagnósticos
/
Estudio experimental
/
Estudio observacional
Tópicos:
Covid persistente
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Eur J Clin Microbiol Infect Dis
Asunto de la revista:
Enfermedades Transmisibles
/
Microbiologia
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S10096-021-04213-6
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