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Diagn Microbiol Infect Dis ; 81(2): 96-101, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25488272

RESUMO

The FilmArray® Blood Culture Identification (BCID) panel was recently implemented at a midwestern academic tertiary care hospital to provide rapid identification (ID) of common pathogens from positive blood cultures. This study evaluated the clinical performance of the BCID panel compared to culture-based ID methods. One hundred thirty-eight monomicrobial and 8 polymicrobial blood cultures were evaluated during the 30-day study resulting in the ID of 152 total organisms by culture with 115 organisms correctly identified using the BCID panel. The BCID panel had sensitivities of 80.4% (115/152) for all organisms identified during the study and 94.6% (115/122) when considering only on-panel organisms. BCID panel specificity was 100%. Implementation of the BCID panel was coupled with the development of empiric therapy recommendations for bloodstream infections by the antimicrobial stewardship team. Based on this study, the FilmArray® BCID panel is a rapid and reliable test for the detection of common bloodstream pathogens, and therapeutic decisions can be based upon panel results.


Assuntos
Anti-Infecciosos/uso terapêutico , Bacteriemia/diagnóstico , Bacteriemia/tratamento farmacológico , Bactérias/classificação , Bactérias/isolamento & purificação , Sangue/microbiologia , Centros Médicos Acadêmicos , Anti-Infecciosos/farmacologia , Bactérias/efeitos dos fármacos , Humanos , Sensibilidade e Especificidade , Centros de Atenção Terciária
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