Article ; Online: Blood culture identification (BCID) performance in polymicrobial bacteremia.
Diagnostic microbiology and infectious disease
2023 Volume 107, Issue 4, Page(s) 116086
Abstract: The rapid multiplex PCR (rmPCR)-based FilmArray® blood culture identification (BCID) assay reduces time from positive blood culture to organism identification. Polymicrobial bacteremia (PMB) is a known area of reduced diagnostic fidelity for BCID and ... ...
Abstract | The rapid multiplex PCR (rmPCR)-based FilmArray® blood culture identification (BCID) assay reduces time from positive blood culture to organism identification. Polymicrobial bacteremia (PMB) is a known area of reduced diagnostic fidelity for BCID and remains incompletely characterized. All cases of clinically confirmed PMB at a large academic single center from a 23-month period were evaluated in a retrospective cohort analysis. A total of 207 samples were identified and studied. Overall, 49.3% (N = 102) of polymicrobial cultures were incompletely identified by FilmArray® result. There were no significant between-group differences in comorbidity status, length of stay, mortality, or source between patients with PMB who had complete versus incomplete BCID identification. Our results suggest that rmPCR-based assays frequently miss organisms in PMB and should be interpreted accordingly. |
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MeSH term(s) | Humans ; Blood Culture/methods ; Retrospective Studies ; Bacteremia/diagnosis ; Multiplex Polymerase Chain Reaction ; Time Factors |
Language | English |
Publishing date | 2023-09-13 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 604920-5 |
ISSN | 1879-0070 ; 0732-8893 |
ISSN (online) | 1879-0070 |
ISSN | 0732-8893 |
DOI | 10.1016/j.diagmicrobio.2023.116086 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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