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  1. Article ; Online: Identification of prosthetic joint infections with 16S amplicon metagenomic sequencing - comparison with standard cultivation approach.

    Mahnic, Aleksander / Rak, Mitja / Trebše, Rihard / Rupnik, Maja / Cőr, Andrej

    Diagnostic microbiology and infectious disease

    2024  Volume 109, Issue 1, Page(s) 116188

    Abstract: Prosthetic joint infections (PJIs) are commonly diagnosed via culture-based methods, which may miss hard-to-grow pathogens. This study contrasts amplicon metagenomic sequencing (16S AS) with traditional culture techniques for enhanced clinical decision- ... ...

    Abstract Prosthetic joint infections (PJIs) are commonly diagnosed via culture-based methods, which may miss hard-to-grow pathogens. This study contrasts amplicon metagenomic sequencing (16S AS) with traditional culture techniques for enhanced clinical decision-making. We analyzed sonicate fluid from 27 patients undergoing revision arthroplasty using both methods, emphasizing the distinction between contaminants and true positives. Our findings show moderate agreement between the two methods, with a Cohen's kappa of 0.490, varying across bacterial genera (Cohen's kappa -0.059 to 1). The sensitivity of 16S AS compared to culture was 81% (95% CI, 68% to 94%). Sequencing revealed greater microbial diversity, including anaerobic genera like Anaerococcus and Citrobacter. Interestingly, several culture-negative PJI samples showed diverse bacteria via 16S AS. Despite rigorous controls and algorithms to eliminate contaminants, confirming bacteria presence with 16S AS remains a challenge. This highlights the need for improved PJI diagnostic methods, while also pointing out the limitations of next-generation sequencing (NGS) as a clinical diagnostic tool.
    MeSH term(s) Humans ; Arthritis, Infectious/diagnosis ; Bacteria/genetics ; Prostheses and Implants ; Arthroplasty ; High-Throughput Nucleotide Sequencing ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Sensitivity and Specificity ; RNA, Ribosomal, 16S/genetics
    Chemical Substances RNA, Ribosomal, 16S
    Language English
    Publishing date 2024-01-17
    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.2024.116188
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Accuracy of Allplex SARS-CoV-2 assay amplification curve analysis for the detection of SARS-CoV-2 variant Alpha.

    Čretnik, Tjaša Ž / Retelj, Matjaž / Janežič, Sandra / Mahnič, Aleksander / Tesovnik, Tine / Šket, Robert / Bizjan, Barbara J / Jeverica, Samo / Ravnik, Mateja / Rak, Mitja / Borinc, Mateja / Rupnik, Maja / Battelino, Tadej / Pokorn, Marko / Kovač, Jernej

    Future microbiology

    2022  Volume 17, Page(s) 1125–1131

    Abstract: ... Aim: ... To evaluate the accuracy of two PCR-based techniques for detecting SARS-CoV-2 variant Alpha (B.1.1.7). ... Materials & methods: ... A multicenter prospective cohort with 1137 positive specimens from Slovenia was studied. A mutation-based assay ...

    Abstract Aim: To evaluate the accuracy of two PCR-based techniques for detecting SARS-CoV-2 variant Alpha (B.1.1.7). Materials & methods: A multicenter prospective cohort with 1137 positive specimens from Slovenia was studied. A mutation-based assay (rTEST-COVID-19 qPCR B.1.1.7 assay) and amplification curve pattern analysis of the Allplex SARS-CoV-2 assay were compared with whole-genome sequencing. Results: SARS-CoV-2 variant Alpha was detected in 155 samples (13.6%). Sensitivity and specificity were 98.1 and 98.0%, respectively, for the rTEST-COVID-19 qPCR B.1.1.7 assay and 97.4 and 97.5%, respectively, for amplification curve pattern analysis. Conclusion: The good analytical performance of both methods was confirmed for the preliminary identification of SARS-CoV-2 variant Alpha. This cost-effective principle for screening SARS-CoV-2 populations is also applicable to other emerging variants and may help to conserve some whole-genome sequencing resources.
    MeSH term(s) COVID-19/diagnosis ; Humans ; Prospective Studies ; SARS-CoV-2/genetics ; Sensitivity and Specificity
    Language English
    Publishing date 2022-07-26
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2254620-0
    ISSN 1746-0921 ; 1746-0913
    ISSN (online) 1746-0921
    ISSN 1746-0913
    DOI 10.2217/fmb-2021-0288
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Detection of bacteria with molecular methods in prosthetic joint infection: sonication fluid better than periprosthetic tissue.

    Rak, Mitja / KavčIč, Martina / Trebše, Rihard / CőR, Andrej

    Acta orthopaedica

    2016  Volume 87, Issue 4, Page(s) 339–345

    Abstract: Background and purpose - The correct diagnosis of prosthetic joint infection (PJI) can be difficult because bacteria form a biofilm on the surface of the implant. The sensitivity of culture from sonication fluid is better than that from periprosthetic ... ...

    Abstract Background and purpose - The correct diagnosis of prosthetic joint infection (PJI) can be difficult because bacteria form a biofilm on the surface of the implant. The sensitivity of culture from sonication fluid is better than that from periprosthetic tissue, but no comparison studies using molecular methods on a large scale have been performed. We assessed whether periprosthetic tissue or sonication fluid should be used for molecular analysis. Patients and methods - Implant and tissue samples were retrieved from 87 patients who underwent revision operation of total knee or total hip arthroplasty. Both sample types were analyzed using broad-range (BR-) PCR targeting the 16S rRNA gene. The results were evaluated based on the definition of periprosthetic joint infection from the Workgroup of the Musculoskeletal Infection Society. Results - PJI was diagnosed in 29 patients, whereas aseptic failure was diagnosed in 58 patients. Analysis of sonication fluid using BR-PCR detected bacteria in 27 patients, whereas analysis of periprosthetic tissue by BR-PCR detected bacteria in 22 patients. In 6 of 7 patients in whom BR-PCR analysis of periprosthetic tissue was negative, low-virulence bacteria were present. The sensitivity and specificity values for periprosthetic tissue were 76% and 93%, respectively, and the sensitivity and specificity values for sonication fluid were 95% and 97%. Interpretation - Our results suggest that sonication fluid may be a more appropriate sample than periprosthetic tissue for BR-PCR analysis in patients with PJI. However, further investigation is required to improve detection of bacteria in patients with so-called aseptic failure.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip/adverse effects ; Bacteria/genetics ; Bacteria/isolation & purification ; Bacteriological Techniques/methods ; DNA, Bacterial/analysis ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Polymerase Chain Reaction ; Prospective Studies ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Reoperation ; Sonication/methods
    Chemical Substances DNA, Bacterial
    Language English
    Publishing date 2016-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2180677-9
    ISSN 1745-3682 ; 1745-3674
    ISSN (online) 1745-3682
    ISSN 1745-3674
    DOI 10.3109/17453674.2016.1165558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cutibacterium acnes clonal complexes display various growth rates in blood culture vials used for diagnosing orthopedic device-related infections.

    El Sayed, Faten / Jeverica, Samo / Roux, Anne-Laure / Bauer, Thomas / Nkam, Lionelle / Sivadon-Tardy, Valérie / Noussair, Latifa / Herrmann, Jean-Louis / Gaillard, Jean-Louis / Rak, Mitja / Papst, Lea / Rottman, Martin

    Anaerobe

    2021  Volume 72, Page(s) 102469

    Abstract: Objectives: Blood culture bottles (BCBs) are commonly used for the diagnosis of infections associated with orthopedic devices. Although Cutibacterium acnes is an important pathogen in orthopedics, relatively little is known about its growth ... ...

    Abstract Objectives: Blood culture bottles (BCBs) are commonly used for the diagnosis of infections associated with orthopedic devices. Although Cutibacterium acnes is an important pathogen in orthopedics, relatively little is known about its growth characteristics in BCBs. This prompted us to analyze the influence of bacterial genotype and clinical significance on time-to-detection (TTD) in BCBs.
    Methods: We reviewed 59 cases of orthopedic device-related infections in which at least one intraoperative specimen yielded a pure C. acnes culture from anaerobic BCBs (BD Bactec Lytic/10 Anaerobic/F; Lytic-Ana) and/or solid media. A strain was considered infectant if the same genotype was present in two or more intraoperative samples. From these cases, we isolated a total of 72 unique C. acnes strains belonging to four multilocus sequence type clonal complexes (CCs): CC18, CC28, CC36 and CC53. Growth rate and TTD in Lytic-Ana BCB were studied under experimental conditions (inoculation of standard inoculum) and in clinical samples (inoculation of periprosthetic tissue samples).
    Results: Median TTD values were shorter for CC53 compared to other CCs under experimental conditions (69 vs. 103 h; p < 0.001) and from clinical specimens (70 vs. 200 h; p = 0.02). Infectant strains had a shorter median TTD compared to contaminant strains in a clinical situation, while the difference was not observed under experimental conditions.
    Conclusions: The detection dynamics of C. acnes in Lytic-Ana BCBs were associated with genotype. Thus, TTD not only reflects the bacterial load in clinical samples, but may also reflect the intrinsic properties of the clonal complex of C. acnes.
    MeSH term(s) Adult ; Aged ; Bacterial Proteins/genetics ; Bacterial Typing Techniques ; Blood Culture ; Female ; Gram-Positive Bacterial Infections/diagnosis ; Gram-Positive Bacterial Infections/microbiology ; Humans ; Male ; Middle Aged ; Multilocus Sequence Typing ; Orthopedic Procedures/adverse effects ; Propionibacterium acnes/classification ; Propionibacterium acnes/genetics ; Propionibacterium acnes/isolation & purification ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/etiology
    Chemical Substances Bacterial Proteins
    Language English
    Publishing date 2021-10-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1237621-8
    ISSN 1095-8274 ; 1075-9964
    ISSN (online) 1095-8274
    ISSN 1075-9964
    DOI 10.1016/j.anaerobe.2021.102469
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Cutibacterium acnes clonal complexes display various growth rates in blood culture vials used for diagnosing orthopedic device-related infections

    El Sayed, Faten / Jeverica, Samo / Roux, Anne-Laure / Bauer, Thomas / Nkam, Lionelle / Sivadon-Tardy, Valérie / Noussair, Latifa / Herrmann, Jean-Louis / Gaillard, Jean-Louis / Rak, Mitja / Papst, Lea / Rottman, Martin

    Anaerobe. 2021 Dec., v. 72

    2021  

    Abstract: Blood culture bottles (BCBs) are commonly used for the diagnosis of infections associated with orthopedic devices. Although Cutibacterium acnes is an important pathogen in orthopedics, relatively little is known about its growth characteristics in BCBs. ... ...

    Abstract Blood culture bottles (BCBs) are commonly used for the diagnosis of infections associated with orthopedic devices. Although Cutibacterium acnes is an important pathogen in orthopedics, relatively little is known about its growth characteristics in BCBs. This prompted us to analyze the influence of bacterial genotype and clinical significance on time-to-detection (TTD) in BCBs.We reviewed 59 cases of orthopedic device-related infections in which at least one intraoperative specimen yielded a pure C. acnes culture from anaerobic BCBs (BD Bactec Lytic/10 Anaerobic/F; Lytic-Ana) and/or solid media. A strain was considered infectant if the same genotype was present in two or more intraoperative samples. From these cases, we isolated a total of 72 unique C. acnes strains belonging to four multilocus sequence type clonal complexes (CCs): CC18, CC28, CC36 and CC53. Growth rate and TTD in Lytic-Ana BCB were studied under experimental conditions (inoculation of standard inoculum) and in clinical samples (inoculation of periprosthetic tissue samples).Median TTD values were shorter for CC53 compared to other CCs under experimental conditions (69 vs. 103 h; p < 0.001) and from clinical specimens (70 vs. 200 h; p = 0.02). Infectant strains had a shorter median TTD compared to contaminant strains in a clinical situation, while the difference was not observed under experimental conditions.The detection dynamics of C. acnes in Lytic-Ana BCBs were associated with genotype. Thus, TTD not only reflects the bacterial load in clinical samples, but may also reflect the intrinsic properties of the clonal complex of C. acnes.
    Keywords blood ; genotype ; inoculum ; microbial load ; multilocus sequence typing ; orthopedics ; pathogens
    Language English
    Dates of publication 2021-12
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 1237621-8
    ISSN 1075-9964
    ISSN 1075-9964
    DOI 10.1016/j.anaerobe.2021.102469
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: Identification of the same species in at least two intra-operative samples for prosthetic joint infection diagnostics yields the best results with broad-range polymerase chain reaction.

    Rak, Mitja / Barlič-Maganja, Darja / Kavčič, Martina / Trebše, Rihard / Cőr, Andrej

    International orthopaedics

    2014  Volume 39, Issue 5, Page(s) 975–979

    Abstract: Purpose: Prosthetic joint infection (PJI) is a devastating complication of total joint arthroplasty. No single laboratory test has perfect sensitivity and specificity; however, culture of periprosthetic tissue is the standard method for PJI diagnosis. ... ...

    Abstract Purpose: Prosthetic joint infection (PJI) is a devastating complication of total joint arthroplasty. No single laboratory test has perfect sensitivity and specificity; however, culture of periprosthetic tissue is the standard method for PJI diagnosis. Interpretation of positive culture results in PJI diagnostics can be difficult due to the possibility of contamination with microorganisms originating from skin micro flora. Criteria have been established to aid in distinguishing pathogen from contaminant for culture results. A similar criterion has not however been established for polymerase chain reaction (PCR) analysis, which is in part responsible for confusion about the reliability of PCR for PJI diagnostics. The aim of our study was to establish a criterion for interpretation of broad range (BR) PCR results in PJI diagnostics.
    Methods: Samples of periprosthetic tissue were retrieved from 100 patients with joint prosthesis failure and analysed with BR-PCR. The results of BR-PCR were evaluated based on the number of samples of periprosthetic tissue with the same bacterial species.
    Results: The sensitivity (87.5%) of BR-PCR was highest if the same species was present in at least one sample, although this criterion also resulted in the lowest specificity (92.1%). The sensitivity decreased (83.2%), although without a statistically significant difference, if the same species was present in two or more samples but, at the same time, specificity increased (100%), with a statistically significant difference.
    Conclusions: For diagnostics of PJI with BR-PCR the criterion of the same bacterial species in at least two specimens of periprosthetic tissue from the same patient should be used for interpretation of positive results.
    MeSH term(s) Aged ; Aged, 80 and over ; Arthroplasty ; Arthroplasty, Replacement ; Bacterial Infections/microbiology ; Female ; Humans ; Intraoperative Period ; Joint Prosthesis/microbiology ; Male ; Middle Aged ; Polymerase Chain Reaction/methods ; Prospective Studies ; Prosthesis Failure ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Reproducibility of Results ; Sensitivity and Specificity
    Language English
    Publishing date 2014-10-19
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80384-4
    ISSN 1432-5195 ; 0341-2695
    ISSN (online) 1432-5195
    ISSN 0341-2695
    DOI 10.1007/s00264-014-2552-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Comparison of molecular and culture method in diagnosis of prosthetic joint infection.

    Rak, Mitja / Barlič-Maganja, Darja / Kavčič, Martina / Trebše, Rihard / Cőr, Andrej

    FEMS microbiology letters

    2013  Volume 343, Issue 1, Page(s) 42–48

    Abstract: Diagnosis of prosthetic joint infection with culture technique can be problematic since the causative agent(s) are not possible to cultivate in all cases. Molecular methods had been evaluated in many studies but their inclusion in routine diagnostics is ... ...

    Abstract Diagnosis of prosthetic joint infection with culture technique can be problematic since the causative agent(s) are not possible to cultivate in all cases. Molecular methods had been evaluated in many studies but their inclusion in routine diagnostics is still controversial. The purpose of our prospective study was to compare the diagnostic accuracy of broad-range (BR)-PCR and culture technique. Intraoperative samples of periprosthetic tissue were retrieved in 67 patients undergoing revision arthroplasty. Samples were analyzed with culture technique, immunohistochemistry and BR 16S rRNA gene PCR. Bacteria in PCR-positive samples were identified using two different methods: direct sequencing of PCR products and specific TaqMan assays. In 63 cases, full concordance was found between BR-PCR and culture technique. Specific TaqMan assays failed to identify bacteria in four culture- and BR-PCR-positive cases and therefore had a lower sensitivity in comparison with BR-PCR. Molecular methods detected bacteria with the same accuracy as culture; however, identification of bacteria was inferior to culture. Further development of species-recognition techniques is required to improve identification of causative microorganisms.
    MeSH term(s) Aged ; Aged, 80 and over ; Bacteria/classification ; Bacteria/genetics ; Bacteria/isolation & purification ; Bacterial Infections/diagnosis ; Bacterial Infections/microbiology ; Bacteriological Techniques/methods ; Female ; Humans ; Male ; Middle Aged ; Molecular Diagnostic Techniques/methods ; Osteoarthritis/diagnosis ; Osteoarthritis/microbiology ; Polymerase Chain Reaction/methods ; Prospective Studies ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; RNA, Bacterial/genetics ; RNA, Ribosomal, 16S/genetics ; Sensitivity and Specificity
    Chemical Substances RNA, Bacterial ; RNA, Ribosomal, 16S
    Language English
    Publishing date 2013-06
    Publishing country England
    Document type Comparative Study ; Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 752343-9
    ISSN 1574-6968 ; 0378-1097
    ISSN (online) 1574-6968
    ISSN 0378-1097
    DOI 10.1111/1574-6968.12125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Potential value of a rapid syndromic multiplex PCR for the diagnosis of native and prosthetic joint infections: a real-world evidence study.

    Pascual, Stéphanie / Noble, Brooklyn / Ahmad-Saeed, Nusreen / Aldridge, Catherine / Ambretti, Simone / Amit, Sharon / Annett, Rachel / O'Shea, Shaan Ashk / Barbui, Anna Maria / Barlow, Gavin / Barrett, Lucinda / Berth, Mario / Bondi, Alessandro / Boran, Nicola / Boyd, Sara E / Chaves, Catarina / Clauss, Martin / Davies, Peter / Dianzo-Delgado, Ileana T /
    Esteban, Jaime / Fuchs, Stefan / Friis-Hansen, Lennart / Goldenberger, Daniel / Golle, Andrej / Groonroos, Juha O / Hoffmann, Ines / Hoffmann, Tomer / Hughes, Harriet / Ivanova, Marina / Jezek, Peter / Jones, Gwennan / Ceren Karahan, Zeynep / Lass-Flörl, Cornelia / Laurent, Frédéric / Leach, Laura / Horsbøll Pedersen, Matilde Lee / Loiez, Caroline / Lynch, Maureen / Maloney, Robert J / Marsh, Martin / Milburn, Olivia / Mitchell, Shanine / Moore, Luke S P / Moffat, Lynn / Murdjeva, Marianna / Murphy, Michael E / Nayar, Deepa / Nigrisoli, Giacomo / O'Sullivan, Fionnuala / Öz, Büşra / Peach, Teresa / Petridou, Christina / Prinz, Mojgan / Rak, Mitja / Reidy, Niamh / Rossolini, Gian Maria / Roux, Anne-Laure / Ruiz-Garbajosa, Patricia / Saeed, Kordo / Salar-Vidal, Llanos / Salas Venero, Carlos / Selvaratnam, Mathyruban / Senneville, Eric / Starzengruber, Peter / Talbot, Ben / Taylor, Vanessa / Trebše, Rihard / Wearmouth, Deborah / Willinger, Birgit / Wouthuyzen-Bakker, Marjan / Couturier, Brianne / Allantaz, Florence

    Journal of bone and joint infection

    2024  Volume 9, Issue 1, Page(s) 87–97

    Abstract: ... ...

    Abstract Introduction
    Language English
    Publishing date 2024-02-28
    Publishing country Germany
    Document type Journal Article
    ISSN 2206-3552
    ISSN 2206-3552
    DOI 10.5194/jbji-9-87-2024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online: Potential value of a rapid syndromic multiplex PCR for the diagnosis of native and prosthetic joint infections

    Pascual, Stéphanie / Noble, Brooklyn / Ahmad-Saeed, Nusreen / Aldridge, Catherine / Ambretti, Simone / Amit, Sharon / Annett, Rachel / O'Shea, Shaan Ashk / Barbui, Anna Maria / Barlow, Gavin / Barrett, Lucinda / Berth, Mario / Bondi, Alessandro / Boran, Nicola / Boyd, Sara E. / Chaves, Catarina / Clauss, Martin / Davies, Peter / Dianzo-Delgado, Ileana T. /
    Esteban, Jaime / Fuchs, Stefan / Friis-Hansen, Lennart / Goldenberger, Daniel / Golle, Andrej / Groonroos, Juha O. / Hoffmann, Ines / Hoffmann, Tomer / Hughes, Harriet / Ivanova, Marina / Jezek, Peter / Jones, Gwennan / Ceren Karahan, Zeynep / Lass-Flörl, Cornelia / Laurent, Frédéric / Leach, Laura / Horsbøll Pedersen, Matilde Lee / Loiez, Caroline / Lynch, Maureen / Maloney, Robert J. / Marsh, Martin / Milburn, Olivia / Mitchell, Shanine / Moore, Luke S. P. / Moffat, Lynn / Murdjeva, Marianna / Murphy, Michael E. / Nayar, Deepa / Nigrisoli, Giacomo / O'Sullivan, Fionnuala / Öz, Büşra / Peach, Teresa / Petridou, Christina / Prinz, Mojgan / Rak, Mitja / Reidy, Niamh / Rossolini, Gian Maria / Roux, Anne-Laure / Ruiz-Garbajosa, Patricia / Saeed, Kordo / Salar-Vidal, Llanos / Salas Venero, Carlos / Selvaratnam, Mathyruban / Senneville, Eric / Starzengruber, Peter / Talbot, Ben / Taylor, Vanessa / Trebše, Rihard / Wearmouth, Deborah / Willinger, Birgit / Wouthuyzen-Bakker, Marjan / Couturier, Brianne / Allantaz, Florence

    eISSN: 2206-3552

    a real-world evidence study

    2024  

    Abstract: Introduction : The BIOFIRE Joint Infection (JI) Panel is a diagnostic tool that uses multiplex-PCR testing to detect microorganisms in synovial fluid specimens from patients suspected of having septic arthritis (SA) on native joints or prosthetic joint ... ...

    Abstract Introduction : The BIOFIRE Joint Infection (JI) Panel is a diagnostic tool that uses multiplex-PCR testing to detect microorganisms in synovial fluid specimens from patients suspected of having septic arthritis (SA) on native joints or prosthetic joint infections (PJIs). Methods : A study was conducted across 34 clinical sites in 19 European and Middle Eastern countries from March 2021 to June 2022 to assess the effectiveness of the BIOFIRE JI Panel. Results : A total of 1527 samples were collected from patients suspected of SA or PJI, with an overall agreement of 88.4 % and 85 % respectively between the JI Panel and synovial fluid cultures (SFCs). The JI Panel detected more positive samples and microorganisms than SFC, with a notable difference on Staphylococcus aureus , Streptococcus species, Enterococcus faecalis , Kingella kingae , Neisseria gonorrhoeae , and anaerobic bacteria. The study found that the BIOFIRE JI Panel has a high utility in the real-world clinical setting for suspected SA and PJI, providing diagnostic results in approximately 1 h. The user experience was positive, implying a potential benefit of rapidity of results' turnover in optimising patient management strategies. Conclusion : The study suggests that the BIOFIRE JI Panel could potentially optimise patient management and antimicrobial therapy, thus highlighting its importance in the clinical setting.
    Subject code 616
    Language English
    Publishing date 2024-02-28
    Publishing country de
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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