Evaluation of the FilmArray™ Meningitis/Encephalitis panel with focus on bacteria and Cryptococcus spp

التفاصيل البيبلوغرافية
العنوان: Evaluation of the FilmArray™ Meningitis/Encephalitis panel with focus on bacteria and Cryptococcus spp
المؤلفون: Paula Mölling, S Thulin Hedberg, M. Lignell, David Nestor, Martin Sundqvist, S. Skovbjerg
المصدر: Journal of microbiological methods. 157
سنة النشر: 2018
مصطلحات موضوعية: Microbiology (medical), Infectious Encephalitis, Cryptococcus, Neisseria meningitidis, medicine.disease_cause, Microbiology, Meningitis, Bacterial, Streptococcus agalactiae, 03 medical and health sciences, Streptococcus pneumoniae, Multiplex polymerase chain reaction, medicine, Humans, Multiplex, Molecular Biology, 030304 developmental biology, 0303 health sciences, biology, 030306 microbiology, Cryptococcosis, biology.organism_classification, medicine.disease, Listeria monocytogenes, Meningitis, Fungal, Meningitis, Multiplex Polymerase Chain Reaction, Encephalitis
الوصف: Purpose Molecular methods provide fast and accurate detection of both bacteria and viruses in the cerebrospinal fluid (CSF) causing infection in the central nervous system (CNS). In the present study we evaluated the bacterial detection performance of the fully automated FilmArray™ Meningitis/Encephalitis (ME) panel (bioMerieux) by comparing it with culture and multiplexed in-house PCR. Methods Three sample types were analysed; Contrived samples with known bacterial/fungal concentration (n = 29), clinical samples from patients with verified cause of CNS infection (n = 17) and external quality assessment (EQA) samples (n = 11). Another six samples were purposely prepared with multiple targets to evaluate multiplex capacity. Results The FilmArray™ had a slightly higher limit of detection for Streptococcus pneumoniae, Neisseria meningitidis, Listeria monocytogenes and Streptococcus agalactiae compared to in-house PCR methods but performed equal or better when compared to culture. The FilmArray™ ME panel detected the expected pathogen in 17 of 17 clinical samples and yielded detection of three additional viruses of which one was confirmed with comparator techniques. All but one of the EQA samples were correctly detected. Conclusions The results of this study are promising and the FilmArray™ ME panel could add to the diagnostic algorithm in CNS-infections. However, the limit of detection for the important pathogens N. meningitidis and S. pneumoniae could be improved.
تدمد: 1872-8359
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b2948686b35fdd18ee1d4ad3ce2e1be8
https://pubmed.ncbi.nlm.nih.gov/30639516
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....b2948686b35fdd18ee1d4ad3ce2e1be8
قاعدة البيانات: OpenAIRE