» Articles » PMID: 27101869

Enhancing Pathogen Identification in Patients with Meningitis and a Negative Gram Stain Using the BioFire FilmArray(®) Meningitis/Encephalitis Panel

Overview
Publisher Biomed Central
Date 2016 Apr 23
PMID 27101869
Citations 25
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Meningitis with a negative cerebrospinal (CSF) Gram stain represents a diagnostic and therapeutic challenge. The purpose of our study was to evaluate the performance of the BioFire FilmArray(®) Meningitis/Encephalitis (FA ME) panel in patients presenting with community-acquired meningitis with a negative Gram stain.

Methods: CSF from 48 patients with community-acquired meningitis with a negative Gram stain admitted to four hospitals in Houston, TX underwent additional testing by the FA ME. FA ME results were compared to results obtained as part of routine evaluation.

Results: The panel detected pathogens not previously identified in 11 (22.9 %) of 48, but did not detect pathogens identified by standard technique (West Nile virus, Histoplasma) in 5 (15.2 %) patients.

Conclusions: Rapid testing for the most common pathogens causing meningitis will aid in the diagnosis and treatment of patients with meningitis.

Citing Articles

Comparison of positive BioFire FilmArray meningitis/encephalitis (ME) panels, CSF cultures, CSF parameters, clinical presentation and in-patient mortality among patients with bacterial and fungal meningitis.

Myint T, Soria J, Gao Y, Conejo Castillo M, Arora V, Ribes J Microbiol Spectr. 2024; 13(2):e0001424.

PMID: 39714177 PMC: 11792450. DOI: 10.1128/spectrum.00014-24.


A multicenter evaluation of the QIAstat-Dx meningitis-encephalitis syndromic test kit as compared to the conventional diagnostic microbiology workflow.

Boers S, van Houdt R, Van Sorge N, Groot J, van Aarle Y, van Bussel M Eur J Clin Microbiol Infect Dis. 2024; 43(3):511-516.

PMID: 38206519 PMC: 10917839. DOI: 10.1007/s10096-024-04751-9.


Basis of preventive and non-pharmacological interventions in asthma.

Clemente-Suarez V, Mielgo-Ayuso J, Ramos-Campo D, Beltran-Velasco A, Martinez-Guardado I, Navarro Jimenez E Front Public Health. 2023; 11:1172391.

PMID: 37920579 PMC: 10619920. DOI: 10.3389/fpubh.2023.1172391.


Exploring the Utility of Multiplex Infectious Disease Panel Testing for Diagnosis of Infection in Different Body Sites: A Joint Report of the Association for Molecular Pathology, American Society for Microbiology, Infectious Diseases Society of....

Lewinski M, Alby K, Babady N, Butler-Wu S, Bard J, Greninger A J Mol Diagn. 2023; 25(12):857-875.

PMID: 37757952 PMC: 11702286. DOI: 10.1016/j.jmoldx.2023.08.005.


Aseptic Meningitis and Its Viral Etiologies, Clinical Characteristics and Management Practices in Children: A Retrospective Hospital-Based Study From Jordan.

Masri A, Dwaikat A, Haroun N, Haikal L, Kharabsheh M, Daher A Cureus. 2022; 14(4):e24383.

PMID: 35611041 PMC: 9124581. DOI: 10.7759/cureus.24383.


References
1.
Southern T, Vanschooneveld T, Bannister D, Brown T, Crismon A, Buss S . Implementation and performance of the BioFire FilmArray® Blood Culture Identification panel with antimicrobial treatment recommendations for bloodstream infections at a midwestern academic tertiary hospital. Diagn Microbiol Infect Dis. 2014; 81(2):96-101. DOI: 10.1016/j.diagmicrobio.2014.11.004. View

2.
Buss S, Leber A, Chapin K, Fey P, Bankowski M, Jones M . Multicenter evaluation of the BioFire FilmArray gastrointestinal panel for etiologic diagnosis of infectious gastroenteritis. J Clin Microbiol. 2015; 53(3):915-25. PMC: 4390666. DOI: 10.1128/JCM.02674-14. View

3.
Nesher L, Hadi C, Salazar L, Wootton S, Garey K, Lasco T . Epidemiology of meningitis with a negative CSF Gram stain: under-utilization of available diagnostic tests. Epidemiol Infect. 2015; 144(1):189-97. PMC: 9507288. DOI: 10.1017/S0950268815000850. View

4.
Rhein J, Bahr N, Hemmert A, Cloud J, Bellamkonda S, Oswald C . Diagnostic performance of a multiplex PCR assay for meningitis in an HIV-infected population in Uganda. Diagn Microbiol Infect Dis. 2015; 84(3):268-73. PMC: 4764472. DOI: 10.1016/j.diagmicrobio.2015.11.017. View

5.
Hanson K, Slechta E, Killpack J, Heyrend C, Lunt T, Daly J . Preclinical Assessment of a Fully Automated Multiplex PCR Panel for Detection of Central Nervous System Pathogens. J Clin Microbiol. 2016; 54(3):785-7. PMC: 4767945. DOI: 10.1128/JCM.02850-15. View