Assessment of the multiplex PCR-based assay unyvero pneumonia application for detection of bacterial pathogens and antibiotic resistance genes in children and neonates

BackgroundPneumonia is a major healthcare problem. Rapid pathogen identification is critical, but often delayed due to the duration of culturing. Early, broad antibacterial therapy might lead to false-negative culture findings and eventually to the development of antibiotic resistances. We aimed to...

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Bibliographic Details
Main Author: Papan, Cihan (Author)
Format: Article (Journal)
Language:English
Published: 2018
In: Infection
Year: 2017, Volume: 46, Issue: 2, Pages: 189-196
ISSN:1439-0973
DOI:10.1007/s15010-017-1088-y
Online Access:Verlag, Volltext: http://dx.doi.org/10.1007/s15010-017-1088-y
Verlag, Volltext: https://link.springer.com/article/10.1007/s15010-017-1088-y
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Author Notes:Cihan Papan, Melanie Meyer-Buehn, Gudrun Laniado, Thomas Nicolai, Matthias Griese, Johannes Huebner

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520 |a BackgroundPneumonia is a major healthcare problem. Rapid pathogen identification is critical, but often delayed due to the duration of culturing. Early, broad antibacterial therapy might lead to false-negative culture findings and eventually to the development of antibiotic resistances. We aimed to assess the accuracy of the new application Unyvero P50 based on multiplex PCR to detect bacterial pathogens in respiratory specimens from children and neonates.MethodsIn this prospective study, bronchoalveolar lavage fluids, tracheal aspirates, or pleural fluids from neonates and children were analyzed by both traditional culture methods and Unyvero multiplex PCR.ResultsWe analyzed specimens from 79 patients with a median age of 1.8 (range 0.01-20.1). Overall, Unyvero yielded a sensitivity of 73.1% and a specificity of 97.9% compared to culture methods. Best results were observed for non-fermenting bacteria, for which sensitivity of Unyvero was 90% and specificity 97.3%, while rates were lower for Gram-positive bacteria (46.2 and 93.9%, respectively). For resistance genes, we observed a concordance with antibiogram of 75% for those specimens in which there was a cultural correlate.ConclusionsUnyvero is a fast and easy-to-use tool that might provide additional information for clinical decision making, especially in neonates and in the setting of nosocomial pneumonia. Sensitivity of the PCR for Gram-positive bacteria and important resistance genes must be improved before this application can be widely recommended. 
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