Ota Kazuma, Fujiwara Satoru, Ishii Junko, Yoshimura Hajime, Kohara Nobuo, Kawamoto Michi
Department of Neurology, Kobe City Medical Center General Hospital.
Rinsho Shinkeigaku. 2023 Aug 29;63(8):528-531. doi: 10.5692/clinicalneurol.cn-001840. Epub 2023 Jul 29.
Microbial tests are essential for appropriate management for acute meningitis and encephalitis, but it often takes several days to identify the results of culture tests or PCR. BioFire FilmArray meningitis/encephalitis panel (ME panel) is a rapid multiplex PCR assay that targets 14 bacteria, viruses, and yeast in 1 hour. In this single-center retrospective study, we reviewed adult patients who underwent ME panel test in parallel with conventional microbial tests from January to August 2021. Eighteen of 70 patients (26%) tested positive by ME panel, of which 8 patients (11%) were helpful in altering treatment strategy. Fifty-two patients (74%) could stop empirical treatment such as acyclovir or antibiotics due to negative results on ME panel. All results of ME panel were same as traditional assays. Use of ME panel can contribute to early diagnosis and treatment.
微生物检测对于急性脑膜炎和脑炎的恰当管理至关重要,但通常需要数天才能确定培养检测或聚合酶链反应(PCR)的结果。BioFire FilmArray脑膜炎/脑炎检测板(ME检测板)是一种快速多重PCR检测方法,可在1小时内针对14种细菌、病毒和酵母菌进行检测。在这项单中心回顾性研究中,我们回顾了2021年1月至8月期间同时接受ME检测板检测和传统微生物检测的成年患者。70名患者中有18名(26%)ME检测板检测呈阳性,其中8名患者(11%)对改变治疗策略有帮助。52名患者(74%)因ME检测板结果为阴性而可以停止使用阿昔洛韦或抗生素等经验性治疗。ME检测板的所有结果与传统检测方法相同。使用ME检测板有助于早期诊断和治疗。