Sepsis & infection

Impact of a strategy using multiplex PCR on targeted antibiotic therapy for patients with suspected ventilator-associated pneumonia or hospital-acquired pneumonia requiring mechanical ventilation: a randomized, single-blind trial

Intensive Care MedPublished Randomised controlled trial

Primary resultResult — go to the resultAbsolute difference 11.5 % 95% CI −0.03 to 26.2

Authors' conclusion

Adding FAPP was not associated with a significant increase in targeted AMT at 24 h in patients with suspected VAP or vHAP, except in those with confirmed pneumonia.

Study context

Population
Immunocompetent adults with suspected ventilator-associated pneumonia (VAP) or vHAP146 analysed
Participants
156 adults
Comparison
FilmArray Pneumonia Panel (FAPP) plus conventional microbiology vs conventional microbiology alone
  • Interventionn = 74
  • Controln = 72reference
Primary endpoint
Proportion of patients receiving targeted antimicrobial therapy (AMT)
Follow-up
24 h after inclusion
Methodological detailsopen-label, multicentre, single-blind, 10 did not provide consent for continued participation
  • Open-label
  • Multicentre
  • Single-blind
  • 10 did not provide consent for continued participation

Primary result

As reported in the abstract

24 h

Absolute difference

11.5 %

95% CI −0.03 to 26.2

P = 0.13

By group

Intervention vs Control
absolute difference 11.5 % (95% CI −0.03 to 26.2); P = 0.13

Secondary outcomes

Did not differ significantly

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of a strategy using multiplex PCR on targeted antibiotic therapy for patients with suspected ventilator-associated pneumonia or hospital-acquired pneumonia requiring mechanical ventilation: a randomized, single-blind trial. Intensive Care Med. Published 20 August 2026. doi:10.1007/s00134-026-08591-3

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