Sepsis & infection

Performance evaluation of a PCR panel (FilmArray® Pneumonia Plus) for detection of respiratory bacterial pathogens in respiratory specimens: A systematic review and meta-analysis

Anaesth Crit Care Pain MedPublished Systematic review and meta-analysis of diagnostic accuracy studies

Authors' conclusion

This systematic review reporting the FAPP evaluation revealed a high accuracy.

Study context

Population
Respiratory samples tested for the 15 typical bacteria of the panel; studies from PubMed and EMBASE, 2010–2022
Participants
8,968 participants · 30 studies
Comparison
FilmArray® Pneumonia Plus Panel vs bacterial culture
Outcome
Overall diagnostic accuracy (sensitivity and specificity)
Methodological details21 of 30 studies related to intensive care
  • 21 of 30 studies related to intensive care

Pooled result

As reported in the abstract

Overall diagnostic accuracy of FAPP vs bacterial culture

Overall sensitivity

94%

95% CI 91–95

Overall specificity

98%

95% CI 97–98

Further pooled results

Log diagnostic OR

Log diagnostic OR
6.35 (95% CI 6.05-6.65)

Out-of-panel bacteria

Bacteria detected in culture not included in the FAPP panel
9.3% (95% CI 9.2-9.5)

Original publication

Performance evaluation of a PCR panel (FilmArray® Pneumonia Plus) for detection of respiratory bacterial pathogens in respiratory specimens: A systematic review and meta-analysis. Anaesth Crit Care Pain Med. Published 12 September 2023. doi:10.1016/j.accpm.2023.101300

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