Table 3.
Patient data from 23 studies applying multiplex PCR to identify the presence of pathogen DNA in the bloodstreama
Reference, yr | Population(s) | Design | No. of patients | No. of samples |
---|---|---|---|---|
12, 2010 | Adults, emergency department, suspected bloodstream infection, at least 2 SIRS criteria | Single center | 144 | 144 |
23, 2010 | Adults, surgical intensive care unit, severe sepsis | Multicenter, prospective | 142 | 236 |
23, 2010 | Adults, intensive care unit, elective surgery | Multicenter, prospective | 63 | 111 |
73, 2009 | Adults, presumed sepsis, medical and surgical patients | Single center, retrospective | 77 | 101 |
84, 2010 | Adults, endocarditis, BC and PCR results not corresponding | Single center, prospective | 15 | 15 |
97, 2012 | Presumed sepsis, intensive care unit, general ward | Single center, prospective | 61 | 71 |
125, 2011 | Adults, infectious diseases department, patients subjected to BC | Single center, prospective | 1,093 | 1,093 |
138, 2010 | Adults, isolation ward, hematological patients undergoing chemotherapy or hematopoietic stem cell transplantation with febrile neutropenia | Single center, prospective | 86 | 141 |
142, 2009 | Adults, emergency department, intensive care unit, general ward, presumed sepsis | Multicenter, retrospective | 436 | 467 |
143, 2010 | Adults, surgical intensive care unit, presumed severe sepsis | 2 center, prospective | 108 | 453 |
290, 2009 | Adults, hematology ward, febrile neutropenia | Single center, prospective | 70 | 119 |
158, 2009 | Adults, surgical intensive care unit, screening 2×/wk | Single center, prospective | 52 | 258 |
157, 2011 | Adults, surgical intensive care unit, SIRS | Single center | 104 | 148 |
161, 2008 | Adults, emergency department, intensive care unit, general ward, suspected bloodstream infection, at least 2 SIRS criteria | Single center, prospective | 200 | 200 |
162, 2011 | Neonates, pediatrics, emergency department, intensive care unit, general wards, neonatology, presumed sepsis | Single center, retrospective | 803 | 1,673 |
167, 2008 | Adults, febrile neutropenia | Single center | 34 | 103 |
174, 2012 | Adults, children, febrile immunocompromised patients (neutropenia, immunosuppressive therapy, hematological malignancies, solid tumors) | Single center | 79 | 79 |
195, 2011 | Adults, emergency department, intensive care unit, general ward, presumed sepsis | Single center | 54 | 78 |
202, 2009 | Neonates, presumed sepsis | Single center, retrospective | 34 | 34 |
204, 2012 | Presumed sepsis, internal medicine | Single center | 391 | 391 |
219, 2012 | Presumed sepsis after liver transplantation or major abdominal surgery, intensive care unit | Single center, retrospective | 170 | 225 |
221, 2010 | Adults, intensive care unit, presumed sepsis | Single center, prospective | 72 | 106 |
275, 2011 | Adults, trauma and emergency surgery, burn patients | Single center, prospective | 50 | 50 |
277, 2010 | Adults, emergency department, presumed sepsis | 2 center, prospective | 306 | 306 |
285, 2009 | Adults, children, hematology/oncology ward, febrile neutropenia | Single center | 100 | 130 |
286, 2008 | Intensive care unit, hematological/general ward, presumed sepsis | Dual centric | 36 | 39 |
293, 2010 | Adults, intensive care unit, patients with fever or hypothermia | Single center, prospective | 72 | 100 |
300, 2009 | Presumed sepsis | Multicenter | 359 | 558 |
307, 2010 | Emergency department, intensive car unit, general ward, presumed sepsis | Multicenter, prospective | 212 | 400 |
Studies were searched for in PubMed using the terms “pathogen” and “multiplex PCR,” where blood samples for culture and PCR were drawn at the same time for comparison. Comparable data for larger cohorts of patients are currently available only for the SeptiFast multiplex PCR test. Further important proof-of-concept studies which applied different platforms are discussed in the text.