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| Name | Class |
|---|---|
| Reims University hospital | OTHER |
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The research aims to determine the impact of a syndromic mutiplex PCR assay (FilmArray) on the management of patients hospitalized in ICU for severe respiratory disease.
During the SARS-CoV-2 outbreak, the diagnosis of pneumonia has become considerably more complex as the biological, radiological and clinical criteria of covid-19 interfere with the standard criteria for the diagnosis of severe respiratory diseases. Moreover, patients with COVID-19 are at higher risk of developing other associated infections and thus, patients have therefore often been treated with antibiotics, adequately or not, due to difficulty to quickly identify the etiology of their symptoms with conventional methods.
In order to improve their treatment, both diagnostic and therapeutic, we set up a new syndromic molecular test in our laboratories to accelerate and improve the pneumonia management and antibiotic stewardship. This research will include 100 to 150 adult patients hospitalized in ICU during the first half of 2020. It will take place within the Nancy University Hospital and the Reims University Hospital, France.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FilmArray PCR on respiratory samples | Diagnostic Test | Molecular test performed on respiratory samples realized for microbiological routine testing as part of the care |
| Measure | Description | Time Frame |
|---|---|---|
| Therapeutic decision | Antibiotic prescription modification following the FilmArray results as:
| 24 h following the FilmArray results |
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Inclusion Criteria:
Exclusion Criteria:
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Patients followed in ICU at the hospitals of Nancy and Reims for severe respiratory diseases during the first half of 2020
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34364096 | Derived | Novy E, Goury A, Thivilier C, Guillard T, Alauzet C. Algorithm for rational use of Film Array Pneumonia Panel in bacterial coinfections of critically ill ventilated COVID-19 patients. Diagn Microbiol Infect Dis. 2021 Nov;101(3):115507. doi: 10.1016/j.diagmicrobio.2021.115507. Epub 2021 Jul 23. |
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| ID | Term |
|---|---|
| D003141 | Communicable Diseases |
| D011014 | Pneumonia |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D007239 | Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D011024 | Pneumonia, Viral |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |