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Impact of viral multiplex real-time PCR on management of respiratory tract infection: a retrospective cohort study

Overview of attention for article published in Pneumonia, February 2017
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Title
Impact of viral multiplex real-time PCR on management of respiratory tract infection: a retrospective cohort study
Published in
Pneumonia, February 2017
DOI 10.1186/s41479-017-0028-z
Pubmed ID
Authors

Lena M. Mayer, Christian Kahlert, Frank Rassouli, Pietro Vernazza, Werner C. Albrich

Abstract

Significance and clinical utility of multiple virus detection by multiplex real-time polymerase chain reaction (rtPCR) in respiratory tract infection remain unclear. This retrospective cohort study analyzed how virus detection affected clinical management. During a 27-month period, clinical and laboratory information was collected from all children and adults in two Swiss tertiary centres whose respiratory samples were tested for respiratory viruses with a 16-plex rtPCR test. Pathogens were identified in 140 of 254 patients (55%); of those patients, there was ≥1 virus in 91 (65%), ≥ 1 bacterium in 53 (38%), and ≥1 virus and bacterium in 11 (8%). Of 80 patients with viral infection, 59 (74%) received antibiotics. Virus detection was associated with discontinuation of antibiotics in 2 of 20 adults (10%) and 6 of 14 children (43%). Overall 12 adults (34%) and 18 children (67%) were managed correctly without antibiotics after virus detection (p = 0.01). When taking biomarkers, radiologic presentations, and antibiotic pre-treatment into account, the impact of rtPCR and appropriateness of therapy for clinically viral infections increased to 100% in children and 62% in adults. A substantial reduction of unnecessary antibiotic prescriptions seems possible. Appropriate application of rtPCR results in respiratory tract infections should be encouraged.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 60 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 60 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 14 23%
Student > Master 8 13%
Unspecified 5 8%
Student > Ph. D. Student 5 8%
Student > Postgraduate 5 8%
Other 10 17%
Unknown 13 22%
Readers by discipline Count As %
Medicine and Dentistry 18 30%
Agricultural and Biological Sciences 8 13%
Unspecified 5 8%
Biochemistry, Genetics and Molecular Biology 3 5%
Immunology and Microbiology 3 5%
Other 8 13%
Unknown 15 25%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 April 2017.
All research outputs
#20,414,746
of 22,965,074 outputs
Outputs from Pneumonia
#111
of 111 outputs
Outputs of similar age
#271,664
of 311,748 outputs
Outputs of similar age from Pneumonia
#6
of 6 outputs
Altmetric has tracked 22,965,074 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 111 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.4. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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