RAPID ENTEROVIRUS MOLECULAR TESTING IN CEREBROSPINAL FLUID REDUCES LENGTH OF HOSPITALIZATION AND DURATION OF ANTIBIOTIC THERAPY IN CHILDREN WITH ASEPTIC MENINGITIS

被引:15
|
作者
Huizing, Kirsten M. N. [1 ]
Swanink, Caroline M. A. [2 ]
Landstra, Anneke M. [1 ]
van Zwet, Anton A. [2 ]
van Setten, Petra A. [1 ]
机构
[1] Rijnstate Hosp Arnhem, Dept Paediat, NL-6800 TA Arnhem, Netherlands
[2] Rijnstate Hosp Arnhem, Dept Med Microbiol & Immunol, NL-6800 TA Arnhem, Netherlands
关键词
rapid enterovirus molecular test; aseptic meningitis; child; health savings; POLYMERASE-CHAIN-REACTION; CLINICAL SPECIMENS; INFANTS; IMPACT;
D O I
10.1097/INF.0b013e31822cca1f
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We studied the potential benefits of introducing a rapid enterovirus molecular test in children with enterovirus meningitis. The 2 groups of pediatric patients were comparable with respect to clinical and laboratory data, but differed in availability of enterovirus test results. In the control group, the results were available within 3 to 7 days, whereas in the study group, rapid enterovirus molecular test results were available within 3 to 24 hours. The median duration of hospitalization and the duration of antibiotics were significantly reduced to, respectively, 2 days and 1 day in the study group when compared with the control group (P < 0.001). Mean costs per patient calculation showed an average reduction of more than US $1450 (P < 0.001).
引用
收藏
页码:1107 / 1109
页数:4
相关论文
共 7 条
  • [1] Clinical presentation of patients with aseptic meningitis, factors influencing treatment and hospitalization, and consequences of enterovirus cerebrospinal fluid polymerase chain reaction testing
    Patriquin, Glenn
    Hatchette, Jill
    Forward, Kevin
    CANADIAN JOURNAL OF INFECTIOUS DISEASES & MEDICAL MICROBIOLOGY, 2012, 23 (01) : 1 - 5
  • [2] Enterovirus-D68 in the Cerebrospinal Fluid of Two Children with Aseptic Meningitis
    Esposito, Susanna
    Lunghi, Giovanna
    Zampiero, Alberto
    Tagliabue, Claudia
    Orlandi, Anna
    Torresani, Erminio
    Niesters, Hubert
    Principi, Nicola
    PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2016, 35 (05) : 589 - 591
  • [3] Routine cerebrospinal fluid enterovirus polymerase chain reaction testing reduces hospitalization and antibiotic use for infants 90 days of age or younger
    King, Rebecca L.
    Lorch, Scott A.
    Cohen, Daniela M.
    Hodinka, Richard L.
    Cohn, Keri A.
    Shah, Samir S.
    PEDIATRICS, 2007, 120 (03) : 489 - 496
  • [4] Rapid detection of enterovirus in cerebrospinal fluid by a fully-automated PCR assay is associated with improved management of aseptic meningitis in adult patients
    Giulieri, Stefano G.
    Chapuis-Taillard, Caroline
    Manuel, Oriol
    Hugli, Olivier
    Pinget, Christophe
    Wasserfallen, Jean-Blaise
    Sahli, Roland
    Jaton, Katia
    Marchetti, Oscar
    Meylan, Pascal
    JOURNAL OF CLINICAL VIROLOGY, 2015, 62 : 58 - 62
  • [5] Impact of Rapid Enterovirus Molecular Diagnosis on the Management of Infants, Children, and Adults with Aseptic Meningitis
    Archimbaud, C.
    Chambon, M.
    Bailly, J. L.
    Petit, I.
    Henquell, C.
    Mirand, A.
    Aublet-Cuvelier, B.
    Ughetto, S.
    Beytout, J.
    Clavelou, P.
    Labbe, A.
    Philippe, P.
    Schmidt, J.
    Regagnon, C.
    Traore, O.
    Peigue-Lafeuille, H.
    JOURNAL OF MEDICAL VIROLOGY, 2009, 81 (01) : 42 - 48
  • [6] Analysis of enterovirus genotypes in the cerebrospinal fluid of children associated with aseptic meningitis in Liaocheng, China, from 2018 to 2019
    Wang, Jing
    Meng, Min
    Xu, Huan
    Wang, Ting
    Liu, Ying
    Yan, Han
    Liu, Peiman
    Qin, Daogang
    Yang, Qiaozhi
    BMC INFECTIOUS DISEASES, 2021, 21 (01)
  • [7] Analysis of enterovirus genotypes in the cerebrospinal fluid of children associated with aseptic meningitis in Liaocheng, China, from 2018 to 2019
    Jing Wang
    Min Meng
    Huan Xu
    Ting Wang
    Ying Liu
    Han Yan
    Peiman Liu
    Daogang Qin
    Qiaozhi Yang
    BMC Infectious Diseases, 21