Value of syndromic panels in the management of severe community-acquired pneumonia.

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Title: Value of syndromic panels in the management of severe community-acquired pneumonia.
Authors: Burillo, Almudena1,2,3 almudena.burillo@gmail.com, Javier Candel, Francisco2,4, Canut-Blasco, Andrés5,6
Source: Revista Española de Quimioterapia. 2022 Supplement, Vol. 35, p15-20. 6p.
Subjects: COMMUNITY-acquired pneumonia, HOSPITAL admission & discharge, ETIOLOGY of diseases, ANTI-infective agents, PATHOGENIC microorganisms
Abstract: Community-acquired pneumonia requiring hospital admission is a prevalent and potentially serious infection, especially in high-risk patients (e.g., those requiring ICU admission or immunocompromised). International guidelines recommend early aetiological diagnosis to improve prognosis and reduce mortality. Syndromic panels that detect causative pathogens by molecular methods are here to stay. They are highly sensitive and specific for detecting the targets included in the test. A growing number of studies measuring their clinical impact have observed increased treatment appropriateness and decreased turnaround time to aetiological diagnosis, need for admission, length of hospital stay, days of isolation, adverse effects of medication and hospital costs. Its use is recommended a) per a pre-established protocol on making the diagnosis and managing the patient, b) together with an antimicrobial stewardship programme involving both the Microbiology Service and the clinicians responsible for the patient, and c) the final evaluation of the whole process. However, we recall that microbiological diagnosis with traditional methods remains mandatory due to the possibility that the aetiological agent is not included among the molecular targets and to determine the antimicrobial susceptibility of the pathogens detected. [ABSTRACT FROM AUTHOR]
Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Value of syndromic panels in the management of severe community-acquired pneumonia.
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  Data: <searchLink fieldCode="AR" term="%22Burillo%2C+Almudena%22">Burillo, Almudena</searchLink><relatesTo>1,2,3</relatesTo><i> almudena.burillo@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Javier+Candel%2C+Francisco%22">Javier Candel, Francisco</searchLink><relatesTo>2,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Canut-Blasco%2C+Andrés%22">Canut-Blasco, Andrés</searchLink><relatesTo>5,6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Española+de+Quimioterapia%22">Revista Española de Quimioterapia</searchLink>. 2022 Supplement, Vol. 35, p15-20. 6p.
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  Data: <searchLink fieldCode="DE" term="%22COMMUNITY-acquired+pneumonia%22">COMMUNITY-acquired pneumonia</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+admission+%26+discharge%22">HOSPITAL admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22ETIOLOGY+of+diseases%22">ETIOLOGY of diseases</searchLink><br /><searchLink fieldCode="DE" term="%22ANTI-infective+agents%22">ANTI-infective agents</searchLink><br /><searchLink fieldCode="DE" term="%22PATHOGENIC+microorganisms%22">PATHOGENIC microorganisms</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Community-acquired pneumonia requiring hospital admission is a prevalent and potentially serious infection, especially in high-risk patients (e.g., those requiring ICU admission or immunocompromised). International guidelines recommend early aetiological diagnosis to improve prognosis and reduce mortality. Syndromic panels that detect causative pathogens by molecular methods are here to stay. They are highly sensitive and specific for detecting the targets included in the test. A growing number of studies measuring their clinical impact have observed increased treatment appropriateness and decreased turnaround time to aetiological diagnosis, need for admission, length of hospital stay, days of isolation, adverse effects of medication and hospital costs. Its use is recommended a) per a pre-established protocol on making the diagnosis and managing the patient, b) together with an antimicrobial stewardship programme involving both the Microbiology Service and the clinicians responsible for the patient, and c) the final evaluation of the whole process. However, we recall that microbiological diagnosis with traditional methods remains mandatory due to the possibility that the aetiological agent is not included among the molecular targets and to determine the antimicrobial susceptibility of the pathogens detected. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.37201/req/s01.03.2022
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      – Code: eng
        Text: English
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      – SubjectFull: COMMUNITY-acquired pneumonia
        Type: general
      – SubjectFull: HOSPITAL admission & discharge
        Type: general
      – SubjectFull: ETIOLOGY of diseases
        Type: general
      – SubjectFull: ANTI-infective agents
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      – SubjectFull: PATHOGENIC microorganisms
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      – TitleFull: Value of syndromic panels in the management of severe community-acquired pneumonia.
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            NameFull: Burillo, Almudena
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            NameFull: Javier Candel, Francisco
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            NameFull: Canut-Blasco, Andrés
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              M: 04
              Text: 2022 Supplement
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              Value: 35
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