English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background Viral pathogens are a leading cause of respiratory infection in the pediatric population. In August 2015, Williamson Medical Center implemented a respiratory panel (RP) that enables rapid detection of 20 common pathogens by multiplex polymerase chain reaction. Utilization of the RP was reviewed to assess the impact of the test on healthcare and antimicrobial utilization. Methods A retrospective chart review was conducted of all patients aged 0 to 17 years with RP specimens collected August 2015 through December 2016. An evaluation of the impact of RP results was completed through review of duration or change in antimicrobial therapy, change in patient management, and avoidance of further workup, antimicrobial therapy, or hospital admission. A subgroup analysis was performed for patients less than 60 days of age. Results Two hundred and ninety-five pediatric patients had a RP specimen collected during the evaluation timeframe. Ninety-six percent of tests were appropriate based on symptoms and 49% of RP results changed patient management (Table 1). RP result did not change management in any patients greater than 10 years of age. A pathogen was identified in 66% of specimens, with rhinovirus/enterovirus (53.6%) and respiratory syncytial virus (20.5%) being the most common viruses isolated. The use of the RP was highest in the months of August through December, with viral pathogen isolation being highest in these months as well. In patients less than 60 days of age (n = 40), the RP result changed management in 22 (55%) cases, including 3 avoided admissions, 12 avoided antibiotic courses, and 7 avoided lumbar punctures. Conclusion The use of a RP was beneficial in this pediatric population to decrease hospital admissions, avoid further unnecessary procedures, avoid unnecessary antibiotic therapy, decrease duration of antibiotics and target antimicrobial therapy. Further consideration should be given to implement an algorithm for use. Disclosures M. F. Williams, BioFire Diagnostics: Consultant, Speaker honorarium; Joint Commission Resources: Consultant, Speaker honorariumTable 1: Respiratory Panel Collection 0–17 Years of Age Samples Collected 295 Test Appropriate Based on Symptoms 284 (96%) Pathogen Detected 196 (66%) Result Changed Management 145 (49%) Avoid Admission 44 Reduce Further Procedures/Workup 33 Avoid Antibiotics 89 Narrow/Decrease Antibiotic Duration 20 Target Antimicrobial Therapy 14

Impact of Multiplex Polymerase Chain Reaction Testing for Respiratory Pathogen Detection in Pediatric Patients