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Table 2 Comparison of detection results against bacteria and antimicrobial resistance between the BioFire FilmArray Pneumonia Panela and culture-based methods

From: BioFire FilmArray Pneumonia Panel enhances detection of pathogens and antimicrobial resistance in lower respiratory tract specimens

Bacterium and antimicrobial resistance

PN+, CM+

PN+, CM−

PN−, CM+

PN−, CM−

PPA (95% CI)

NPA (95% CI)

Bacterium

 A. calcoaceticus-baumannii complex

0

6

0

51

89.5 (78.5–96.0)

 E. cloacae complex

1

5

0

51

100.0 (2.5–100.0)

91.1 (80.4–97.0)

 E. coli

1

3

0

53

100.0 (2.5–100.0)

94.6 (85.1–98.9)

 H. influenzae

5

1

0

51

100.0 (47.8–100.0)

98.1 (89.7–100.0)

 K. aerogenes

0

4

0

53

93.0 (83.0–98.1)

 K. oxytoca

1

0

0

56

100.0 (2.5–100.0)

100.0 (93.6–100.0)

 K. pneumoniae group

3

7

0

47

100.0 (29.2–100.0)

87.0 (75.1–94.6)

 M. catarrhalis

0

2

0

55

96.5 (87.9–99.6)

 Proteus species

0

0

0

57

100.0 (93.7–100.0)

 P. aeruginosa

8

9

0

40

100.0 (63.1–100.0)

81.6 (68.0–91.2)

 S. marcescens

1

2

0

54

100.0 (2.5–100.0)

96.4 (87.7–99.6)

 S. aureus

3

14

0

40

100.0 (29.2–100.0)

74.1 (60.3–85.0)

 S. agalactiae

0

3

0

54

94.7 (85.4–98.9)

 S. pneumoniae

2

2

0

53

100.0 (15.8–100.0)

96.4 (87.5–99.6)

 S. pyogenes

0

1

0

56

98.2 (90.6–100.0)

 Total

25

59

0

771

100.0 (86.3–100.0)

92.9 (90.9–94.5)

Antimicrobial resistance

 MRSAb

0

5

0

52

91.2 (80.7–97.1)

 ESBL producerc

2

2

0

53

100.0 (15.8–100.0)

96.4 (87.5–99.6)

 Total

2

7

0

105

100.0 (15.8–100.0)

93.8 (87.5–97.5)

  1. PN BioFire FilmArray Pneumonia Panel, CM culture-based methods (culture methods and antimicrobial susceptibility testing), MRSA methicillin-resistant Staphylococcus aureus, ESBL extended-spectrum β-lactamase, PPA positive percent agreement, NPA negative percent agreement, CI confidence interval
  2. aSample preparation process, including the sample volume used for the assay, was off-label
  3. bMRSA was detected as mecA/mecC and MREJ genes using the BioFire FilmArray Pneumonia Panel
  4. cESBL producers were detected as CTX-M genes using the BioFire FilmArray Pneumonia Panel