Evaluation of the accuracy of multiplex polymerase chain reaction in differentiation between bacterial and viral meningitis
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Published on: October 23, 2011
Mahmoud Abdelfattah Ahmed1, Gamal A Askar1, Hekma S Farghaly1
1Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71516, Egypt.
Background:
Meningitis is one of the most dangerous infection affecting children. The need for rapid and accurate diagnosis is mandatory for improving the outcome.
Aim Of The Work:
To evaluate the role of multiplex polymerase chain reaction (PCR) in diagnosis of meningitis either bacterial or viral and to detect its accuracy.
Patients And Methods:
A cross-sectional study was carried out in University Children Hospital, Faculty of Medicine, between November 2019 and September 2020. The study was approved by the Ethics Review Board of Faculty of Medicine, Assiut University, and informed written consent was obtained. The committee's reference number is 17200161. Clinicaltrails.gov ID: NCT03387969. Forty-eight children aged 2 to 18 years with meningitis were included. Detailed history and examination, blood glucose level at time of admission prior to lumbar puncture, and multiplex PCR in cerebrospinal fluid (CSF) were evaluated.
Results:
The mean age of children was 3.27 ± 1.27 years. Thirty-five (72.9%) cases were bacterial meningitis while 13 (27.1%) cases were viral meningitis. Multiplex PCR had 94% sensitivity and 100% specificity for diagnosis of bacterial meningitis.
Conclusion:
Multiplex PCR may help in diagnosis and differentiation of bacterial and viral meningitis with accurate and rapid results.
Insights
Multiplex PCR accurately diagnoses bacterial and viral meningitis in children, offering rapid and precise results. This molecular diagnostic tool is crucial for timely and effective treatment of pediatric meningitis cases.
Area of Science:
- Pediatric Infectious Diseases
- Molecular Diagnostics
- Clinical Microbiology
Background:
- Meningitis poses a significant threat to children's health.
- Rapid and accurate diagnosis is essential for improving patient outcomes in pediatric meningitis.
Purpose of the Study:
- To evaluate the diagnostic role and accuracy of multiplex polymerase chain reaction (PCR) for bacterial and viral meningitis in children.
- To assess the sensitivity and specificity of multiplex PCR in identifying meningitis pathogens.
Main Methods:
- A cross-sectional study included 48 children diagnosed with meningitis.
- Evaluated clinical data, blood glucose levels, and multiplex PCR on cerebrospinal fluid (CSF).
- Study conducted between November 2019 and September 2020.
Main Results:
- Bacterial meningitis accounted for 72.9% of cases, while viral meningitis comprised 27.1%.
- Multiplex PCR demonstrated 94% sensitivity and 100% specificity for diagnosing bacterial meningitis.
- The mean age of the pediatric patients was 3.27 ± 1.27 years.
Conclusions:
- Multiplex PCR is a valuable tool for the rapid and accurate diagnosis and differentiation of bacterial and viral meningitis in children.
- The high sensitivity and specificity suggest multiplex PCR can significantly aid clinical decision-making.
- Early and precise diagnosis via multiplex PCR can lead to improved management of pediatric meningitis.
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Bacterial Meningitis
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Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology

