Evaluation of the accuracy of multiplex polymerase chain reaction in differentiation between bacterial and viral

Mahmoud Abdelfattah Ahmed1, Gamal A Askar1, Hekma S Farghaly1

  • 1Pediatric Department, Faculty of Medicine, Assiut University, Assiut, 71516, Egypt.

Abstract

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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