Current state and practice variation in the use of Meningitis/Encephalitis (ME) FilmArray panel in children

Prabi Rajbhandari1, Nathaniel Goodrich2, Aleisha M Nabower3

  • 1Akron Children's Hospital, One Perkins Square, Akron, OH, USA.

BMC Infectious Diseases
|November 1, 2022
PubMed

Insights

The Meningitis/Encephalitis FilmArray® Panel (ME panel) is widely used, but most providers lack institutional guidelines for its use and interpretation. Educational initiatives are needed to improve understanding and application of ME panel results.

Area of Science:

  • Pediatric infectious diseases
  • Clinical diagnostics
  • Molecular testing

Background:

  • The Meningitis/Encephalitis FilmArray® Panel (ME panel) offers rapid diagnostics for suspected meningitis or encephalitis.
  • Evaluation of these patients involves multiple pediatric subspecialties, including hospital medicine, emergency medicine, infectious diseases, and intensive care.

Purpose of the Study:

  • To assess the current utilization of the ME panel across different pediatric subspecialties.
  • To identify variations in provider practices and institutional guidelines regarding ME panel use.

Main Methods:

  • An online cross-sectional survey was distributed to pediatric subspecialty listservs.
  • The survey targeted physicians in pediatric hospital medicine, emergency medicine, and pediatric intensive care.

Main Results:

  • 68% of respondents reported current use of the ME panel.
  • A significant majority (75-76%) lacked institutional guidelines for test indications and interpretation.
  • Providers with institutional guidelines demonstrated higher knowledge of the ME panel's performance characteristics.

Conclusions:

  • Widespread adoption of the ME panel contrasts with a lack of standardized institutional guidelines.
  • There is a clear need for enhanced education and guidance on ME panel indications and interpretation for pediatric subspecialists.
Abstract

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