The Value of FilmArray Pneumonia Panel plus in Managing Nosocomial Respiratory Infections in Hospitalized Patients:

Omima Sayed Mohammed1,2, Abdulmabod Omar3,4, Mohammad AbdElhameed Alwaseef5

  • 1Department of Medical Microbiology and Immunology, Faculty of medicine, Ain Shams University, Cairo, Egypt.

La Clinica Terapeutica
|September 25, 2025
PubMed
Abstract

Insights

The FilmArray Pneumonia Panel Plus (FA-Pneumo) assay offers rapid identification of pneumonia pathogens and resistance genes in critically ill patients. This molecular diagnostic tool aids faster clinical decisions compared to traditional culture methods.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Diagnostic Technology

Background:

  • Traditional culture-based diagnostics for pneumonia are slow, leading to delayed targeted therapy.
  • This delay contributes to the overuse of broad-spectrum antibiotics and exacerbates antimicrobial resistance.
  • Rapid diagnostics are crucial for timely and effective treatment of severe pulmonary infections.

Purpose of the Study:

  • To compare the performance of the BioFire FilmArray Pneumonia Panel Plus (FA-Pneumo) assay against conventional diagnostic methods.
  • The study aimed to identify microorganisms in critically ill patients with severe pulmonary infections.
  • The goal was to achieve rapid and accurate results for improved patient management.

Main Methods:

  • An observational, comparative cross-sectional study was conducted at Alazhar University hospitals.
  • Lower respiratory tract samples were collected from patients with hospital-acquired pneumonia and ICU admissions.
  • Samples were analyzed using conventional culture, VITEK 2 susceptibility testing, and the BioFire FA-Pneumo multiplex PCR assay.

Main Results:

  • No statistically significant difference was found in pathogen detection rates between multiplex PCR and VITEK methods (P > 0.05).
  • The most prevalent resistance genes detected were blaNDM-1 (23.3%) and OXA-48-like (15%).
  • Other resistance genes like CTX-M, KPC, mecA/C, and VIM were detected at lower frequencies.

Conclusions:

  • The BioFire FA-Pneumo assay is a rapid molecular diagnostic tool that overcomes limitations of conventional methods.
  • It quickly identifies a broad range of pathogens and key antimicrobial resistance genes.
  • Rapid identification by FA-Pneumo significantly aids clinical decision-making in managing severe pneumonia.

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