Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples

We read with interest the article in this Journal by Rufai et al., who describe the challenges of CSF diagnostics1. The febrile child can be a diagnostic challenge for healthcare professionals due to difficulty distinguishing between life-threatening bacterial sepsis and self-limiting viral infectio...

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Main Authors: Lumley, S, Pritchard, D, Dutta, A, Matthews, P, Cann, K
Format: Journal article
Language:English
Published: Elsevier 2018
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author Lumley, S
Pritchard, D
Dutta, A
Matthews, P
Cann, K
author_facet Lumley, S
Pritchard, D
Dutta, A
Matthews, P
Cann, K
author_sort Lumley, S
collection OXFORD
description We read with interest the article in this Journal by Rufai et al., who describe the challenges of CSF diagnostics1. The febrile child can be a diagnostic challenge for healthcare professionals due to difficulty distinguishing between life-threatening bacterial sepsis and self-limiting viral infections on initial presentation. Cerebrospinal fluid (CSF) analysis is often included in the workup of hospitalised febrile children due to the non-specific signs and symptoms of meningitis particularly in neonates and infants2. In the clinical microbiology laboratory, CSF is immediately processed for cell count, however culture and molecular tests can take 48 h to be completed. Pending the full diagnostic results, children are typically treated with broad spectrum antibiotics, with implications for antimicrobial stewardship, cost and patient experience.
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spelling oxford-uuid:b3e89412-9c80-43c5-92e6-53e482cddd372022-03-27T04:22:24ZMultiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samplesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b3e89412-9c80-43c5-92e6-53e482cddd37EnglishSymplectic Elements at OxfordElsevier2018Lumley, SPritchard, DDutta, AMatthews, PCann, KWe read with interest the article in this Journal by Rufai et al., who describe the challenges of CSF diagnostics1. The febrile child can be a diagnostic challenge for healthcare professionals due to difficulty distinguishing between life-threatening bacterial sepsis and self-limiting viral infections on initial presentation. Cerebrospinal fluid (CSF) analysis is often included in the workup of hospitalised febrile children due to the non-specific signs and symptoms of meningitis particularly in neonates and infants2. In the clinical microbiology laboratory, CSF is immediately processed for cell count, however culture and molecular tests can take 48 h to be completed. Pending the full diagnostic results, children are typically treated with broad spectrum antibiotics, with implications for antimicrobial stewardship, cost and patient experience.
spellingShingle Lumley, S
Pritchard, D
Dutta, A
Matthews, P
Cann, K
Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title_full Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title_fullStr Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title_full_unstemmed Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title_short Multiplex PCR reveals high prevalence of Enterovirus and HHV6 in acellular paediatric cerebrospinal fluid samples
title_sort multiplex pcr reveals high prevalence of enterovirus and hhv6 in acellular paediatric cerebrospinal fluid samples
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