Efficient use of the <scp>BioFire® FilmArray®</scp> Meningitis/Encephalitis Panel: a diagnostic stewardship approach

A diagnostic stewardship algorithm employing a WCC threshold of >50 × 10<sup>6</sup>/L for FA/ME testing, with reflex testing of specimens with lower WCC on an alternative viral multiplex PCR, would have reduced annual costs from $23 302 (without stewardship) to $14 646, doubled the positivity rate to 29.54% and detected all clinically significant infections. This study provides insights into optimising FA/ME use in Australia to improve patient management.

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Publication Details

Journal
Internal Medicine Journal
Published
2026-03-13
DOI
https://doi.org/10.1111/imj.70391
Primary Topic
Bacterial Infections and Vaccines
Type
article
Field-Weighted Citation Impact
0.00
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article

Efficient use of the BioFire® FilmArray® Meningitis/Encephalitis Panel: a diagnostic stewardship approach

Katherine A. Bond, Paul Kinsella, Nalian Ibrahim, E. C. S. Chan et al.
Internal Medicine Journal
Bacterial Infections and Vaccines
article

Efficient use of the BioFire® FilmArray® Meningitis/Encephalitis Panel: a diagnostic stewardship approach

Katherine A. Bond, Paul Kinsella, Nalian Ibrahim, E. C. S. Chan, Katie Cronin
article en

Abstract

A diagnostic stewardship algorithm employing a WCC threshold of >50 × 10<sup>6</sup>/L for FA/ME testing, with reflex testing of specimens with lower WCC on an alternative viral multiplex PCR, would have reduced annual costs from $23 302 (without stewardship) to $14 646, doubled the positivity rate to 29.54% and detected all clinically significant infections. This study provides insights into optimising FA/ME use in Australia to improve patient management.

Internal Medicine Journal
The Royal Melbourne Hospital (AU), Peter Doherty Institute (AU)
Openalex Percentile: Top 23%
Bacterial Infections and Vaccines
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