• Sascha Tafelski, Irit Nachtigall, Thomas Adam, Stefan Bereswill, Jana Faust, Andrey Tamarkin, Tanja Trefzer, Maria Deja, Evgeny A Idelevich, Klaus-Dieter Wernecke, Karsten Becker, Claudia Spies, and Molecular Diagnostics of Sepsis Study Group.
• Department of Anaesthesiology and Intensive Care Medicine, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
• J. Int. Med. Res. 2015 Jun 1; 43 (3): 364-77.

ObjectiveTo determine whether a multiplex polymerase chain reaction (PCR)-based test could reduce the time required for initial pathogen identification in patients in an intensive care unit (ICU) setting.MethodsThis double-blind, parallel-group randomized controlled trial** enrolled adults with suspected pulmonary or abdominal sepsis caused by an unknown pathogen. Both the intervention and control groups underwent the standard blood culture (BC) testing, but additional pathogen identification, based on the results of a LightCycler® SeptiFast PCR test, were provided in the intervention group.ResultsThe study enrolled 37 patients in the control group and 41 in the intervention group. Baseline clinical and demographic characteristics were similar in both groups. The PCR-based test identified a pathogen in 10 out of 41 (24.4%) patients in the intervention group, with a mean duration from sampling to providing the information to the ICU of 15.9 h. In the control group, BC results were available after a significantly longer period (38.1 h).ConclusionThe LightCycler® SeptiFast PCR test demonstrated a significant reduction in the time required for initial pathogen identification, compared with standard BC.© The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

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