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Acute respiratory infection is caused by a wide range of pathogens, and an etiologic diagnosis is established in only about one third of cases. As a result, broad-spectrum antibiotics are often unnecessarily prescribed and continued. The BioFire FilmArray® Pneumonia Panel (BioFire PN) is a commercial multiplex polymerase chain reaction (PCR) assay directed against 33 targets, including viruses, bacteria, and antibiotic resistance genes. In critically ill patients, BioFire PN results have shown a high level of agreement with culture results when tracheal aspirates (TA) or bronchoalveolar lavage fluid were sampled.
Now, in a comparative study, 298 samples (286 expectorated sputum and 12 from TA) deemed of good or moderate quality were obtained…