title: Polymerase-chain-reaction-based diagnosis of viral pulmonary infections in immunocompromised children.
abstract: OBJECTIVE
  Viral pneumonia is a serious complication in immunocompromised children. Its aetiology is difficult to identify owing to the limitations of conventional microbiological tests. The aim of this study was to determine whether polymerase chain reaction (PCR) assays for respiratory viruses increase the diagnostic yield of bronchoalveolar lavage (BAL) in immunocompromised children.
  
  
  METHODS
  BAL samples obtained from immunocompromised children hospitalized with pneumonia were processed for respiratory viruses by viral culture, rapid antigen test and PCR (for CMV, adenovirus, influenza, parainfluenza, herpesvirus, RSV and hMPV).
  
  
  RESULTS
  The study group included 42 patients (mean age 7.2 ± 5.1 years) with 50 episodes of clinical pneumonia (50 BAL samples). Forty viral pathogens were identified in 30 episodes (60%). PCR increased the diagnostic rate by fourfold (75% identified by PCR alone, p < 0.0001). When viral culture and rapid antigen test were used as the gold standard, PCR was found to have high sensitivity (86-100% when assessed) and specificity (80-96%). The PCR results prompted the initiation of specific antiviral therapy and the avoidance of unnecessary antibiotic treatment in 17 (34%) episodes.
  
  
  CONCLUSIONS
  PCR-based diagnosis from BAL may increase the rate of pathogen detection in immunocompromised children, decrease the time to diagnosis and spare patients unnecessary antimicrobial treatment.
authors: Pediatric Intensive Care Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel. gilikd@gmail.com
authors: Gili
authors: G
authors: Kadmon
authors: Itzhak
authors: I
authors: Levy
authors: Michal
authors: M
authors: Mandelboim
authors: Elhanan
authors: E
authors: Nahum
authors: Jerry
authors: J
authors: Stein
authors: Sara
authors: S
authors: Dovrat
authors: Tommy
authors: T
authors: Schonfeld
mesh_terms: D000293:Adolescent; D000956:Antigens, Viral / Q000032:analysis; D018893:Bronchoalveolar Lavage; D002648:Child; D002675:Child, Preschool; D060085:Coinfection / Q000453:epidemiology; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007223:Infant; D008297:Male; D011024:Pneumonia, Viral / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D016133:Polymerase Chain Reaction; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D055815:Young Adult
chemical_list: D000956:Antigens, Viral