Application of Syndromic Panels for respiratory Tract Infections in Lung Transplantation: A Critical Review on Current Evidence and Future Perspectives Article Swipe
Andrea Lombardi
,
Giulia Renisi
,
Arianna Liparoti
,
Chiara Bobbio
,
Alessandra Bandera
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/tid.14448
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1111/tid.14448
Background Infections are a common complication among lung transplant recipients (LuTR), particularly in the first year post‐transplant, with respiratory tract infections (RTI) being predominant. Syndromic molecular panels have been suggested to reduce morbidity and mortality by providing a diagnosis quickly. However, integrating these panels into clinical practice remains debated. Methods An electronic search was conducted in PubMed, Scopus, and Embase to identify studies on applying syndromic panels for RTI diagnosis in LuTR. Three reviewers independently screened‐extracted data from relevant studies, focusing on concordance between syndromic panels and standard microbiologic tests and reporting isolates not detected by syndromic panels. Results Four studies met the inclusion criteria, including 308 patients. The BioFire FilmArray Pneumonia Panel was the syndromic panel most frequently employed. In three studies, the syndromic panel was employed in LuTR with suspected RTI or during routine surveillance bronchoalveolar lavage; only in one case was the syndromic panel employed during the transplant procedure on samples from the donor. Agreement between syndromic panels and standard tests ranged from 0.56 to 0.98, with result turnaround times between 2.3 and 21.2 h. Sensitivity ranged from 58% to 94%, and specificity from 78% to 100%. Pathogens outside syndromic panels targets but identified by standard tests included Candida spp., unspecified gram‐negative rods, and Aspergillus spp. Conclusion Syndromic panels offer a faster alternative to standard microbiologic tests. However, they miss numerous possible pathogens, highlighting the necessity for concurrent standard testing. Further research is needed to establish the most efficient integration of syndromic panels in LuTx infection diagnostic. image
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- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/tid.14448
- OA Status
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- Cited By
- 2
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- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4406991039Canonical identifier for this work in OpenAlex
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https://doi.org/10.1111/tid.14448Digital Object Identifier
- Title
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Application of Syndromic Panels for respiratory Tract Infections in Lung Transplantation: A Critical Review on Current Evidence and Future PerspectivesWork title
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reviewOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-01-30Full publication date if available
- Authors
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Andrea Lombardi, Giulia Renisi, Arianna Liparoti, Chiara Bobbio, Alessandra BanderaList of authors in order
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https://doi.org/10.1111/tid.14448Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1111/tid.14448Direct OA link when available
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Medicine, Concordance, Pneumonia, Ventilator-associated pneumonia, Lung transplantation, Bronchoalveolar lavage, Intensive care medicine, Respiratory tract infections, Transplantation, Internal medicine, Lung, Respiratory systemTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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