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Koenig KL, Curley TP, Mani S, Keiter A, Zhao Q, Behbehani GK, Bhatnagar B, Blachly JS, Haque TZ, Larkin KTM, Long M, Mims AS, Vasu S, Wall SA, Byrd JC, Lustberg M, Walker AR, Grieselhuber NR. Diagnostic utility of bronchoscopy in newly diagnosed acute leukemia patients. Hematol Oncol 2021; 40:115-118. [PMID: 34713477 DOI: 10.1002/hon.2941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Kristin L Koenig
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Thomas P Curley
- Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Shylaja Mani
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Ashleigh Keiter
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Qiuhong Zhao
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | | | - Bhavana Bhatnagar
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - James S Blachly
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Tamanna Z Haque
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | | | - Meixiao Long
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Alice S Mims
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Sumithira Vasu
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Sarah A Wall
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - John C Byrd
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
| | - Mark Lustberg
- Division of Infectious Diseases, The Ohio State University, Columbus, Ohio, USA
| | - Alison R Walker
- Division of Hematology, The Ohio State University, Columbus, Ohio, USA
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Evans SE, Jennerich AL, Azar MM, Cao B, Crothers K, Dickson RP, Herold S, Jain S, Madhavan A, Metersky ML, Myers LC, Oren E, Restrepo MI, Semret M, Sheshadri A, Wunderink RG, Dela Cruz CS. Nucleic Acid-based Testing for Noninfluenza Viral Pathogens in Adults with Suspected Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med 2021; 203:1070-1087. [PMID: 33929301 PMCID: PMC8314899 DOI: 10.1164/rccm.202102-0498st] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Background: This document provides evidence-based clinical practice guidelines on the diagnostic utility of nucleic acid–based testing of respiratory samples for viral pathogens other than influenza in adults with suspected community-acquired pneumonia (CAP). Methods: A multidisciplinary panel developed a Population–Intervention–Comparison–Outcome question, conducted a pragmatic systematic review, and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. Results: The panel evaluated the literature to develop recommendations regarding whether routine diagnostics should include nucleic acid–based testing of respiratory samples for viral pathogens other than influenza in suspected CAP. The evidence addressing this topic was generally adjudicated to be of very low quality because of risk of bias and imprecision. Furthermore, there was little direct evidence supporting a role for routine nucleic acid–based testing of respiratory samples in improving critical outcomes such as overall survival or antibiotic use patterns. However, on the basis of direct and indirect evidence, recommendations were made for both outpatient and hospitalized patients with suspected CAP. Testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was not addressed in the literature at the time of the evidence review. Conclusions: The panel formulated and provided their rationale for recommendations on nucleic acid–based diagnostics for viral pathogens other than influenza for patients with suspected CAP.
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