1. BioFire (FilmArray) Multiplex PCR Assays
Teresa Finken, MT(ASCP)

2. Panels Available Respiratory Viral Panel
Blood Culture Identification Panel
Gastrointestinal Panel

3. Methodology Multiplex Real-Time PCR Assay
These panels test for multiple targets simultaneously
This methodology is real-time PCR meaning that it amplifies and detects at the same time

4. What does this Mean to You?
One sample
One test
Multiple results
1.5-hr turnaround time

5. Respiratory Viral Panel Targets
Viruses
Adenovirus
Coronavirus HKU1
Coronavirus NL63
Coronavirus 229E
Coronavirus OC43
Human Metapneumovirus
Human Rhinovirus/Enterovirus
Influenza A
Influenza A/H1
Influenza A/H1-2009
Influenza A/H3tapneumovirus
Influenza B
Parainfluenza 1
Parainfluenza 2
Parainfluenza 3
Parainfluenza 4
Respiratory Syncytial Virus
Bacteria
Bordetella pertussis
Chlamydophila pneumoniae
Mycoplasma pneumoniae

6. Blood Culture Id Panel Targets
Gram + Bacteria
Enterococcus
Listeria monocytogenes
Staphylococcus
Staphylococcus aureus
Streptococcus
Streptococcus agalactiae
Streptococcus pyogenes
Streptococcus pneumoniae
Yeast
Candida albicans
Candida glabrata
Candida krusei
Candida parapsilosis
Candida tropicalis
Antibiotic Resistance
mecA - methicillin resistant
vanA/B - vancomycin resistant
KPC - carbapenem resistant
Gram – Bacteria
Acinetobacter baumannii
Haemophilus influenzae
Neisseria meningitidis
Pseudomonas aeruginosa
Enterobacteriaceae
Enterobacter cloacae complex
Escherichia coli
Klebsiella oxytoca
Klebsiella pneumoniae
Proteus
Serratia marcescens

7. Gastrointestinal Panel Targets
Bacteria
Campylobacter (jejuni, coli and upsaliensis)
Clostridium difficile (toxin A/B)
Plesiomonas shigelloides
Salmonella
Yersinia enterocolitica
Vibrio (parahaemolyticus, vulnificus and cholerae)
Vibrio cholerae
Diarrheagenic E. coli/Shigella
Enteroaggregative E. coli (EAEC)
Enteropathogenic E. coli (EPEC)
Enterotoxigenic E. coli (ETEC) lt/st
Shiga-like toxin-producing E. coli (STEC) stx1/stx2
E. coli O157
Shigella/Enteroinvasive E. coli (EIEC)
Viruses
Adenovirus F 40/41
Astrovirus
Norovirus GI/GII
Rotavirus A
Sapovirus (I, II, IV and V)
Parasites
Cryptosporidium
Cyclospora cayetanensis
Entamoeba histolytica
Giardia lamblia

8. Sample Requirements Respiratory Viral Panel Blood Culture ID Panel
Nasal Wash
Nasal Swab
Sputum
Respiratory specimen in Viral Transport Medium
Gastrointestinal Panel
Raw stool to be transferred to ETM
Stool in ETM
Blood Culture ID Panel
Blood culture bottle that has been flagged positive by the Bacti Alert or Versatrek Analyzers

9. Positive Results Since Implementaion
These are just a few…
Limited exposure to potentially hazardous bacterial isolates in blood cultures
Faster treatment and more guided treatment of patients at the point of entry and after admission
Quick diagnosis
Faster antimicrobial therapy implementation to speed recovery and reduce morbidity
Admitting a patient versus not admitting a patient

10. Questions…