Table 2: Summary of Discordant results between the FilmArray BC-ID and culture method.

Sample number Sample site FA result Culture result Interpretation
FA target detected, but not confirmed on culture
(n=7)
11 Pus (finger) S. aureus,
S. agalactiae,
E. coli
E. coli, Anaerobic Gram negative cocci E. coli detected on FA and culture
Anaerobic GNC not on panel
Potentially non-viable S. aureus and S. agalactiae therefore not cultured
21 Joint fluid Streptococcus species No growth Potentially non-viable Streptococcal species in sample or may represent presence at low levels in sample, not consistent with infection
30 Pleural fluid S. pyogenes No growth Potentially non-viable S. pyogenes DNA in cultured sample
52 Pus (neck) S. pyogenes No growth Potentially non-viable S. pyogenes DNA in cultured sample
56 Pus (submental abscess) S. pyogenes
H. influenzae
S. pyogenes True positive S. pyogenes
Potentially missed H. influenzae on culture
139 Tissue (hand) Pseudomonas aeruginosa No growth Potentially non-viable bacteria in sample or present in low levels without causing infection due to site of collection (hand)
146 Pus (sinus) S. pyogenes S. epidermidis Non-viable S. pyogenes DNA in cultured sample
Question significance of S. epidermidis on cultured specimen, possible contaminant
Missed organisms
(n=9)
7 PDFL No target detected E. coli
Moraxella species
Missed E. coli
Moraxella not on FA panel
12 Pus (perinasal) H. influenzae C. albicans
S. dysgalactiae
Aggegatibacter species
Bacteroides fragilis
False positive H. influenzae detection (potential misidentification as Aggregatibacter)
Missed C. albicans and Streptococcal species
Aggregatibacter and Bacteroides not on panel
20 Joint fluid No target detected S. pyogenes Missed organism
59 Joint fluid No target detected S. aureus Missed organism
65 Fluid (intra-abdominal) No target detected S. anginosus
B. fragilis
Missed Streptococcal species
B. fragilis not on panel
70 Fluid (intra-abdominal) No target detected S. anginosus
B. fragilis
Missed Streptococcal species
B. fragilis not on panel
103 Fluid (Pseudomeningocoele) No target detected E. coli
S. constellatus
Missed organisms
115 Fluid (intra-abdominal) No target detected E. coli
S. constellatus
Missed organisms
136 Fluid (pump device) No target detected S. aureus Missed organism
Organisms cultured which did not have targets on FA panel
(n=8)
7 PDFL No target detected E. coli
Moraxella species
Missed E. coli
Moraxella not on FA panel
11 Pus (finger) S. aureus
S. agalactiae
E. coli
E. coli
Anaerobic Gram negative cocci
E. coli detected on FA and culture
Anaerobic GNC not on panel
Potentially non-viable S. aureus and S. agalactiae therefore not cultured
12 Pus (perinasal) H. influenzae C. albicans
S. dysgalactiae
Aggegatibacter species
Bacteroides fragilis
False positive H. influenzae detection
Missed C. albicans and Streptococcal species
Aggregatibacter and Bacteroides not on panel
29 Fluid (occipital aspirate) No target detected Aspergillus fumigatus Organism not on FA panel
65 Fluid (intra-abdominal) No target detected S. anginosus
B. fragilis
Missed Streptococcal species
B. fragilis not on panel
70 Fluid (intra-abdominal) No target detected S. anginosus
B. fragilis
Missed Streptococcal species
B. fragilis not on panel
123 Pus (abdominal fluid) Streptococcal species detected S. intermedius
Eikenella corrodens
Correct identification of Streptococcal species
E. corrodens not on FA panel
144 Pus (mastoid abscess) Streptococcal species S. constellatus
Moraxella catarrhalis
Correct identification of Streptococcal species
M. catarrhalis not on FA panel