Konichiwa From Tokyo!

Respiratory Pathogen Panel

• Powerful new tool for providers to diagnose viral infections
• Results in 1 hr
• Can detect 17 varieties of viruses
• Includes multiple subtypes of influenza, enterovirus, adenovirus, etc.
• Useful for isolation purposes

With Great Power, Comes Great Responsibility

• Because technology is so new, there have been 0 studies done studying the results of these panels in ED setting
• Potential for much insight to be gained on the viruses encountered in target populations

Untitled Slide

• A few misconceptions about cost, time to run, etc
• First, some background info:

Respiratory Panel Facts

• Cost to Hospital: $120
• Hospital charges: $1500
• If pt has insurance, insurance company pays: ~$300-400

Respiratory Panel Facts

• During peak respiratory illness season, lab runs 650 panels per week.
• Each test takes 1 hr 5 minutes to run

8 machines at Columbia.
1 test can be run at a time
1 Hour 5 minutes Each

Actual Lab Tech Priorities Posted at Columbia

Viral Pathogen Packet

Extraction of Sample

Injection of Sample

Starting of PCR

8 Machines at Columbia
Each takes 1 hour 5 min to run

Preliminary Results

• Lab tracks weekly Flu data for WHO
• Anticipated final results will look similar to this, but extended time period.

Untitled Slide

Study Progress

• Clinical Study Evaluation Committee (CSEC) Exempt
• Under IRB Review

Future Steps

• The viruses found can be correlated to season and campus allowing clinicians better understanding of disease patterns in real time
• Further study can be done on respiratory panel results and patient outcome (ie admission vs discharge, antibiotics given or not, cost effectiveness of respiratory panel)

Big Arigato to:

• Dr. Joshua Stillman
• Sunday Clark
• Miriam Leah Gofine
• Susan Whittier and Dana Peter Isaac Jackman from CUMC laboratory