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两种新型多重检测法用于检测胃肠道病原体的效用——初步经验

Utility of two novel multiplexing assays for the detection of gastrointestinal pathogens - a first experience.

作者信息

Kahlau Pascal, Malecki Monika, Schildgen Verena, Schulz Christine, Winterfeld Ingo, Messler Sabine, Mattner Frauke, Schildgen Oliver

机构信息

Institut für Pathologie, Kliniken der Stadt Köln gGmbH, Klinikum der Privaten Universität Witten/Herdecke, Ostmerheimer Str. 200, Cologne, Köln D-51109 Germany.

出版信息

Springerplus. 2013 Dec;2(1):106. doi: 10.1186/2193-1801-2-106. Epub 2013 Mar 12.

Abstract

BACKGROUND

Cause for gastroenteritis range from viral, bacterial to parasitic pathogens. Rapid Multiplexing techniques like ProGastro_SSCS and xTAG_GPP can detect broad panels of pathogens simultaneously. We performed a field test with a total number of 347 stool samples from adult hospitalized patients that were tested with the Luminex xTAG GPP assay; of the 157 samples positively tested for at least one pathogen by xTAG GPP a total number of 30 samples was retested with the ProGastro SSCS assay. Assays were compared to standard routine diagnostics.

FINDINGS

Multiplexing significantly reduced the time to the initial identification of a pathogen. Moreover, multiplexing detected pathogens for which a diagnostic assays was not requested by the physician and thus may be an important tool for avoiding nosocomial outbreaks.

CONCLUSION

This first frontline approach with these assays approves their utility compared to conventional microbiological methods.

摘要

背景

肠胃炎的病因包括病毒、细菌和寄生虫病原体。像ProGastro_SSCS和xTAG_GPP这样的快速多重检测技术能够同时检测多种病原体。我们对347份成年住院患者的粪便样本进行了现场检测,这些样本采用Luminex xTAG GPP检测法进行检测;在157份经xTAG GPP检测至少有一种病原体呈阳性的样本中,共有30份样本采用ProGastro SSCS检测法进行重新检测。将这些检测法与标准常规诊断方法进行比较。

研究结果

多重检测显著缩短了病原体初步鉴定的时间。此外,多重检测发现了医生未要求进行诊断检测的病原体,因此可能是避免医院感染爆发的重要工具。

结论

与传统微生物学方法相比,这些检测法的这种一线初步应用证明了它们的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7b9/3608866/d53cc7fd5217/40064_2012_169_Fig1_HTML.jpg

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