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Verigene检测的困境:革兰氏阴性菌多重微生物血流感染与临床决策

The Verigene dilemma: gram-negative polymicrobial bloodstream infections and clinical decision making.

作者信息

Claeys Kimberly C, Heil Emily L, Pogue Jason M, Lephart Paul R, Johnson J Kristie

机构信息

Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.

Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.

出版信息

Diagn Microbiol Infect Dis. 2018 Jun;91(2):144-146. doi: 10.1016/j.diagmicrobio.2018.01.012. Epub 2018 Feb 2.

Abstract

Verigene Blood-Culture Gram-Negative (GN) results in rapid identification of key GNs in bloodstream infections. Its use clinically is limited by low sensitivity in polymicrobial GN infections and concerns for inappropriate antibiotic modification. In a retrospective review of 1003 blood culture sets, the incidence of missed GNs was infrequent, <4%, with the potential to negatively impact the management of GN BSIs in <2% of cases.

摘要

Verigene血培养革兰氏阴性菌(GN)检测可快速鉴定血流感染中的关键革兰氏阴性菌。其临床应用受到多微生物革兰氏阴性菌感染中敏感性低以及对抗生素调整不当的担忧的限制。在对1003套血培养的回顾性研究中,革兰氏阴性菌漏检的发生率很低,<4%,在<2%的病例中可能会对革兰氏阴性菌血流感染的管理产生负面影响。

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