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透射电镜聚合酶链反应(TEM-PCR)与培养法在儿童肌肉骨骼感染细菌鉴定中的性能比较

Performance of TEM-PCR vs Culture for Bacterial Identification in Pediatric Musculoskeletal Infections.

作者信息

Wood James B, Sesler Cheryl, Stalons Donald, Grigorenko Elena, Schoenecker Jonathan G, Creech C Buddy, Thomsen Isaac P

机构信息

Division of Pediatric Infectious Diseases and Global Health, Department of Pediatrics, Indianapolis, Indiana.

Division of Pediatric and Adolescent Comparative Effectiveness Research, Indiana University School of Medicine, Indianapolis, Indiana.

出版信息

Open Forum Infect Dis. 2018 May 22;5(6):ofy119. doi: 10.1093/ofid/ofy119. eCollection 2018 Jun 1.

DOI:10.1093/ofid/ofy119
PMID:29977969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6007387/
Abstract

Improved diagnostics are needed for children with musculoskeletal infections (MSKIs). We assessed the performance of target-enriched multiplex polymerase chain reaction (TEM-PCR) in children with MSKI. TEM-PCR was concordant with culture in pathogen identification and antibiotic susceptibility testing, while increasing the overall yield of pathogen detection. This technology has the potential to inform judicious antimicrobial use early in the disease course.

摘要

对于患有肌肉骨骼感染(MSKI)的儿童,需要改进诊断方法。我们评估了靶向富集多重聚合酶链反应(TEM-PCR)在MSKI儿童中的性能。TEM-PCR在病原体鉴定和抗生素敏感性测试方面与培养结果一致,同时提高了病原体检测的总体产量。这项技术有可能在疾病进程早期为明智地使用抗菌药物提供依据。

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Pediatrics. 2011 Mar;127(3):557-65. doi: 10.1542/peds.2010-1867. Epub 2011 Feb 14.
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Culture-negative osteoarticular infections in the era of community-associated methicillin-resistant Staphylococcus aureus.社区相关性耐甲氧西林金黄色葡萄球菌时代的 culture-negative 骨关节炎感染。
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