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临床重要菌种的准确鉴定:最新进展

Accurate identification of clinically important spp.: an update.

作者信息

Vijayakumar Saranya, Biswas Indranil, Veeraraghavan Balaji

机构信息

Department of Clinical Microbiology, Christian Medical College, Vellore 632 004, Tamil Nadu, India.

Department of Microbiology, Molecular Genetics & Immunology, University of Kansas Medical Center, Kansas City, KS 66160, USA.

出版信息

Future Sci OA. 2019 Jun 27;5(6):FSO395. doi: 10.2144/fsoa-2018-0127.

DOI:10.2144/fsoa-2018-0127
PMID:31285840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6609899/
Abstract

species have emerged as one of the most clinically important pathogens. The phenotypic techniques which are currently available are insufficient in accurately identifying and differentiating the closely related and clinically important species. Here, we discuss the advantages and limitations of the conventional phenotypic methods, automated identification systems, molecular methods and MALDI-TOF in the precise identification and differentiation of species. More specifically, several species of this genus are increasingly reported to be of high clinical importance. Molecular characterization such as of -like PCR together with sequencing has high discriminatory power over the conventional methods for species identification, especially within the complex.

摘要

该菌种已成为临床上最重要的病原体之一。目前可用的表型技术不足以准确识别和区分密切相关且具有临床重要性的菌种。在此,我们讨论传统表型方法、自动化鉴定系统、分子方法和基质辅助激光解吸电离飞行时间质谱(MALDI-TOF)在该菌种精确鉴定和区分方面的优势与局限性。更具体地说,该属的几个菌种越来越多地被报道具有高度临床重要性。诸如类PCR结合测序等分子特征分析方法在该菌种鉴定方面比传统方法具有更高的鉴别力,尤其是在该菌种复合体内部。

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本文引用的文献

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Comparison of clinical manifestations and antibiotic resistances among three genospecies of the Acinetobacter calcoaceticus-Acinetobacter baumannii complex.醋酸钙不动杆菌-鲍曼不动杆菌复合体三种基因种之间的临床表现及抗生素耐药性比较。
PLoS One. 2018 Feb 1;13(2):e0191748. doi: 10.1371/journal.pone.0191748. eCollection 2018.
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Use of the Accelerate Pheno System for Identification and Antimicrobial Susceptibility Testing of Pathogens in Positive Blood Cultures and Impact on Time to Results and Workflow.使用 Accelerate Pheno 系统鉴定血培养阳性标本中的病原体并进行药敏试验及其对结果报告时间和工作流程的影响。
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Emerging Microtechnologies and Automated Systems for Rapid Bacterial Identification and Antibiotic Susceptibility Testing.新兴微技术和自动化系统在快速细菌鉴定和抗生素药敏试验中的应用。
SLAS Technol. 2017 Dec;22(6):585-608. doi: 10.1177/2472630317727519. Epub 2017 Aug 29.
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Delayed identification of Acinetobacter baumannii during an outbreak owing to disrupted bla by ISAba19.由于 ISAba19 打断 bla,导致暴发期间鲍曼不动杆菌的延迟鉴定。
Int J Antimicrob Agents. 2017 Jul;50(1):119-122. doi: 10.1016/j.ijantimicag.2017.03.006. Epub 2017 May 19.
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J Clin Microbiol. 2017 Jul;55(7):2116-2126. doi: 10.1128/JCM.00181-17. Epub 2017 Apr 26.
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MALDI-TOF/MS identification of species from the Acinetobacter baumannii (Ab) group revisited: inclusion of the novel A. seifertii and A. dijkshoorniae species.MALDI-TOF/MS 鉴定重新审视鲍曼不动杆菌(Ab)属中的种:包括新型的 A. seifertii 和 A. dijkshoorniae 种。
Clin Microbiol Infect. 2017 Mar;23(3):210.e1-210.e9. doi: 10.1016/j.cmi.2016.11.020. Epub 2016 Dec 3.
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Matrix assisted laser desorption time of flight mass spectrometry (MALDI-TOF MS) in clinical microbiology.基质辅助激光解吸飞行时间质谱(MALDI-TOF MS)在临床微生物学中的应用
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