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胃肠道感染的诊断综合方法。

Diagnostic syndromic multiplex approaches for gastrointestinal infections.

机构信息

Departamento de Medicina Interna, Universidad Autónoma De Nuevo León, Hospital Universitario Dr. José Eleuterio González Y Facultad De Medicina, Servicio De Gastroenterología, Monterrey, Nuevo León, Mexico.

出版信息

Expert Rev Gastroenterol Hepatol. 2021 Jul;15(7):743-757. doi: 10.1080/17474124.2021.1899807. Epub 2021 Mar 19.

Abstract

: Gastrointestinal diseases due to infectious pathogens currently represent an important global health concern, especially in children and developing countries. Early and accurate detection of gastrointestinal pathogens is important to initiate the appropriate type of therapy. Multiplex molecular gastrointestinal panels rapidly detect several gastrointestinal pathogens at once with high sensitivity.: We assess the scope and limitations of several multiplex gastrointestinal panels approved by the Food and Drug Administration or marked by Conformité Européenne- diagnostic. We compare 10 syndromic gastrointestinal panels, 14 bacteria-specific multiplex panels, seven parasite-specific multiplex panels, and eight virus-specific multiplex panels.: Thanks to the advances made in the diagnostic approaches for gastrointestinal infections, there are various panels to choose. The choice of a specific syndromic gastrointestinal multiplex panel should be made to improve patient care. Diagnostic syndromic multiplex approaches for gastrointestinal infections should be customized; each hospital should develop its diagnostic algorithm for gastrointestinal infections tailored to its setting, study population, and geographical site. Current multiplex gastrointestinal panels could be improved by including the detection of antimicrobial resistance, toxigenic , and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the virus responsible for the COVID-19 pandemic).

摘要

: 由感染性病原体引起的胃肠道疾病目前是一个重要的全球健康关注点,尤其是在儿童和发展中国家。早期、准确地检测胃肠道病原体对于启动适当的治疗类型非常重要。多重分子胃肠道检测板可快速、高灵敏度地同时检测多种胃肠道病原体。

: 我们评估了几种已获得美国食品和药物管理局批准或符合欧洲标准的多重胃肠道检测板的范围和局限性。我们比较了 10 种综合征胃肠道检测板、14 种细菌特异性多重检测板、7 种寄生虫特异性多重检测板和 8 种病毒特异性多重检测板。

: 由于胃肠道感染诊断方法的进步,有多种检测板可供选择。选择特定的综合征胃肠道多重检测板应该有助于改善患者的治疗效果。胃肠道感染的诊断性多重方法应该进行个性化定制;每家医院都应根据其自身环境、研究人群和地理位置制定适合其的胃肠道感染诊断算法。当前的多重胃肠道检测板可以通过包括检测抗生素耐药性、产毒性和严重急性呼吸综合征冠状病毒 2(SARS-CoV-2,导致 COVID-19 大流行的病毒)来进行改进。

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