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用于脓毒症临床管理的快速诊断工具:从传统方法到先进方法的范式转变

Fast Track Diagnostic Tools for Clinical Management of Sepsis: Paradigm Shift from Conventional to Advanced Methods.

作者信息

Gupta Ena, Saxena Juhi, Kumar Sanni, Sharma Umang, Rastogi Saundarya, Srivastava Vijay Kumar, Kaushik Sanket, Jyoti Anupam

机构信息

Amity Institute of Biotechnology, Amity University Rajasthan, Amity Education Valley, Kant Kalwar, NH-11C, Jaipur Delhi Highway, Jaipur 303002, India.

Department of Biotechnology, University Institute of Biotechnology, Chandigarh University, Sahibzada Ajit Singh Nagar 140413, India.

出版信息

Diagnostics (Basel). 2023 Jan 11;13(2):277. doi: 10.3390/diagnostics13020277.

Abstract

Sepsis is one of the deadliest disorders in the new century due to specific limitations in early and differential diagnosis. Moreover, antimicrobial resistance (AMR) is becoming the dominant threat to human health globally. The only way to encounter the spread and emergence of AMR is through the active detection and identification of the pathogen along with the quantification of resistance. For better management of such disease, there is an essential requirement to approach many suitable diagnostic techniques for the proper administration of antibiotics and elimination of these infectious diseases. The current method employed for the diagnosis of sepsis relies on the conventional culture of blood suspected infection. However, this method is more time consuming and generates results that are false negative in the case of antibiotic pretreated samples as well as slow-growing microbes. In comparison to the conventional method, modern methods are capable of analyzing blood samples, obtaining accurate results from the suspicious patient of sepsis, and giving all the necessary information to identify the pathogens as well as AMR in a short period. The present review is intended to highlight the culture shift from conventional to modern and advanced technologies including their limitations for the proper and prompt diagnosing of bloodstream infections and AMR detection.

摘要

由于早期诊断和鉴别诊断存在特定局限性,脓毒症是新世纪最致命的病症之一。此外,抗菌药物耐药性(AMR)正成为全球人类健康的主要威胁。应对AMR传播和出现的唯一方法是通过积极检测和鉴定病原体以及对抗菌药物耐药性进行定量分析。为了更好地管理此类疾病,必须采用多种合适的诊断技术,以便正确使用抗生素并消除这些传染病。目前用于诊断脓毒症的方法依赖于对疑似感染血液进行传统培养。然而,这种方法耗时更长,对于经过抗生素预处理的样本以及生长缓慢的微生物,会产生假阴性结果。与传统方法相比,现代方法能够分析血样,从脓毒症疑似患者那里获得准确结果,并在短时间内提供识别病原体以及AMR所需的所有必要信息。本综述旨在强调从传统技术向现代和先进技术的培养转变,包括它们在正确、快速诊断血流感染和AMR检测方面的局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbf/9857847/4595f5ce6656/diagnostics-13-00277-g001.jpg

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