Biswas Rima, Dudani Hemanshi, Lakhera Praveen, Pal Arun Kumar, Kurbah Phibalari, Bhatia Dinesh, Dhok Archana, Kashyap Rajpal Singh
Research Laboratory, Dr. G.M. Taori Central India Institute of Medical Sciences, Nagpur (Rima Biswas, Hemanshi Dudani, Rajpal Singh Kashyap).
Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh and CSIR-Central Scientific Instruments Organization, Chandigarh (Praveen Lakhera).
Ann Gastroenterol. 2023 Jul-Aug;36(4):369-377. doi: 10.20524/aog.2023.0802. Epub 2023 May 25.
There are no established standards for the diagnosis of infection (CDI), even though the importance of this infection in humans is well known. The effectiveness of the commercially available techniques, which are all standardized for use with human feces, is also limited in terms of the accuracy of the tests. Furthermore, the current approach lacks a point-of-care diagnosis with an acceptable range of sensitivity and specificity. This article reviews the challenges and possible future solutions for the detection of CDI in adults. Existing diagnostic methods, such as enzyme-linked immunoassays and microbial culturing for the detection of toxins A and B, appear to work poorly in samples but exhibit great sensitivity for glutamate dehydrogenase. Real-time polymerase chain reaction and nucleic acid amplification tests have been investigated in a few studies on human samples, but so far have shown poor turnaround times. Thus, developing a multiplex point-of-care test assay with high sensitivity and specificity is required as a bedside approach for diagnosing this emerging infection.
艰难梭菌感染(CDI)的诊断尚无既定标准,尽管这种感染对人类的重要性已广为人知。所有用于人类粪便检测的市售技术都已标准化,但其检测准确性也有限。此外,目前的方法缺乏具有可接受的灵敏度和特异性范围的即时诊断。本文综述了成人CDI检测面临的挑战以及未来可能的解决方案。现有的诊断方法,如用于检测毒素A和B的酶联免疫吸附测定和微生物培养,在样本检测中效果似乎不佳,但对谷氨酸脱氢酶具有很高的灵敏度。实时聚合酶链反应和核酸扩增检测已在一些关于人类样本的研究中进行了调查,但到目前为止,其周转时间较长。因此,需要开发一种具有高灵敏度和特异性的多重即时检测方法,作为诊断这种新出现感染的床边检测方法。