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一项比较血培养与非培养依赖性数字PCR检测脓毒症病原体的回顾性研究。

A retrospective study of the detection of sepsis pathogens comparing blood culture and culture-independent digital PCR.

作者信息

Zhao Zhijun, Wang Yixuan, Kang Yuting, Wu Geng, He Jing, Wang Zhanying, Yang Ju, Wang Yaqi, Yang Xiaojun, Jia Wei

机构信息

Medical Laboratory Center, General Hospital of Ningxia Medical University, Yinchuan, China.

Ningxia Key Laboratory of Clinical Pathogenic Microorganisms, Yinchuan, China.

出版信息

Heliyon. 2024 Mar 7;10(6):e27523. doi: 10.1016/j.heliyon.2024.e27523. eCollection 2024 Mar 30.

Abstract

Fast and precise identification of microorganisms in the early diagnosis of sepsis is crucial for enhancing patient outcomes. Digital PCR (dPCR) is a highly sensitive approach for absolute quantification that can be utilized as a culture-independent molecular technique for diagnosing sepsis pathogens. We performed a retrospective investigation on 69 ICU patients suspected of sepsis. Our findings showed that a multiplex dPCR diagnostic kit outperformed blood culture in detecting the 15 most frequent bacteria that cause sepsis. Ninety-two bacterial strains were identified using dPCR at concentrations varying from 34 copies/mL to 105,800 copies/mL. The detection rate of dPCR was much greater than that of BC, with 27.53% (19/69) versus 73.91% (51/69). The sensitivity of dPCR was 63.2%. Our research indicated that dPCR outperforms blood culture in the early detection of sepsis-causing microorganisms. The diagnostic kit can detect a greater variety of pathogens with quantitative data, including polymicrobial infections, and has a quicker processing time. DPCR is a valuable technique that could aid in the proper management of sepsis.

摘要

在脓毒症的早期诊断中快速准确地鉴定微生物对于改善患者预后至关重要。数字PCR(dPCR)是一种用于绝对定量的高灵敏度方法,可作为一种不依赖培养的分子技术用于诊断脓毒症病原体。我们对69例疑似脓毒症的ICU患者进行了回顾性调查。我们的研究结果表明,一种多重dPCR诊断试剂盒在检测导致脓毒症的15种最常见细菌方面优于血培养。使用dPCR鉴定出92株细菌菌株,浓度范围为34拷贝/毫升至105,800拷贝/毫升。dPCR的检出率远高于血培养,分别为27.53%(19/69)和73.91%(51/69)。dPCR的灵敏度为63.2%。我们的研究表明,dPCR在早期检测导致脓毒症的微生物方面优于血培养。该诊断试剂盒可以通过定量数据检测更多种类的病原体,包括混合感染,并且处理时间更快。dPCR是一种有价值的技术,有助于脓毒症的合理管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b04b/10951527/5fc19db3e6f2/gr1.jpg

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