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非结核分枝杆菌的流行病学与实验室检测

Epidemiology and laboratory detection of non-tuberculous mycobacteria.

作者信息

Xu Nuo, Li Lihong, Wu Shenghai

机构信息

The 4th Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

Department of Laboratory, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.

出版信息

Heliyon. 2024 Jul 30;10(15):e35311. doi: 10.1016/j.heliyon.2024.e35311. eCollection 2024 Aug 15.

Abstract

The global incidence of non-tuberculous mycobacteria (NTM) infections is on the rise. This study systematically searched several databases, including PubMed, Web of Science, Google Scholar, and two Chinese libraries (Chinese National Knowledge Infrastructure and Wanfang) to identify relevant published between 2013 and 2023 related to the isolation of NTM in clinical specimens from various countries and provinces of China. Furthermore, a comprehensive literature review was conducted in PubMed and Google Scholar to identify randomized clinical trials, meta-analyses, systematic reviews, and observational studies that evaluated the diagnostic accuracy and impact of laboratory detection methods on clinical outcomes. This review presented the most recent epidemiological data and species distributions of NTM isolates in several countries and provinces of China. Moreover, it provided insights into laboratory bacteriological detection, including the identified strains, advantages and disadvantages, recent advancements, and the commercial identification kits available for clinical use. This review aimed to aid healthcare workers in understanding this aspect, enhance the standards of clinical diagnosis and treatment, and enlighten them on the existing gaps and future research priorities.

摘要

非结核分枝杆菌(NTM)感染的全球发病率正在上升。本研究系统检索了多个数据库,包括PubMed、科学网、谷歌学术以及两个中文数据库(中国知网和万方),以识别2013年至2023年间发表的与中国不同国家和省份临床标本中NTM分离相关的文献。此外,还在PubMed和谷歌学术上进行了全面的文献综述,以识别评估实验室检测方法对临床结果的诊断准确性和影响的随机临床试验、荟萃分析、系统评价和观察性研究。本综述呈现了中国几个国家和省份NTM分离株的最新流行病学数据和菌种分布。此外,它还提供了关于实验室细菌学检测的见解,包括鉴定出的菌株、优缺点、最新进展以及可供临床使用的商业鉴定试剂盒。本综述旨在帮助医护人员了解这方面的情况,提高临床诊断和治疗标准,并让他们了解现有差距和未来研究重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e8c/11334812/891171c6d6fe/ga1.jpg

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