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感染诊断方式的进展

Advances in Diagnostic Modalities for Infection.

作者信息

Ghazanfar Haider, Javed Nismat, Reina Raul, Thartori Ornela, Ghazanfar Ali, Patel Harish

机构信息

Division of Gastroenterology, BronxCare Health System, Bronx, NY 10457, USA.

BronxCare Health System, Bronx, NY 10457, USA.

出版信息

Life (Basel). 2024 Sep 17;14(9):1170. doi: 10.3390/life14091170.

Abstract

() infection is a widespread global health issue with a varying prevalence influenced by geography, socioeconomic status, and demographics. In the U.S., the prevalence is lower, though certain groups, such as older adults and immigrants from high-prevalence regions, show higher rates. The decrease in infection rates in developed countries is due to improved sanitation, antibiotics, and healthcare, whereas developing countries continue to experience high rates due to poor living conditions. infection can be asymptomatic or cause symptoms like dyspepsia, abdominal pain, bloating, nausea, and loss of appetite. Pathophysiologically, contribute to conditions such as gastritis, peptic ulcers, and gastric cancer through mechanisms including urease production and the release of virulence factors, leading to chronic inflammation and an increased cancer risk. Diagnostic methods for have progressed significantly. Non-invasive techniques, such as serological assays, stool antigen tests, and urea breath tests, are practical and sensitive. Invasive methods, including endoscopic biopsy and molecular diagnostics, are more definitive but resource intensive. Recent advancements in diagnostic technology, including matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS), biosensor technology, and next-generation sequencing (NGS), promise improved speed, accuracy, and accessibility. These innovations are expected to enhance the detection and management of , potentially reducing the global disease burden. This review aims to discuss these diagnostic modalities with a focus on further advances under investigation.

摘要

(某种细菌)感染是一个广泛存在的全球健康问题,其患病率因地理、社会经济地位和人口统计学因素而有所不同。在美国,患病率较低,不过某些群体,如老年人和来自高流行地区的移民,感染率较高。发达国家感染率的下降归因于卫生条件改善、抗生素的使用以及医疗保健水平的提高,而发展中国家由于生活条件差,感染率仍然很高。(某种细菌)感染可能无症状,也可能引起消化不良、腹痛、腹胀、恶心和食欲不振等症状。在病理生理学上,(某种细菌)通过产生尿素酶和释放毒力因子等机制,导致胃炎、消化性溃疡和胃癌等疾病,引发慢性炎症并增加患癌风险。(某种细菌)的诊断方法有了显著进展。非侵入性技术,如血清学检测、粪便抗原检测和尿素呼气试验,既实用又灵敏。侵入性方法,包括内镜活检和分子诊断,更为确切,但需要大量资源。诊断技术的最新进展,包括基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)、生物传感器技术和下一代测序(NGS),有望提高检测速度、准确性和可及性。这些创新有望加强(某种细菌)的检测和管理, potentially reducing the global disease burden. This review aims to discuss these diagnostic modalities with a focus on further advances under investigation.(可能减轻全球疾病负担。本综述旨在讨论这些诊断方式,重点关注正在研究中的进一步进展。)

原文括号处有信息缺失,这里用“某种细菌”暂代以便翻译完整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6f/11432972/abcddecdc12c/life-14-01170-g001.jpg

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