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成人感染诊断检测方法的进展。

Advances in diagnostic assays for infection in adults.

作者信息

Liu Dong-Ang, Chen Shiyu, Hu Ruiyao, Qiu Yuting, Chen Keyi, Xu Yue, Yuan Jinghua, Zhang Xinling, Li Xiaoping

机构信息

Key Laboratory of Pollution Exposure and Health Intervention of Zhejiang Province, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, China.

Key Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Shulan International Medical College, Zhejiang Shuren University, Hangzhou, China.

出版信息

Front Cell Infect Microbiol. 2024 Dec 10;14:1492511. doi: 10.3389/fcimb.2024.1492511. eCollection 2024.

Abstract

() was a gram-positive anaerobic in the gut, exhibiting clinical manifestations ranging from mild diarrhoea to fatal pseudomembranous colitis. infection (CDI) remains a serious public health problem and accounted for an estimated 360,075 cases in the United States in 2021. It has attracted the utmost attention of the world health organization (WHO). Since publication of a review of the diagnosis of CDI in adults, new clinical diagnostic assays have become available and clinical practice guidelines were updated. This paper presents a comprehensive review of contemporary laboratory diagnostic approaches for CDI in adult patients, with a focus on the utilisation and potential advancements of five sophisticated methodologies, CRISPR in conjunction with nucleic acid amplification tests (NAATs), gene sequencing technology, ultra-high performance liquid chromatography-mass spectrometry, Raman spectroscopy, and real-time cell analysis (RTCA). It can provide new perspectives and ideas for the early diagnosis of CDI in clinical settings.

摘要

()是肠道中的革兰氏阳性厌氧菌,临床表现从轻度腹泻到致命的伪膜性结肠炎不等。艰难梭菌感染(CDI)仍然是一个严重的公共卫生问题,2021年在美国估计有360,075例病例。它已引起世界卫生组织(WHO)的高度关注。自发表关于成人CDI诊断的综述以来,新的临床诊断检测方法已经可用,临床实践指南也得到了更新。本文全面综述了成人患者CDI的当代实验室诊断方法,重点关注五种先进方法的应用和潜在进展,即与核酸扩增检测(NAATs)结合的CRISPR、基因测序技术、超高效液相色谱 - 质谱联用、拉曼光谱和实时细胞分析(RTCA)。它可以为临床环境中CDI的早期诊断提供新的视角和思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fd/11666450/7ac0336a4570/fcimb-14-1492511-g001.jpg

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