Feng S Z, Xu C H
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China Tianjin Institutes of Health Science, Tianjin 301600, China.
Zhonghua Xue Ye Xue Za Zhi. 2024 Nov 14;45(11):982-985. doi: 10.3760/cma.j.cn121090-20241029-00423.
Patients with hematologic diseases are prone to infections, and infection-related mortality is high in this population. Accurate diagnosis of infectious pathogens is crucial; however, conventional microbiological testing often fails to meet clinical needs, presenting a significant challenge in clinical practice. Metagenomic next-generation sequencing (mNGS), with its high sensitivity, broad coverage, and short turnaround time, has been widely adopted in diagnosing infectious diseases. This article focuses on the application of mNGS technology in diagnosing infectious pathogens in patients with hematologic diseases. It analyzes the challenges encountered in clinical practice and explores future trends in the field. This work aims to provide clinicians with an in-depth understanding of the value and limitations of mNGS in diagnosing infections in hematologic patients, and to promote its rational application.
血液系统疾病患者容易发生感染,且该人群中与感染相关的死亡率很高。准确诊断感染病原体至关重要;然而,传统的微生物学检测往往无法满足临床需求,这在临床实践中构成了重大挑战。宏基因组下一代测序(mNGS)具有高灵敏度、广泛的覆盖范围和较短的周转时间,已被广泛应用于传染病的诊断。本文重点探讨mNGS技术在血液系统疾病患者感染病原体诊断中的应用。分析了临床实践中遇到的挑战,并探索了该领域的未来趋势。这项工作旨在让临床医生深入了解mNGS在血液系统疾病患者感染诊断中的价值和局限性,并促进其合理应用。