Elhariry Marwa, Oknianska Alina, Garcia-Lara Jorge, Shorten Robert, Oberheitmann Boris, Sen Tapas
School of Pharmacy and Biomedical Sciences, University of Central Lancashire, Preston, UK.
School of Medicine and Dentistry, University of Central Lancashire, Preston, UK.
Nanomedicine (Lond). 2025 May;20(9):985-1000. doi: 10.1080/17435889.2025.2488724. Epub 2025 Apr 9.
Bacterial infections in the blood (sepsis) have been recognized as a leading cause of mortality in the clinical field due to limitations in the detection of bacteria at low concentration and their resistance to antibiotics by excessive misuse. Some of the common symptoms are fever, chills, rapid heartbeat, difficulty breathing, confusion, and changes in mental status with occasionally pale, clammy, and mottled skin. Early diagnosis and identification are the keys to a successful treatment for sepsis patients. Researchers have developed nanoparticles to enrich bacterial populations followed by detection and applied them to conventional methods such as phenotypic and molecular diagnostics to enhance different detectors' responses toward pathogens. This short review systematically overviews steps that are followed in clinical labs for bacterial detection, identification, and their drawbacks. In this context, we discuss the role that nanoparticles can play in overcoming the limits of traditional microbiology methods in terms of turnaround times (TATs) and accuracy. We believe that this short review will provide up-to-date information about the applications of nanoparticles in the enrichment, separation, and identification of bacterial infection in the clinical field and, therefore, a way of rapid treatment.
由于低浓度细菌检测存在局限性以及抗生素过度滥用导致细菌产生耐药性,血液中的细菌感染(败血症)已被公认为临床领域的主要死亡原因。一些常见症状包括发热、寒战、心跳加速、呼吸困难、意识模糊以及精神状态改变,偶尔还会出现皮肤苍白、湿冷和有斑点。早期诊断和识别是败血症患者成功治疗的关键。研究人员已开发出纳米颗粒来富集细菌群体,随后进行检测,并将其应用于诸如表型和分子诊断等传统方法,以增强不同检测器对病原体的反应。这篇简短综述系统地概述了临床实验室中细菌检测、鉴定的步骤及其缺点。在此背景下,我们讨论了纳米颗粒在周转时间(TAT)和准确性方面克服传统微生物学方法局限性方面可以发挥的作用。我们相信,这篇简短综述将提供有关纳米颗粒在临床领域细菌感染的富集、分离和鉴定中的应用的最新信息,从而提供一种快速治疗的方法。