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耐药菌检测的进展:当前趋势与创新

Advances in the detection of Drug-Resistant bacteria: current trends and innovations.

作者信息

Ma Danni, Cai Fuman, Zhang Ting

机构信息

School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China.

出版信息

Eur J Clin Microbiol Infect Dis. 2025 Sep 20. doi: 10.1007/s10096-025-05250-1.

DOI:10.1007/s10096-025-05250-1
PMID:40974457
Abstract

Facing challenges in the fields of microbial detection and antimicrobial resistance (AMR) monitoring, the scientific community is opening new research avenues with the help of cutting-edge technologies such as molecular biology, genomics, proteomics, nanotechnology, and bioinformatics. In this review, we comprehensively collate and elaborate on revolutionary detection methods and AMR surveillance strategies that go beyond traditional microbial culture techniques. These innovative methods have not only improved the sensitivity and speed of detection but also broadened our understanding of the microbial world, providing new weapons in the fight against drug-resistant microorganisms. Through the integration and innovation of interdisciplinary approaches, we are gradually constructing a more precise, efficient, and comprehensive new paradigm for microbial detection and AMR testing.

摘要

面对微生物检测和抗菌药物耐药性(AMR)监测领域的挑战,科学界正在借助分子生物学、基因组学、蛋白质组学、纳米技术和生物信息学等前沿技术开辟新的研究途径。在本综述中,我们全面整理并阐述了超越传统微生物培养技术的革命性检测方法和AMR监测策略。这些创新方法不仅提高了检测的灵敏度和速度,还拓宽了我们对微生物世界的认识,为对抗耐药微生物提供了新武器。通过跨学科方法的整合与创新,我们正在逐步构建一个更精确、高效和全面的微生物检测及AMR测试新范式。

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本文引用的文献

1
Arrest of CRISPR-Cas12a by Nonspecific Single-Stranded DNA for Biosensing.用于生物传感的非特异性单链DNA对CRISPR-Cas12a的抑制
Anal Chem. 2025 May 6;97(17):9310-9315. doi: 10.1021/acs.analchem.4c07081. Epub 2025 Apr 22.
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Direct detection from sputum for drug-resistant Mycobacterium tuberculosis using a CRISPR-Cas14a-based approach.使用基于CRISPR-Cas14a的方法直接从痰液中检测耐多药结核分枝杆菌。
BMC Microbiol. 2025 Apr 2;25(1):188. doi: 10.1186/s12866-025-03899-4.
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Application of recombinase polymerase amplification with lateral flow assay to pathogen point-of-care diagnosis.
重组酶聚合酶扩增结合侧向流动分析法在病原体即时检测诊断中的应用。
Front Cell Infect Microbiol. 2024 Nov 18;14:1475922. doi: 10.3389/fcimb.2024.1475922. eCollection 2024.
4
Application of metagenomic next-generation sequencing in the diagnosis of infectious diseases.宏基因组下一代测序在传染病诊断中的应用。
Front Cell Infect Microbiol. 2024 Nov 15;14:1458316. doi: 10.3389/fcimb.2024.1458316. eCollection 2024.
5
Comprehensive pathogen identification and antimicrobial resistance prediction from positive blood cultures using nanopore sequencing technology.使用纳米孔测序技术从阳性血培养物中进行全面的病原体鉴定和抗菌药物耐药性预测。
Genome Med. 2024 Dec 2;16(1):141. doi: 10.1186/s13073-024-01416-2.
6
Evaluation of DNA extraction kits for long-read shotgun metagenomics using Oxford Nanopore sequencing for rapid taxonomic and antimicrobial resistance detection.评估基于 Oxford Nanopore 测序的长读段 shotgun 宏基因组学的 DNA 提取试剂盒,用于快速进行分类和抗菌药物耐药性检测。
Sci Rep. 2024 Nov 27;14(1):29531. doi: 10.1038/s41598-024-80660-3.
7
A CRISPR-Cas12a-mediated dual-mode luminescence and colorimetric nucleic acid biosensing platform based on upconversion nanozyme.一种基于上转换纳米酶的CRISPR-Cas12a介导的双模式发光和比色核酸生物传感平台。
Biosens Bioelectron. 2025 Feb 15;270:116963. doi: 10.1016/j.bios.2024.116963. Epub 2024 Nov 19.
8
CRISPR/dCas9-based hotspot self-assembling SERS biosensor integrated with a smartphone for simultaneous, ultrasensitive and robust detection of multiple pathogens.基于CRISPR/dCas9的热点自组装表面增强拉曼散射生物传感器与智能手机集成,用于同时、超灵敏且稳健地检测多种病原体。
Biosens Bioelectron. 2025 Feb 15;270:116974. doi: 10.1016/j.bios.2024.116974. Epub 2024 Nov 19.
9
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Front Cell Infect Microbiol. 2024 Nov 1;14:1482186. doi: 10.3389/fcimb.2024.1482186. eCollection 2024.
10
Performance evaluation of the Specific Reveal system for rapid antibiotic susceptibility testing from positive blood cultures containing Gram-negative pathogens.针对含有革兰氏阴性病原体的阳性血培养物进行快速抗生素敏感性检测的Specific Reveal系统性能评估。
J Clin Microbiol. 2024 Dec 11;62(12):e0069224. doi: 10.1128/jcm.00692-24. Epub 2024 Nov 15.