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Published on: July 11, 2016
Sepsis Pathogen Identification
Katy Chun1, Chas Syndergaard1, Carlos Damas1
1Keck Graduate Institute of Applied Life Sciences, Claremont, CA, USA.
Abstract:
Sepsis is a rapidly progressing, severe inflammatory response to infection, causing more than 200,000 deaths per year. Rapid, specific pathogen identification is important to guide sepsis treatment. In this review, we describe and compare currently available commercial products for sepsis diagnosis and pathogen identification, based on microbiological, molecular, and mass spectrometric technologies. Microbiological techniques, the current "gold standard" in sepsis pathogen identification, include blood culture followed by subculturing and pathogen identification via biochemical or microscopic means. These methods have been automated but nevertheless require several days to generate results. Alternative technologies, including highly multiplexed PCR-based methods and mass spectrometric approaches, can decrease the required turnaround time. Matrix-assisted laser-desorption ionization time-of-flight-based systems have recently become an attractive option to rapidly identify a broad spectrum of sepsis pathogens with good sensitivity and specificity. Effectively integrating rapid sepsis pathogen identification into the hospital workflow can improve patient outcomes and can reduce the length of hospitalization and cost per patient.
Insights
Rapid sepsis diagnosis is crucial for patient outcomes. New molecular and mass spectrometry methods offer faster pathogen identification than traditional blood cultures, improving treatment and reducing costs.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Medical Diagnostics
Background:
- Sepsis is a life-threatening inflammatory response to infection, causing over 200,000 deaths annually.
- Timely and accurate pathogen identification is critical for effective sepsis treatment and improved patient outcomes.
Purpose of the Study:
- To review and compare commercial diagnostic products for sepsis.
- To evaluate microbiological, molecular, and mass spectrometric technologies for pathogen identification.
Main Methods:
- Comparison of traditional microbiological methods (blood culture, biochemical/microscopic identification).
- Assessment of advanced molecular techniques, including multiplex PCR.
- Evaluation of mass spectrometry-based approaches, specifically Matrix-Assisted Laser Desorption/Ionization Time-Of-Flight (MALDI-TOF).
Main Results:
- Traditional methods, while a gold standard, require several days for results.
- Molecular and mass spectrometry technologies significantly reduce turnaround times for pathogen identification.
- MALDI-TOF systems demonstrate good sensitivity and specificity for broad-spectrum sepsis pathogen identification.
Conclusions:
- Rapid sepsis pathogen identification technologies can improve patient outcomes.
- Integrating faster diagnostic methods into clinical workflows can reduce hospitalization length and costs.
- MALDI-TOF presents a promising rapid identification option for sepsis pathogens.
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