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Published on: June 28, 2018
Blood virome of patients with traumatic sepsis
Qingqing Mao1,2, Ying Liu3, Ju Zhang2
1Clinical Laboratory Center, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, 225300, China.
Abstract:
Sepsis is one of the possible outcomes of severe trauma, and it poses a dire threat to human life, particularly in immunocompromised people. The most prevalent pathogens are bacteria and fungi, but viruses should not be overlooked. For viral metagenomic analysis, we collected blood samples from eight patients with post-traumatic sepsis before and seven days after treatment. The results demonstrated that Anellovirus predominated the viral community, followed by Siphoviridae and Myoviridae, and that the variations in viral community and viral load before and after treatment were not statistically significant. This study allows us to investigate methods for establishing NGS-based viral diagnostic instruments for detecting viral infections in the blood of sepsis patients so that antiviral therapy can be administered quickly.
Insights
Post-traumatic sepsis patients showed a predominant viral community of Anellovirus, with no significant changes after treatment. This highlights the need for rapid viral diagnostics in sepsis management.
Area of Science:
- Virology
- Immunology
- Infectious Diseases
Background:
- Sepsis, a life-threatening condition following severe trauma, particularly affects immunocompromised individuals.
- While bacteria and fungi are common sepsis pathogens, viral infections are often overlooked.
- Understanding the viral landscape in sepsis is crucial for effective treatment strategies.
Purpose of the Study:
- To investigate the viral metagenomic profile in patients with post-traumatic sepsis.
- To analyze changes in viral communities and loads before and after treatment.
- To explore the potential for developing next-generation sequencing (NGS)-based viral diagnostic tools for sepsis.
Main Methods:
- Blood samples were collected from eight post-traumatic sepsis patients.
- Samples were analyzed pre-treatment and seven days post-treatment using viral metagenomic analysis.
- Viral community composition and load were assessed.
Main Results:
- Anellovirus was the predominant virus in the studied patient cohort.
- Siphoviridae and Myoviridae were also identified viral components.
- No statistically significant variations in viral community structure or viral load were observed between pre-treatment and post-treatment samples.
Conclusions:
- Anellovirus is a significant component of the viral community in post-traumatic sepsis.
- Current treatment approaches did not significantly alter the viral landscape in this cohort.
- Developing rapid NGS-based diagnostics is essential for timely detection and management of viral infections in sepsis patients.
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