通过基于DNA的微阵列平台从阳性血培养中准确和快速识别细菌物种:一项观察性研究
Päivi Tissari1, Alimuddin Zumla, Eveliina Tarkka
1Division of Clinical Microbiology, Helsinki University Hospital Laboratory, Helsinki, Finland.
Lancet (London, England)
|December 17, 2009
概括
使用微阵列技术的新型分子败血症试验提供了高度敏感和特定的细菌识别. 与传统培养相比,这种快速方法显著加快了诊断速度,使得早期的败血症管理成为可能.
科学领域:
- 分子诊断学 分子诊断学
- 微生物学 微生物学
- 传染病 传染病 传染病
背景情况:
- 基于DNA的微阵列平台提供了快速的病原体检测.
- 评估一种新型分子败血症试验的性能对于临床应用至关重要.
研究的目的:
- 为了评估一种新的分子毒性试验的灵敏度,特异性和周转时间.
- 为了将新型检测与传统的培养基细菌识别方法进行比较.
主要方法:
- 使用了一种针对细菌基因 (gyrB,parE,mecA) 的新型PCR和微阵列测定.
- 分析了疑似败血症患者的2107个阳性血液培养物.
- 灵敏度,特异性和周转时间是根据CLSI指南计算的.
主要成果:
- 该试验在86%的阳性样本中确定了病原体.
- 临床敏感度为94.7%,特异性为98.8%.
- 测量比传统培养方法快18小时.
结论:
- 基于微阵列的测定提供了高度敏感和特定的细菌识别.
- 这种快速的分子测定有助于早期,基于证据的治疗败血症.
- 该试验显示了改善临床败血症护理途径的潜力.
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