下一代测序改善了牙瘤的病原体鉴定, 这会影响临床结果吗?
Felix Benjamin Warwas1, Felix Thol2, Martin A Sieber3
1Department of Oral and Maxillofacial Plastic Surgery, University Medical Center of the University Bonn, Venusberg Campus 1, Building 11, 2. OG, 53127, Bonn, Germany. Fbwarwas@icloud.com.
Clinical oral investigations
|September 2, 2025
概括
与传统方法相比,下一代测序 (NGS) 可以显著改善细菌,真菌和抗生素耐药性的识别. 这种先进的诊断方法有助于更快,更有针对性的抗菌疗法.
科学领域:
- 微生物学
- 传染性疾病
- 基因组学
背景情况:
- 牙产生的是复杂的感染,通常涉及多微生物群落.
- 传统的诊断方法在检测所有致病微生物及其抗生素耐药性方面可能存在局限性.
研究的目的:
- 将下一代测序 (NGS) 的诊断性能与常规培养和显微镜进行比较,用于识别牙的微生物和抗生素耐药性.
- 分析临床因素的影响,包括先前的抗生素暴露,在停留时间 (LOS).
主要方法:
- 从经过切口和疏通牙的患者中采集了手术内微生物扫描.
- 使用NGS和常规微生物技术进行了样本分析.
- 评估和关联了微生物特征,耐药性模式和临床数据.
主要成果:
- NGS在100%的样本中发现了细菌,比传统方法高得多 (68.1%).
- NGS检测到更多的细菌多样性,特别是厌氧菌 (中位数为7比0),并且更频繁地发现了真菌和抗生素耐药性.
- 之前的抗生素治疗与停留时间的缩短有关.
结论:
- NGS为牙提供了优质的诊断方法,提高了多微生物感染的检测能力.
- 这种全面的病原体和耐药性分析有助于快速实施量身定制的抗菌治疗.
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