将全基因组测序纳入抗菌素耐药性监测:方法,挑战和前景
Yasufumi Matsumura1, Masaki Yamamoto1, Ryota Gomi2
1Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Clinical microbiology reviews
|September 5, 2025
概括
全基因组测序 (WGS) 通过提高准确性和识别隐藏的传播来增强抗菌耐药性 (AMR) 的监测. 标准化和验证对于可靠的WGS分析和有效的AMR控制策略至关重要.
科学领域:
- 公共卫生微生物学
- 基因组流行病学
- 传染病监测
背景情况:
- 抗菌药物耐药性 (AMR) 是全球主要的健康威胁.
- 有效的监测对于控制抗药性和为公共卫生政策提供信息至关重要.
- 全基因组测序 (WGS) 提供了对抗药物耐药性机制和传播的全面见解.
研究的目的:
- 突出WGS在抗药性监测中的日益重要的作用.
- 讨论基于WGS的AMR监测的好处和挑战.
- 在WGS分析中强调标准化和质量保证的必要性.
主要方法:
- 对基于WGS的AMR监测现行实践的审查.
- 在追溯,实时和前性监测中分析WGS应用.
- 确定WGS数据分析和解释方面的挑战.
主要成果:
- 在检测AMR,识别传播途径和调查疫情方面,WGS提高了准确性.
- 在发现隐藏的传输方面,
- 标准化,验证和质量保证对于强大的WGS监测至关重要.
结论:
- 基于WGS的抗菌耐药性监测为公众健康提供了显著的优势.
- 通过标准化解决分析复杂性是广泛采用的关键.
- 将基因组数据与其他信息相结合,将加强对抗抗药物耐药性的措施.
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