下一代血流感染测序:塑造快速诊断和精准医学的未来
Ayman Elbehiry1, Eman Marzouk1, Husam M Edrees2
1Department of Public Health, College of Applied Medical Sciences, Qassim University, P.O. Box 6666, Buraydah 51452, Saudi Arabia.
Diagnostics (Basel, Switzerland)
|December 11, 2025
概括
下一代测序为血液感染和败血症提供了快速的,独立于培养的诊断. 这种方法增强了病原体检测,抗菌素耐药性分析和流行病学见解,以改善患者的治疗结果.
科学领域:
- 微生物学 微生物学
- 基因组学就是基因组学.
- 传染性疾病 传染性疾病
背景情况:
- 血流感染和败血症需要快速诊断以改善患者的治疗结果.
- 目前的诊断方法可能很慢,延迟了关键的治疗决策.
- 下一代测序 (NGS) 为更快,更全面的病原体鉴定提供了潜力.
研究的目的:
- 审查目前的临床证据和在血液感染中基于NGS的诊断的实际工作流程.
- 整合三个互补的NGS方法用于病原体检测和抗菌素耐药性分析.
- 讨论在败血症管理中实施NGS的临床实用性和挑战.
主要方法:
- 对用于广泛生物体检测的血微生物无细胞DNA的审查.
- 血液或血的转基因NGS用于无偏见的病原体发现.
- 牛津纳米孔技术测序阳性血液培养物以快速识别.
主要成果:
- NGS能够独立于培养的检测病原体,包括多微生物和培养负面感染.
- 血液培养的同一天测序加速了物种识别和耐药性报告.
- 分析可靠性取决于减少人类DNA,控制背景核酸和验证的生物信息学.
结论:
- NGS技术为诊断血液感染和指导败血症治疗提供了强大的工具.
- 在基因型-表型相关性,低级信号解释和监管障碍方面仍然存在挑战.
- 测序和工作流程的进步有望缩短交付时间和扩大访问,支持全球监控和精密医学.
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