Incorporating microbial cell-free DNA testing into healthcare-associated invasive fungal infection surveillance: benefits and challenges

被引:0
作者
Uslan, Daniel Z. [1 ,2 ]
Kaur, Ishminder [3 ]
Garner, Omai B. [4 ]
Yang, Shangxin [4 ]
机构
[1] UCLA, Dept Med, Div Infect Dis, David Geffen Sch Med, Los Angeles, CA 90095 USA
[2] UCLA Hlth, Clin Epidemiol & Infect Prevent, Los Angeles, CA 90095 USA
[3] UCLA, Dept Pediat, Div Pediat Infect Dis, David Geffen Sch Med, Los Angeles, CA USA
[4] UCLA, Dept Pathol & Lab Med, David Geffen Sch Med, Los Angeles, CA USA
关键词
Karius test; microbial cell-free DNA; surveillance; fungal diagnostics;
D O I
10.1017/ice.2025.48
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Surveillance by clinical epidemiology teams for invasive fungal infections (IFIs) in healthcare settings can be challenging due to several factors including low sensitivity of noninvasive conventional microbiologic diagnostics, nonspecific clinical presentation, and complex patient populations. Recently, availability of microbial cell-free DNA testing (cfDNA) via the Karius Test has shown promise for increased diagnostic sensitivity of IFIs. However, how to best incorporate cfDNA results into IFI surveillance remains a vexing challenge. Herein, we provide perspectives on the benefits and challenges of use of cfDNA for IFI surveillance.
引用
收藏
页码:445 / 448
页数:4
相关论文
共 20 条
[1]  
[Anonymous], 2022, WHO fungal priority pathogens list to guide research, development and public health action
[2]   Plasma Microbial Cell-Free DNA Sequencing in Immunocompromised Patients With Pneumonia: A Prospective Observational Study [J].
Bergin, Stephen P. ;
Chemaly, Roy F. ;
Dadwal, Sanjeet S. ;
Hill, Joshua A. ;
Lee, Yeon Joo ;
Haidar, Ghady ;
Luk, Alfred ;
Drelick, Alexander ;
Chin-Hong, Peter, V ;
Benamu, Esther ;
Khawaja, Fareed ;
Nanayakkara, Deepa ;
Papanicolaou, Genovefa A. ;
Small, Catherine Butkus ;
Fung, Monica ;
Barron, Michelle A. ;
Davis, Thomas ;
Mcclain, Micah T. ;
Maziarz, Eileen K. ;
Madut, Deng B. ;
Bedoya, Armando D. ;
Gilstrap, Daniel L. ;
Todd, Jamie L. ;
Barkauskas, Christina E. ;
Bigelow, Robert ;
Leimberger, Jeffrey D. ;
Tsalik, Ephraim L. ;
Wolf, Olivia ;
Mughar, Mona ;
Hollemon, Desiree ;
Duttagupta, Radha ;
Lupu, Daniel S. ;
Bercovici, Sivan ;
Perkins, Bradley A. ;
Blauwkamp, Timothy A. ;
Fowler, Vance G. ;
Holland, Thomas L. .
CLINICAL INFECTIOUS DISEASES, 2024, 78 (03) :775-784
[3]  
cdc, Targeted Environmental Investigation Checklist for Outbreaks of Invasive Infections Caused by Environmental Fungi
[4]  
cdc, GUIDANCE HEALTHCARE
[5]   Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium [J].
Donnelly, J. Peter ;
Chen, Sharon C. ;
Kauffman, Carol A. ;
Steinbach, William J. ;
Baddley, John W. ;
Verweij, Paul E. ;
Clancy, Cornelius J. ;
Wingard, John R. ;
Lockhart, Shawn R. ;
Groll, Andreas H. ;
Sorrell, Tania C. ;
Bassetti, Matteo ;
Akan, Hamdi ;
Alexander, Barbara D. ;
Andes, David ;
Azoulay, Elie ;
Bialek, Ralf ;
Bradsher, Robert W., Jr. ;
Bretagne, Stephane ;
Calandra, Thierry ;
Caliendo, Angela M. ;
Castagnola, Elio ;
Cruciani, Mario ;
Cuenca-Estrella, Manuel ;
Decker, Catherine F. ;
Desai, Sujal R. ;
Fisher, Brian ;
Harrison, Thomas ;
Heussel, Claus Peter ;
Jensen, Henrik E. ;
Kibbler, Christopher C. ;
Kontoyiannis, Dimitrios P. ;
Kullberg, Bart-Jan ;
Lagrou, Katrien ;
Lamoth, Frederic ;
Lehrnbecher, Thomas ;
Loeffler, Jurgen ;
Lortholary, Olivier ;
Maertens, Johan ;
Marchetti, Oscar ;
Marr, Kieren A. ;
Masur, Henry ;
Meis, Jacques F. ;
Morrisey, C. Orla ;
Nucci, Marcio ;
Ostrosky-Zeichner, Luis ;
Pagano, Livio ;
Patterson, Thomas F. ;
Perfect, John R. ;
Racil, Zdenek .
CLINICAL INFECTIOUS DISEASES, 2020, 71 (06) :1367-1376
[6]   Outbreaks of Fungal Infections in Hospitals: Epidemiology, Detection, and Management [J].
Douglas, Abby P. ;
Stewart, Adam G. ;
Halliday, Catriona L. ;
Chen, Sharon C. -A. .
JOURNAL OF FUNGI, 2023, 9 (11)
[7]   Keeping health care linens clean: Underrecognized hazards and critical control points to avoid contamination of laundered health care textiles [J].
Glowicz, Janet ;
Benowitz, Isaac ;
Arduino, Matthew J. ;
Li, Ruoran ;
Wu, Karen ;
Jordan, Alexander ;
Toda, Mitsuru ;
Garner, Kelley ;
Gold, Jeremy A. W. .
AMERICAN JOURNAL OF INFECTION CONTROL, 2022, 50 (10) :1178-1181
[8]   A Guide to Investigating Suspected Outbreaks of Mucormycosis in Healthcare [J].
Hartnett, Kathleen P. ;
Jackson, Brendan R. ;
Perkins, Kiran M. ;
Glowicz, Janet ;
Kerins, Janna L. ;
Black, Stephanie R. ;
Lockhart, Shawn R. ;
Christensen, Bryan E. ;
Beer, Karlyn D. .
JOURNAL OF FUNGI, 2019, 5 (03)
[9]   Clinical Impact of Metagenomic Next-Generation Sequencing of Plasma Cell-Free DNA for the Diagnosis of Infectious Diseases: A Multicenter Retrospective Cohort Study [J].
Hogan, Catherine A. ;
Yang, Shangxin ;
Garner, Omai B. ;
Green, Daniel A. ;
Gomez, Carlos A. ;
Bard, Jennifer Dien ;
Pinsky, Benjamin A. ;
Banaei, Niaz .
CLINICAL INFECTIOUS DISEASES, 2021, 72 (02) :239-245
[10]   Liquid biopsy for infectious diseases: sequencing of cell-free plasma to detect pathogen DNA in patients with invasive fungal disease [J].
Hong, David K. ;
Blauwkamp, Timothy A. ;
Kertesz, Mickey ;
Bercovici, Sivan ;
Truong, Cynthia ;
Banaei, Niaz .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2018, 92 (03) :210-213