Molecular antimicrobial susceptibility testing in sepsis

被引:4
作者
Martin-Loeches, Ignacio [1 ,2 ]
Pereira, Joao Goncalves [3 ,4 ]
Teoh, Tee Keat [5 ]
Barlow, Gavin [6 ,7 ,8 ]
Dortet, Laurent [9 ,10 ,11 ]
Carrol, Enitan D. [12 ,13 ]
Olgemoeller, Ulrike [14 ]
Boyd, Sara E. [15 ,16 ,17 ]
Textoris, Julien [18 ]
机构
[1] St James Hosp, Dept Intens Care Med, Multidisciplinary Intens Care Res Org MICRO, Dublin D08 NHY1, Ireland
[2] Univ Barcelona, Hosp Clin, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Ciberes 08036, Barcelona, Spain
[3] Hosp Vila Franca De Xira, Vila Franca De Xira, Portugal
[4] Univ Lisbon, Fac Med, Lisbon, Portugal
[5] St James Hosp, Dept Clin Microbiol, Dublin, Ireland
[6] Univ York, York Biomed Res Inst, York, England
[7] Hull York Med Sch, York, England
[8] Hull Univ Teaching Hosp NHS Trust, Kingston Upon Hull, England
[9] Bicetre Hosp, Assistance Publ Hop Paris, Dept Bacteriol Hyg, Le Kremlin Bicetre, France
[10] Paris Saclay Univ, RESIST Unit, INSERM, UMR 1184, Le Kremlin Bicetre, France
[11] French Natl Reference Ctr Antimicrobial Resistance, Paris, France
[12] Univ Liverpool, Inst Infect Vet & Ecol Sci, Liverpool, England
[13] Alder Hey Childrens Hosp, Dept Infect Dis, Liverpool, England
[14] Univ Goettingen, Dept Cardiol & Pneumol, Gottingen, Germany
[15] St Georges Univ Hosp NHS Fdn Trust, London, England
[16] Univ Liverpool, Dept Mol & Clin Pharmacol, Antimicrobial Pharmacodynam & Therapeut, Liverpool, England
[17] Imperial Coll London, Natl Inst Hlth Res, Hlth Protect Res Unit Healthcare Associated Infect, London, England
[18] Biomerieux SA, Med Affairs, Marcy Letoile, France
关键词
antibiotics; AST; bacteremia; ICU; MDR; microbiology; molecular testing; pneumonia; sepsis; septic shock; BLOOD-STREAM INFECTIONS; CRITICALLY-ILL PATIENTS; GLOBAL BURDEN; RESISTANCE; STEWARDSHIP; OUTCOMES; IDENTIFICATION;
D O I
10.2217/fmb-2023-0128
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Rapidly detecting and identifying pathogens is crucial for appropriate antimicrobial therapy in patients with sepsis. Conventional diagnostic methods have been a great asset to medicine, though they are time consuming and labor intensive. This work will enable healthcare professionals to understand the bacterial community better and enhance their diagnostic capacity by using novel molecular methods that make obtaining quicker, more precise results possible. The authors discuss and critically assess the merits and drawbacks of molecular testing and the added value of these tests, including the shift turnaround time, the implication for clinicians' decisions, gaps in knowledge, future research directions and novel insights or innovations. The field of antimicrobial molecular testing has seen several novel insights and innovations to improve the diagnosis and management of infectious diseases. Sepsis is a life-threatening reaction to an infection. This infection is normally caused by a bacteria. Identifying the bacteria that has caused the infection is very important to choosing the best treatment. This is usually done using molecular testing. This article discusses the advantages and disadvantages of molecular testing, which tests are available and the value of these tests in clinical practice, the implication of molecular tests for clinicians' decisions and the gaps in our knowledge. It also discusses future innovations in molecular testing.
引用
收藏
页码:61 / 72
页数:12
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