Contemporary challenges and opportunities in the diagnosis and outbreak detection of multidrug-resistant infectious disease

被引:8
作者
Cimmino, Teresa [1 ]
Le Page, Stephanie [1 ]
Raoult, Didier [1 ]
Rolain, Jean-Marc [1 ]
机构
[1] Aix Marseille Univ, URMITE CNRS IRD INSERM U1905 63 7278 198, Fac Med & Pharm, IHU Mediterranee Infect, Marseille, France
关键词
Multi-drug resistant bacteria; challenges; epidemiological surveillance; decreased delay of detection; molecular biology; point-of-care; whole genome sequencing; DESORPTION IONIZATION-TIME; FLIGHT MASS-SPECTROMETRY; SPECTRUM-BETA-LACTAMASE; MALDI-TOF MS; CARBAPENEMASE-PRODUCING ENTEROBACTERIACEAE; URINARY-TRACT PATHOGENS; POSITIVE BLOOD CULTURES; TOOLS ARG-ANNOT; ANTIBIOTIC-RESISTANCE; KLEBSIELLA-PNEUMONIAE;
D O I
10.1080/14737159.2016.1244005
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Introduction: The dissemination of multi-drug resistant bacteria (MDRB) has become a major public health concern worldwide because of the increase in infections caused by MDRB, the difficulty in treating them, and expenditures in patient care.Areas covered: We have reviewed challenges and contemporary opportunities for rapidly confronting infections caused by MDRB in the 21st century, including surveillance, detection, identification of resistance mechanisms, and action steps.Expert commentary: In this context, the first critical point for clinical microbiologists is to be able to rapidly detect an abnormal event, an outbreak and/or the spread of a MDRB with surveillance tools so that healthcare policies and therapies adapted to a new stochastic event that will certainly occur again in the future can be implemented.
引用
收藏
页码:1163 / 1175
页数:13
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