T2Bacteria panel 与血液培养同时使用,有助于确定血流感染的病因。

IF 1.3 4区 医学 Q4 IMMUNOLOGY Acta microbiologica et immunologica Hungarica Pub Date : 2024-11-19 DOI:10.1556/030.2024.02417
Mislav Peras, Tomislav Kuliš, Ivana Mareković
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引用次数: 0

摘要

血流感染 (BSI) 会导致严重的发病率和死亡率,而延迟给予适当的抗菌治疗是导致不良后果的一个主要因素。T2磁共振(T2MR®)(T2 Biosystems®,美国马萨诸塞州列克星敦)是一项创新技术,能在3-5小时的极短时间内从全血样本中快速鉴定病原体。我们正在评估T2Bacteria Panel(T2BP)与标准血液培养(BC)相结合是否有助于血流感染的病原学诊断。研究在 2018 年 12 月至 2019 年 3 月期间进行,共纳入 28 例疑似 BSI 患者。我们的研究最显著的发现是,在诊断工作流程中将 T2BP 添加到 BC 中,与单独使用 BC 相比,疑似 BSI 患者的 T2BP 靶向细菌鉴定率明显更高(46.4% 对 7.1%,P = 0.001)。就诊断准确性而言,T2BP 的敏感性为 100.00%,特异性为 88.24%,阴性预测值 (NPV) 为 100%,阳性预测值 (PPV) 为 84.62%。我们的研究结果为微生物学家和临床医生了解这种分子方法及其在 BSI 常规诊断中的优势提供了宝贵的信息。
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T2Bacteria panel used simultaneously with blood cultures helps to determine the etiology of bloodstream infections.

Bloodstream infections (BSI) result in significant morbidity and mortality rates, and delayed administration of appropriate antimicrobial treatment is a major predictor of poor outcomes. T2 magnetic resonance (T2MR®) (T2 Biosystems®, Lexington, MA, USA) is an innovative technology that can rapidly identify pathogens from a sample of whole blood in a remarkably short time frame of 3-5 h. We are evaluating if the T2Bacteria Panel (T2BP) contributes to the etiological diagnosis of bloodstream infections when combined with standard blood cultures (BC). The study was performed between December 2018 and March 2019, and a total of 28 patients with suspected BSI were included. The most notable finding of our study was that the addition of T2BP to BC in a diagnostic workflow led to a statistically significant higher rate of T2BP-targeted bacteria identification in patients with suspected BSI (46.4% versus 7.1%, P = 0.001) when compared to BC alone. Considering the measures of diagnostic accuracy, T2BP showed 100.00% sensitivity, 88.24% specificity, 100% negative predictive value (NPV), and 84.62% positive predictive value (PPV). Our findings give valuable insights for microbiologists and clinicians into this molecular method and its advantages in routine diagnostics of BSI.

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来源期刊
CiteScore
2.30
自引率
13.30%
发文量
36
审稿时长
>12 weeks
期刊介绍: AMIH is devoted to the publication of research in all fields of medical microbiology (bacteriology, virology, parasitology, mycology); immunology of infectious diseases and study of the microbiome related to human diseases.
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