Department of Pharmacy, Houston Methodist Hospital, Houston, Texas, USA.
Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
J Infect Dis. 2020 Jul 21;222(Suppl 2):S103-S109. doi: 10.1093/infdis/jiaa263.
Delayed administration of active anti-infective therapy is associated with increased rates of adverse events, mortality, and costs among sepsis patients. Inherent limitations of conventional culture identification methods and the lengthy turnaround time of antimicrobial susceptibility testing are significant barriers to the timely delivery of life-saving therapy, particularly among antibiotic-resistant infections. Culture-independent diagnostic techniques that detect pathogens and antimicrobial resistance genes within clinical samples present a tremendous benefit to timely diagnosis and management of patients. Improved outcomes for rapid intervention with rapid diagnostics have been documented and include decreased mortality rates, decreased health care delivery costs, and faster delivery of appropriate therapeutics.
延迟使用有效的抗感染治疗与脓毒症患者不良事件、死亡率和费用增加有关。传统的培养鉴定方法存在固有局限性,且抗菌药物敏感性检测的周转时间较长,这严重阻碍了救命治疗的及时提供,尤其是在抗生素耐药感染的情况下。能够在临床样本中检测病原体和抗菌药物耐药基因的非培养诊断技术为及时诊断和治疗患者带来了巨大的益处。快速诊断的快速干预已经记录了改善的结果,包括降低死亡率、降低医疗保健成本和更快地提供适当的治疗药物。