Zhang Ye, Zhou Yun, Yang Yijia, Pappas Dimitri
Department of Chemistry and Biochemistry, Texas Tech University, Lubbock, TX, USA.
Analyst. 2021 Apr 7;146(7):2110-2125. doi: 10.1039/d0an02374d. Epub 2021 Mar 10.
Sepsis is a complex disorder of immune system response to infections that can be caused by a wide range of clinical contexts. Traditional methods for sepsis detection include molecular diagnosis, biomarkers either based on protein concentration or cell surface expression, and microbiological cultures. Development of point-of-care (POC) instruments, which can provide high accuracy and consume less time, is in unprecedented demand. Within the past few years, applications of microfluidic systems for sepsis detection have achieved excellent performance. In this review, we discuss the most recent microfluidic applications specifically in sepsis detection, and propose their advantages and disadvantages. We also present a comprehensive review of other traditional and current sepsis diagnosis methods to obtain a general understanding of the present conditions, which can hopefully direct the development of a new sepsis roadmap.
脓毒症是免疫系统对感染的一种复杂反应紊乱,可由多种临床情况引起。传统的脓毒症检测方法包括分子诊断、基于蛋白质浓度或细胞表面表达的生物标志物以及微生物培养。对能够提供高精度且耗时少的即时检测(POC)仪器的需求空前高涨。在过去几年中,微流控系统在脓毒症检测中的应用取得了优异的性能。在本综述中,我们讨论了微流控系统在脓毒症检测中的最新应用,并提出了它们的优缺点。我们还对其他传统和当前的脓毒症诊断方法进行了全面综述,以全面了解当前状况,有望为新的脓毒症研究路线图的制定提供指导。