A retrospective study of the detection of sepsis pathogens comparing blood culture and culture-independent digital PCR

被引:1
|
作者
Zhao, Zhijun [1 ,3 ]
Wang, Yixuan [2 ,3 ]
Kang, Yuting [3 ]
Wu, Geng [2 ]
He, Jing [4 ]
Wang, Zhanying [4 ]
Yang, Ju [4 ]
Wang, Yaqi [4 ]
Yang, Xiaojun [5 ]
Jia, Wei [1 ,3 ]
机构
[1] Ningxia Med Univ, Gen Hosp, Med Lab Ctr, Yinchuan, Peoples R China
[2] Ningxia Med Univ, Sch Clin Med, Yinchuan, Peoples R China
[3] Ningxia Key Lab Pathogen Microorganisms, Yinchuan, Peoples R China
[4] Rainsure Sci Co Ltd, Dept Res & Dev, Suzhou, Peoples R China
[5] Ningxia Med Univ, Dept Crit Care Med, Gen Hosp, Yinchuan, Peoples R China
关键词
Sepsis; Pathogens; DPCR; Blood culture; Antimicrobial therapy; WHOLE-BLOOD; DIAGNOSIS; MORTALITY; BACTERIAL; IDENTIFICATION; CONTAMINATION; INFECTIONS;
D O I
10.1016/j.heliyon.2024.e27523
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Fast and precise identification of microorganisms in the early diagnosis of sepsis is crucial for enhancing patient outcomes. Digital PCR (dPCR) is a highly sensitive approach for absolute quantification that can be utilized as a culture-independent molecular technique for diagnosing sepsis pathogens. We performed a retrospective investigation on 69 ICU patients suspected of sepsis. Our findings showed that a multiplex dPCR diagnostic kit outperformed blood culture in detecting the 15 most frequent bacteria that cause sepsis. Ninety-two bacterial strains were identified using dPCR at concentrations varying from 34 copies/mL to 105,800 copies/mL. The detection rate of dPCR was much greater than that of BC, with 27.53% (19/69) versus 73.91% (51/69). The sensitivity of dPCR was 63.2%. Our research indicated that dPCR outperforms blood culture in the early detection of sepsis-causing microorganisms. The diagnostic kit can detect a greater variety of pathogens with quantitative data, including polymicrobial infections, and has a quicker processing time. DPCR is a valuable technique that could aid in the proper management of sepsis.
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页数:10
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