医院感染常见病原体快速检测方法的研究进展

Progress of research on rapid detection of common species of pathogens causing nosocomial infection

  • 摘要: 病原微生物的分离培养仍是目前发现医院获得性感染最直接的证据,但相对较长的报告周期不能满足医院对获得性感染早期发现、早期干预的需求。随着分子生物学技术的兴起和发展,大量基于基因水平和蛋白水平的微生物快速诊断技术被迅速应用于临床微生物实验室。分子杂交技术、基因芯片技术等不仅可以大大减少结果报告时间,而且可以对菌株进行种属水平间差异的检测;基质辅助激光解吸电离飞行时间质谱技术的应用更是填补了蛋白组学在微生物领域中应用的空白;宏基因组二代测序技术也日渐成熟,目前已被成熟地应用于无菌体液等病原体的检测中。基于多位点序列分析技术的病原体同源性分析也被广泛应用于多项研究。本文仅对医院获得性感染微生物的快速诊断技术做一简要综述,以期为开发医院获得性感染病原体的快速检测技术提供借鉴和参考。

     

    Abstract: The conventional method depending on culture is known as the gold standard for microbial infection, but the long-time report cycle cannot meet the needs for early detection and early intervention. With the development of molecular biology, more and more rapid diagnostic technology based on gene and protein level are applied on the clinical microbiology laboratory. Molecular hybridization and gene chip technology can not only greatly reduce the reporting time, but also identify the differences between species. The application of matrix-assisted laser desorption ionization time-of-flight mass spectrometry( MALDI-TOF MS) filled the gap in detecting microbes on protein level. The next-generation sequencing technology has been widely used in the detection of pathogens in sterile body fluid. The homology analysis based on multilocus sequencing typing( MLST) has also been applied to many studies. This review aims to introduce the rapid diagnostic technique for nosocomial infection microbes so as to provide reference for develop rapid detection technology for pathogens causing hospital-acquired nosocomial infection.

     

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