首页|宏基因组二代测序对肺部感染诊断价值的中国数据meta分析

宏基因组二代测序对肺部感染诊断价值的中国数据meta分析

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目的 系统评价宏基因组二代测序(mNGS)对肺部感染的诊断价值.方法 检索PubMed、Embase、Web of Science、the Cochrane Library、中国知网、万方、维普等数据库,检索时限均为建库至2022年5月30日,按照纳入及排除标准筛选文献,对纳入文献进行质量评价,采用Meta-Disc1.4、RevMan5.3、STATA 15.0软件进行统计学分析.结果 共纳入12篇文献,共计1 154例患者.Meta分析结果显示,合并敏感度为0.82[95%可信区间(95%CI)0.79~0.84,I2=89.1%],合并特异度为 0.73(95%CI 0.68~0.78,I2=85.4%).研究之间在敏感度和特异度方面的异质性较为显著.总受试者操作特征曲线(SROC)的曲线下面积(AUC)为0.850,Q指数为0.782.结论 mNGS在肺部感染临床应用中的诊断性能尚可.
Diagnostic value of metagenomics next-generation sequencing in pulmonary infection:A meta-analysis of Chinese data
Objective To systematically evaluate the diagnostic value of metagenomic next-generation sequencing(mNGS)for detecting pulmonary infection.Methods PubMed,Embase,Web of Science,the Co-chrane Library,CNKI,WanFang,VIP databases were searched for studies according to the criteria of inclusion and exclusion,enrolling literature recorded from database establishment to May 30,2022.Statistical analysis was performed by Meta-Disc1.4,RevMan5.3 and STATA15.0 software.Results A total of 12 relevant stud-ies were enrolled,including 1 154 patients.The results of meta-analysis showed that the pooled sensitivity was 0.82(95%CI 0.79-0.84,I 2=89.1%),and the pooled specificity was 0.73(95%CI 0.68-0.78,I2=85.4%).The heterogeneity in sensitivity and specificity between studies was significant.The area under the curve(AUC)of the total subject operating characteristic curve(SROC)was 0.850,and the Q index was 0.782.Conclusion The diagnostic performance of mNGS in the clinical application of lung infections is acceptable.

Metagenomic next-generation sequencingPulmonary infectionDiagnostic valueMeta-analysis

王洋、牛五层、张晓煜、张丽

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国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院深圳医院检验科,广东 深圳 518116

邯郸市第一医院核医学科,河北 邯郸 056000

宏基因组二代测序 肺部感染 诊断价值 荟萃分析

深圳市医疗卫生三名工程项目

SZSM202311002

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(6)
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