中华创伤骨科杂志2024,Vol.26Issue(12) :1094-1099.DOI:10.3760/cma.j.cn115530-20240328-00136

聚合酶链式反应与宏基因组学二代测序技术在创伤性骨感染诊断中的应用进展

Application of polymerase chain reaction and metagenomic next generation sequencing in diagnosis of traumatic bone infection

杨仲涛 张堃 任程 王超锋 许毅博 张聪明 刘德印 沈二栋 范茂强 马腾
中华创伤骨科杂志2024,Vol.26Issue(12) :1094-1099.DOI:10.3760/cma.j.cn115530-20240328-00136

聚合酶链式反应与宏基因组学二代测序技术在创伤性骨感染诊断中的应用进展

Application of polymerase chain reaction and metagenomic next generation sequencing in diagnosis of traumatic bone infection

杨仲涛 1张堃 2任程 2王超锋 2许毅博 2张聪明 2刘德印 2沈二栋 1范茂强 1马腾2
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作者信息

  • 1. 西安医学院研工部,西安 710068
  • 2. 西安交通大学附属红会医院骨创伤医院严重多发伤病区,西安 710054
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摘要

创伤相关性骨感染是创伤患者手术后严重的感染性疾病之一,具有发生率高、致病微生物复杂、治疗困难、预后差等特点.因此,如何在早期、准确地鉴定出致病微生物和相关抗菌药物的敏感性对手术成功及局部和全身抗生素支持治疗至关重要.传统的检测手段存在项目复杂、指标众多、速度慢、阳性率低、无法检测罕见致病微生物等缺点,因此急需更好的检测手段来确定骨感染的病原微生物.近年来,聚合酶链式反应(PCR)和宏基因组学二代测序(mNGS)技术因准确、快速、高效,且具有较传统培养更广泛的病原微生物检测范围等优势,已用于临床多种感染性疾病的诊断.PCR和mNGS技术也可以作为有效诊断创伤相关性骨感染的工具,本文就PCR和mNGS技术在创伤相关性骨感染诊断应用中的优势、不足、发展方向及指导意义进行综述.

Abstract

Trauma-associated bone infection is one of the most serious infectious diseases after surgery,characterized by high incidence,complex pathogenic microorganisms,therapeutic difficulty and poor prognosis.Therefore,early accurate identification of pathogenic microorganisms and sensitivity of related antibiotics is very important to the success of surgery as well as of local and systemic antibiotic support therapies.As traditional de-tection methods have such shortcomings as complex items,numerous indicators,slow speed,a low positive rate,and inability to detect rare pathogenic microorganisms,there is an urgent need for better detection methods to identify pathogenic microorganisms of bone infection.In recent years,polymerase chain reaction(PCR)and metagenomic next generation sequencing(mNGS)have been used in clinical diagnosis of a variety of infectious diseases because of their advantages in accuracy,speed,efficiency,and detection range of pathogenic microor-ganisms over traditional cultures.PCR and mNGS can also be used as effective tools to diagnose trauma-associated bone infection.This review explores the advantages,disadvantages,development trends and guiding significance of these two techniques in the diagnosis of trauma-associated bone infection.

关键词

骨疾病,感染性/创伤和损伤/诊断/聚合酶链反应/宏基因组学二代测序

Key words

Bone diseases,infectious/Wounds and injuries/Diagnosis/Polymerase chain re-action/Metagenomic next generation sequencing

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出版年

2024
中华创伤骨科杂志
中华医学会

中华创伤骨科杂志

CSTPCD北大核心
影响因子:1.579
ISSN:1671-7600
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