1. Metagenomic next-generation sequencing of plasma cell-free DNA improves the early diagnosis of suspected infections
- Author
-
Hui Zhang, Ruobing Liang, Yunzhu Zhu, Lifen Hu, Han Xia, Jiabin Li, and Ying Ye
- Subjects
Plasma cell-free DNA ,Metagenomic next-generation sequencing ,Early diagnosis ,Suspected infections ,Febrile illness ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Metagenomic next-generation sequencing (mNGS) could improve the diagnosed efficiency of pathogens in bloodstream infections or sepsis. Little is known about the clinical impact of mNGS test when used for the early diagnosis of suspected infections. Herein, our main objective was to assess the clinical efficacy of utilizing blood samples to perform mNGS for early diagnosis of suspected infections, as well as to evaluate its potential in guiding antimicrobial therapy decisions. Methods In this study, 212 adult hospitalized patients who underwent blood mNGS test in the early stage of suspected infections were enrolled. Diagnostic efficacy of mNGS test and blood culture was compared, and the clinical impact of mNGS on clinical care was analyzed. Results In our study, the total detection rate of blood mNGS was significantly higher than that of culture method (74.4% vs. 12.1%, P
- Published
- 2024
- Full Text
- View/download PDF