Molecular antimicrobial susceptibility testing in sepsis

Author:

Martin-Loeches Ignacio12ORCID,Pereira João Gonçalves34,Teoh Tee Keat5,Barlow Gavin67,Dortet Laurent8910,Carrol Enitan D1112,Olgemöller Ulrike13,Boyd Sara E141516,Textoris Julien17

Affiliation:

1. Department of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St James' Hospital, D08 NHY1, Dublin, Ireland

2. Hospital Clinic, Institut D'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Universidad de Barcelona, Ciberes, 08036 Barcelona, Spain

3. Hospital Vila Franca de Xira, Portugal

4. Faculdade de Medicina da Universidade de Lisboa

5. Department of Clinical Microbiology, St James' Hospital, Dublin, Ireland

6. York Biomedical Research Institute, University of York and Hull York Medical School, UK

7. Hull University Teaching Hospitals NHS Trust, Hull, UK

8. Department of Bacteriology-Hygiene, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, France

9. INSERM UMR 1184, RESIST Unit, Paris-Saclay University, Le Kremlin-Bicêtre, France

10. French National Reference Center for Antimicrobial Resistance, France

11. University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Liverpool, UK

12. Alder Hey Children's Hospital, Department of Infectious Diseases, Liverpool, UK

13. Department of Cardiology and Pneumology, University of Goettingen, Goettingen, Germany

14. St George's University Hospital NHS Foundation Trust, London, UK

15. Antimicrobial Pharmacodynamics and Therapeutics, Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK

16. National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance, Imperial College London, London, UK

17. Medical Affairs, bioMérieux SA, Marcy l'Etoile, France

Abstract

Rapidly detecting and identifying pathogens is crucial for appropriate antimicrobial therapy in patients with sepsis. Conventional diagnostic methods have been a great asset to medicine, though they are time consuming and labor intensive. This work will enable healthcare professionals to understand the bacterial community better and enhance their diagnostic capacity by using novel molecular methods that make obtaining quicker, more precise results possible. The authors discuss and critically assess the merits and drawbacks of molecular testing and the added value of these tests, including the shift turnaround time, the implication for clinicians' decisions, gaps in knowledge, future research directions and novel insights or innovations. The field of antimicrobial molecular testing has seen several novel insights and innovations to improve the diagnosis and management of infectious diseases.

Publisher

Future Medicine Ltd

Subject

Microbiology (medical),Microbiology

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