The Potential Role of Clinical Metagenomics in Infectious Diseases: Therapeutic Perspectives.
Journal
Drugs
ISSN: 1179-1950
Titre abrégé: Drugs
Pays: New Zealand
ID NLM: 7600076
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
07
07
2021
pubmed:
31
7
2021
medline:
15
1
2022
entrez:
30
7
2021
Statut:
ppublish
Résumé
Clinical metagenomics (CMg) is the process of sequencing nucleic acid of clinical samples to obtain clinically relevant information such as the identification of microorganisms and their susceptibility to antimicrobials. Over the last decades, sequencing and bioinformatic solutions supporting CMg have much evolved and an increasing number of case reports and series covering various infectious diseases have been published. Metagenomics is a new approach to infectious disease diagnosis that is currently being developed and is certainly one of the most promising for the coming years. However, most CMg studies are retrospective, and few address the potential impact CMg could have on patient management, including initiation, adaptation, or cessation of antimicrobials. In this narrative review, we have discussed the potential role of CMg in bacteriology, virology, mycology, and parasitology. Several reports and case-series confirm that CMg is an innovative tool with which one can (i) identify more microorganisms than with conventional methods in a single test, (ii) obtain results within hours, and (iii) tailor the antimicrobial regimen of patients. However, the cost-efficiency of CMg and its real impact on patient management are still to be determined.
Identifiants
pubmed: 34328626
doi: 10.1007/s40265-021-01572-4
pii: 10.1007/s40265-021-01572-4
pmc: PMC8323086
doi:
Substances chimiques
Anti-Infective Agents
0
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1453-1466Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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