Molecular and Mass Spectrometry Detection and Identification of Causative Agents of Bloodstream Infections

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_1ABBF674D970
Type
Partie de livre
Sous-type
Chapitre: chapitre ou section
Collection
Publications
Institution
Titre
Molecular and Mass Spectrometry Detection and Identification of Causative Agents of Bloodstream Infections
Titre du livre
Molecular Microbiology
Auteur⸱e⸱s
Opota Onya, Jaton Katia, Prod'hom Guy, Greub Gilbert
Editeur
American Society of Microbiology
Lieu d'édition
Washington, DC
Statut éditorial
Publié
Date de publication
2016
Editeur⸱rice scientifique
David Persing, Fred Tenover, Randall Hayden, Margareta Leven
Numéro de chapitre
26
Pages
336-361
Edition
3e édition
Langue
anglais
Résumé
Bloodstream infections (BSIs) are severe diseases associated with a high morbidity and mortality, which increases with the delay until administration of the first appropriate antibiotic (1–8). For this reason, empiric treatments made of broad-range anti-infectious compounds or made of a combination of antimicrobials are started immediately after the sampling of blood bottles. BSIs can be caused by various microorganisms. In the absence of microbiological documentation, physicians suspect a BSI on the basis of clinical symptoms, which trigger the start of empirical treatments. The clinical presentations are multiple and include fever or hypothermia, increases in heart rate, change in inflammatory variable (C-reactive protein, procalcitonin, and white blood cell count increase), and organ failure (2, 9). These symptoms are generally nonspecific and only suggest bloodstream dissemination. Empirical treatments are made of broad-spectrum antibiotics on the basis of the clinical and epidemiological data, but this does not exclude any risk of inappropriate initial treatment.
Mots-clé
Bloodstream infection, clinical microbiology, bacteriology, molecular diactostic, MALDI-TOF MS, PCR
Open Access
Oui
Création de la notice
12/01/2018 16:32
Dernière modification de la notice
21/08/2019 7:08
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