SeptAsTERS- SeptiCyte® RAPID as assessment tool for early recognition of sepsis - a prospective observational study.

IF 5.4 2区医学 Q1 INFECTIOUS DISEASES

Infection Pub Date : 2024-11-22 DOI:10.1007/s15010-024-02409-4

M von der Forst, L Back, K M Tourelle, D Gruneberg, M A Weigand, F C F Schmitt, Maximilian Dietrich

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引用次数: 0

Abstract

Purpose: Early recognition of sepsis is critical to patient outcome, with mortality increasing with every hour of delay in treatment. The aim of this study was to investigate the use of a point-of-care molecular host response assay to differentiate sepsis from inflammation after surgery.

Methods: Three molecular host response assays (SeptiCyte® RAPID) were performed in 61 patients after major abdominal surgery with admission to the intensive care unit and drawn blood cultures. The first (T0) was taken ± 3 h around the time of obtaining blood cultures, the second 24 h later (T24) and the third at discharge from the intensive care unit (Tex). The primary endpoint was the agreement of SeptiCyte® RAPID results with the diagnosis of sepsis. SeptiScore® indicates sepsis probability (low risk 0 - high risk 15). Patients were retrospectively classified into sepsis and inflammation by three blinded experts.

Results: 25 (42.4%) patients were categorized as "inflammation" and 34 (57.6%) patients as "sepsis". At T0 and T24 septic patients showed significantly higher mean SeptiScores® of 8.0 (± 2.2 SD) vs. 6.3 (± 2.1 SD) and 8.5 (± 2.1 SD) vs. 6.2 (± 1.8 SD), respectively. The Receiver Operating Curves (ROC) for the ability to discriminate between sepsis and inflammation had an Area Under the Curve (AUC) of 0.71 (T0) and 0.80 (T24).

Conclusion: Embedded in a comprehensive diagnostic algorithm molecular host response analysis could broaden the possibilities for infection diagnostics to differentiate between sepsis and inflammatory response after surgery. But validation in larger cohorts is needed.

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SeptAsTERS- SeptiCyte® RAPID作为早期识别败血症的评估工具--一项前瞻性观察研究。

目的：早期识别败血症对患者的预后至关重要，治疗每延迟一小时，死亡率就会增加一倍。本研究的目的是调查使用护理点分子宿主反应测定来区分败血症和术后炎症的情况：方法：对 61 名腹部大手术后入住重症监护室并抽血培养的患者进行了三次分子宿主反应测定（SeptiCyte® RAPID）。第一次检测（T0）在获得血液培养前后 3 小时内进行，第二次在 24 小时后进行（T24），第三次在从重症监护室出院时进行（Tex）。主要终点是SeptiCyte® RAPID结果与败血症诊断的一致性。SeptiScore® 表示脓毒症概率（低风险 0 - 高风险 15）。结果：25 名患者（42.4%）被归类为 "炎症"，34 名患者（57.6%）被归类为 "败血症"。在 T0 和 T24，败血症患者的平均 SeptiScores® 分别为 8.0 (± 2.2 SD) vs. 6.3 (± 2.1 SD) 和 8.5 (± 2.1 SD) vs. 6.2 (± 1.8 SD)，明显高于其他患者。区分败血症和炎症能力的接收者操作曲线（ROC）的曲线下面积（AUC）分别为0.71（T0）和0.80（T24）：结论：在综合诊断算法中加入分子宿主反应分析可拓宽感染诊断的可能性，以区分术后脓毒症和炎症反应。但还需要在更大的群体中进行验证。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infection 医学-传染病学

CiteScore

12.50

自引率

1.30%

发文量

224

审稿时长

6-12 weeks

期刊介绍： Infection is a journal dedicated to serving as a global forum for the presentation and discussion of clinically relevant information on infectious diseases. Its primary goal is to engage readers and contributors from various regions around the world in the exchange of knowledge about the etiology, pathogenesis, diagnosis, and treatment of infectious diseases, both in outpatient and inpatient settings. The journal covers a wide range of topics, including: Etiology: The study of the causes of infectious diseases. Pathogenesis: The process by which an infectious agent causes disease. Diagnosis: The methods and techniques used to identify infectious diseases. Treatment: The medical interventions and strategies employed to treat infectious diseases. Public Health: Issues of local, regional, or international significance related to infectious diseases, including prevention, control, and management strategies. Hospital Epidemiology: The study of the spread of infectious diseases within healthcare settings and the measures to prevent nosocomial infections. In addition to these, Infection also includes a specialized "Images" section, which focuses on high-quality visual content, such as images, photographs, and microscopic slides, accompanied by brief abstracts. This section is designed to highlight the clinical and diagnostic value of visual aids in the field of infectious diseases, as many conditions present with characteristic clinical signs that can be diagnosed through inspection, and imaging and microscopy are crucial for accurate diagnosis. The journal's comprehensive approach ensures that it remains a valuable resource for healthcare professionals and researchers in the field of infectious diseases.