Diagnostics for neonatal sepsis: current approaches and future directions

Progress has been made in the reduction of morbidity and mortality from neonatal sepsis. However, diagnosis continues to rely primarily on conventional microbiologic techniques, which can be inaccurate. The objective of this review is to provide the clinician with an overview of the current informat...

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Veröffentlicht in:Pediatric research 2017-10, Vol.82 (4), p.574-583
Hauptverfasser: Iroh Tam, Pui-Ying, Bendel, Catherine M
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Bendel, Catherine M
description Progress has been made in the reduction of morbidity and mortality from neonatal sepsis. However, diagnosis continues to rely primarily on conventional microbiologic techniques, which can be inaccurate. The objective of this review is to provide the clinician with an overview of the current information available on diagnosing this condition. We review currently available diagnostic approaches for documenting neonatal sepsis and also describe novel approaches for diagnosing infection in neonates who are under development and investigation. Substantial progress has been made with molecular approaches and further development of non-culture-based methods offer promise. The potential ability to incorporate antimicrobial resistance gene testing in addition to pathogen identification may provide a venue to incorporate a predominantly molecular platform into a larger program of neonatal care.
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692/699/255/3192
692/700/139
692/700/1720/3186
Bacteriological Techniques
Biomarkers - blood
Blood Cell Count
DNA, Bacterial - genetics
Gene Expression Profiling
Genetic Markers
Humans
Infant, Newborn
Medical diagnosis
Medicine
Medicine & Public Health
Molecular Diagnostic Techniques
Neonatal care
Neonatal Sepsis - blood
Neonatal Sepsis - diagnosis
Neonatal Sepsis - genetics
Neonatal Sepsis - microbiology
Pediatric Surgery
Pediatrics
Predictive Value of Tests
Prognosis
Reproducibility of Results
review
Sepsis
Time Factors
title Diagnostics for neonatal sepsis: current approaches and future directions
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