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J Clin Microbiol. 2019 Jun 25;57(7). pii: e00425-19. doi: 10.1128/JCM.00425-19. Print 2019 Jul.

Diagnosing and Managing Sepsis by Probing the Host Response to Infection: Advances, Opportunities, and Challenges.

Author information

1
Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA igunsolus@mcw.edu.
2
Inflammatix Inc., Burlingame, California, USA.
3
Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Abstract

Sepsis is a major source of mortality and morbidity globally. Accurately diagnosing sepsis remains challenging due to the heterogeneous nature of the disease, and delays in diagnosis and intervention contribute to high mortality rates. Measuring the host response to infection enables more rapid diagnosis of sepsis than is possible through direct detection of the causative pathogen, and recent advances in host response diagnostics and prognostics hold promise for improving outcomes. The current review discusses recent advances in the technologies used to probe the host response to infection, particularly those based on transcriptomics. These are discussed in the context of contemporary approaches to diagnosing and prognosing sepsis, and recommendations are made for successful development and validation of host response technologies.

KEYWORDS:

bacteremia; host response; molecular diagnostics; sepsis; viremia

PMID:
31043466
PMCID:
PMC6595443
[Available on 2019-12-25]
DOI:
10.1128/JCM.00425-19

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