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Value of metagenomic next-generation sequencing in prevention and control of nosocomial infectious diseases
Received:July 07, 2020  Revised:August 15, 2020  Click here to download the full text
Citation of this paper:LIN Jia-bing,GAO Xiao-dong,HU Bi-jie,CHEN Xiang.Value of metagenomic next-generation sequencing in prevention and control of nosocomial infectious diseases[J].Chinese Journal of Clinical Medicine,2020,27(4):554-558
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Author NameAffiliationE-mail
LIN Jia-bing Department of Hospital Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
GAO Xiao-dong Department of Hospital Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China gaoxd5@vip.sina.com 
HU Bi-jie Department of Hospital Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
hubijie@vip.sina.com 
CHEN Xiang Department of Hospital Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
Abstract:Objective: To explore the value of metagenomic next-generation sequencing (mNGS) in the prevention and control of nosocomial infectious diseases. Methods: Retrospectively analyzed the data of 5 patients with infectious diseases from January 1, 2018 to December 31, 2019 in Zhongshan Hospital, Fudan University. Compared the results of mNGS and routine microbial culture. Results: Among the 5 selected patients, routine microbial culture were all negative, while the mNGS detected Bacillus anthracis, Vibrio cholerae, Mycobacterium tuberculosis complex, Plasmodium vivax and Plasmodium falciparum, respectively. All the 5 patients were diagnosed with infectious diseases earlier by mNGS, and the control measures of nosocomial infection were adjusted according to the mNGS results. No new cases of nosocomial transmission were found within 30 days of follow-up. Conclusions: The mNGS plays an important role in the early identification and diagnosis of infectious diseases, and plays a good guiding effect for the early intervention of nosocomial infection prevention and control.
keywords:metagenomic next-generation sequencing  prevention and control of nosocomial infection  case series study
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