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Etiological dignostic value of metagenomic next-generation sequencing in spinal infection
Received:April 28, 2020  Revised:May 23, 2020  Click here to download the full text
Citation of this paper:JIN Wen-ting,LI Na,ZHOU Xiao-gang,ZHANG Yao,HUANG Ying-nan,SU Yi,YAO Yu-meng,MIAO Qing,MA Yu-yan,LI Bing,WANG Qing-qing,WANG Meng-ran,LUO Yu,CAI Si-shi,PAN Jue,HU Bi-jie.Etiological dignostic value of metagenomic next-generation sequencing in spinal infection[J].Chinese Journal of Clinical Medicine,2020,27(4):567-571
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Author NameAffiliationE-mail
JIN Wen-ting Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LI Na Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
ZHOU Xiao-gang Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
ZHANG Yao Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
HUANG Ying-nan Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SU Yi Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
YAO Yu-meng Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
MIAO Qing Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
MA Yu-yan Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LI Bing Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
WANG Qing-qing Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
WANG Meng-ran Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LUO Yu Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
CAI Si-shi Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
PAN Jue Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China pan.jue@zs-hospital.sh.cn 
HU Bi-jie Department of Infectious Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China hu.bijie@zs-hospital.sh.cn 
Abstract:Objective: To explore the value of metagenomic next-generation sequencing (mNGS) in the pathogen diagnosis of spinal infection. Methods: A retrospective analysis was performed in 24 hospitalized patients with spinal infection in Zhongshan Hospital, Fudan University from January 2018 to December 2019. Spinal tissues were detected by microbial culture method and mNGS. Results: The overall positive rate of mNGS was higher than that of culture method (62.5% vs 35.0%). The average detection time of mNGS was 36-48 h, significantly shorter than that of culture method (21.8 days). The main pathogens of spinal infection were Mycobacterium tuberculosis complex, Staphylococcus aureus, and Escherichia coli. Conclusions: The mNGS is effective in quick detection of spinal infection pathogens, which can provide important etiological basis for early precise treatment.
keywords:spinal infection  metagenomic next-generation sequencing  microbiological diagnosis
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