DNA, Bacterial

DNA, 细菌
  • 文章类型: Journal Article
    背景:无细胞核酸(cf-NA)代表了各种病理和生理状况的有希望的生物标志物。自1948年发现以来,cf-NAs在肿瘤学中获得了预后价值,免疫学,和其他相关领域。在腹膜透析(PD)中,通过暴露腹膜进行血液净化。相关章节:PD的并发症,如急性腹膜炎和腹膜老化通常是PD患者管理的关键。在这次审查中,我们专注于细菌DNA,无细胞DNA,线粒体DNA(mtDNA),microRNA(miRNA),以及它们作为监测PD及其并发症的生物标志物的潜在用途。例如,在早期急性腹膜炎中分离细菌DNA可以进行细菌鉴定和后续治疗.腹膜透析流出物(PDE)中的无细胞DNA代表急性和慢性PD并发症中腹膜压力的标志物。此外,miRNA是腹膜重塑和衰老的有希望的标志,甚至在它出现之前。在这种情况下,涉及多种细胞因子,mtDNA可以被认为对确定组织炎症同样有意义。
    结论:这篇综述探讨了CF-NA在PD中的相关性,证明了它在诊断和治疗方面的有希望的作用。在PD临床实践中使用cf-NAs需要进一步的研究。
    Cell-free nucleic acids (cf-NAs) represent a promising biomarker of various pathological and physiological conditions. Since its discovery in 1948, cf-NAs gained prognostic value in oncology, immunology, and other relevant fields. In peritoneal dialysis (PD), blood purification is performed by exposing the peritoneal membrane. Relevant sections: Complications of PD such as acute peritonitis and peritoneal membrane aging are often critical in PD patient management. In this review, we focused on bacterial DNA, cell-free DNA, mitochondrial DNA (mtDNA), microRNA (miRNA), and their potential uses as biomarkers for monitoring PD and its complications. For instance, the isolation of bacterial DNA in early acute peritonitis allows bacterial identification and subsequent therapy implementation. Cell-free DNA in peritoneal dialysis effluent (PDE) represents a marker of stress of the peritoneal membrane in both acute and chronic PD complications. Moreover, miRNA are promising hallmarks of peritoneal membrane remodeling and aging, even before its manifestation. In this scenario, with multiple cytokines involved, mtDNA could be considered equally meaningful to determine tissue inflammation.
    This review explores the relevance of cf-NAs in PD, demonstrating its promising role for both diagnosis and treatment. Further studies are necessary to implement the use of cf-NAs in PD clinical practice.
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  • 文章类型: Review
    在著名的个体之后从自然界中命名元素的做法可以追溯到远古时代。这种创建自人名衍生的地名术语的做法已被推广到原核命名法,其中,《国际原核生物命名法》(ICNP)规定了从人名创建科学名的准则。然而,这些指导方针可以被视为文化偏见,脱节,有时,误导。这里,为了使这些建议现代化,使它们更加用户友好,连贯和包容,我根据先例和关键的语言和文化原则回顾当前的实践,同时质疑名/姓范式对许多文化传统的适用性。程序性挑战包括个人姓名的罗马化(包括变音符号的处理),创造一个短而令人愉快的拉丁茎,将词干分配给变调和添加后缀或复合词成分,以创建属名或物种称谓,自定义以元音结尾的名称和词干的方法。我回顾了茎扩增的利弊,这涉及在原始词干上添加一个额外的\'i\'。接下来,我制定了一个连贯的工作流程,我将其合并到Python脚本中,以实现基于计算机的名称创建自动化。与其遵循ICNP,将讨论限制在几十个主要是欧洲名称,我研究了这些原则如何应用于科学家在PubMed数据库中发布的成千上万的姓氏,专注于传统方法失败的边缘情况,特别是非常短和非常长的名字。借鉴这些探索和分析,我建议对ICNP中目前提出的建议进行修正,以迎来现代的,一致,务实和全球包容的方法来创建原核地名。
    The practice of naming elements from the natural world after notable individuals stretches back to ancient times. This practice of creating eponyms-terms derived from personal names-has been carried forward into prokaryotic nomenclature, where the International Code of Nomenclature of Prokaryotes (ICNP) sets guidelines for creating scientific names from personal names. However, these guidelines can be seen as culturally biased, disjointed and, on occasion, misguided. Here, with the goal of modernizing these recommendations to render them more user-friendly, coherent and inclusive, I review current practice in the light of precedents and key linguistic and cultural principles, while questioning the applicability of the first-name/last-name paradigm for many cultural traditions. Procedural challenges include romanization of the personal name (including handling of diacritics), creation of a short and agreeable latinized stem, assignment of the stem to a declension and addition of suffixes or compound word components to create genus names or species epithets, customizing the approach for names and stems that end in a vowel. I review the pros and cons of stem augmentation, which involves addition of an extra \'i\' to the original stem. Next, I formulate a coherent workflow, which I incorporate into a Python script to enable computer-based automation of name creation. Rather than following the ICNP in limiting discussion to a few dozen mainly European names, I examine how these principles work out when applied to the tens of thousands of last names under which scientists publish in the PubMed database, focusing on edge cases where conventional approaches fail, particularly very short and very long names. Drawing on these explorations and analyses, I propose emendations to the advice currently presented in the ICNP to usher in a modern, consistent, pragmatic and globally inclusive approach to the creation of prokaryotic eponyms.
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  • 文章类型: Review
    胎盘微生物群的存在存在争议。人类胎盘历来被认为是无菌的,微生物定植与不良妊娠结局有关。然而,最近的DNA测序研究报道了典型的人类足月胎盘中的微生物群。然而,这种检测到的微生物群可能代表背景DNA或与递送相关的污染.使用15个公开可用的16SrRNA基因数据集,现有数据采用DADA2统一重新分析,以最大限度地提高可比性.虽然扩增子序列变异体(ASV)被鉴定为乳酸菌,一种典型的阴道细菌,在研究中非常丰富和普遍,在对足月剖宫产分娩的胎盘应用可能的DNA污染物去除后,这种患病率消失了.针对16SrRNA基因V4高变区的六项研究子分析表明,胎盘样品和技术对照的细菌谱共享主要的细菌ASV,并且胎盘样品主要通过研究来源和递送方式进行聚类。当代基于DNA的证据不支持胎盘微生物群的存在。重要性早期妊娠微生物对人类发育的影响尚不清楚。通过将DNA测序技术应用于胎盘组织,观察到细菌DNA信号,导致一些人得出结论,典型的足月妊娠中存在活的细菌胎盘微生物组。然而,所提出的微生物组的低生物量性质和当前DNA测序技术的高灵敏度表明,该信号可能可选地来自环境或递送相关的细菌DNA污染。在这里,我们通过重新分析来自15个公开可用的胎盘数据集的16SrRNA基因测序数据来解决这些替代方案。在对原始数据进行相同的DADA2流水线处理后,进行亚分析以控制递送方式和环境DNA污染.环境和分娩方式都深刻地影响了足月分娩胎盘的细菌DNA信号。除了这些与污染相关的信号,研究缺乏一致性。因此,足月分娩的胎盘不太可能是观察到的细菌DNA信号的原始来源。
    The existence of a placental microbiota is debated. The human placenta has historically been considered sterile and microbial colonization was associated with adverse pregnancy outcomes. Yet, recent DNA sequencing investigations reported a microbiota in typical human term placentas. However, this detected microbiota could represent background DNA or delivery-associated contamination. Using fifteen publicly available 16S rRNA gene datasets, existing data were uniformly re-analyzed with DADA2 to maximize comparability. While Amplicon Sequence Variants (ASVs) identified as Lactobacillus, a typical vaginal bacterium, were highly abundant and prevalent across studies, this prevalence disappeared after applying likely  DNA contaminant removal to placentas from term cesarean deliveries. A six-study sub-analysis targeting the 16S rRNA gene V4 hypervariable region demonstrated that bacterial profiles of placental samples and technical controls share principal bacterial ASVs and that placental samples clustered primarily by study origin and mode of delivery. Contemporary DNA-based evidence does not support the existence of a placental microbiota.ImportanceEarly-gestational microbial influences on human development are unclear. By applying DNA sequencing technologies to placental tissue, bacterial DNA signals were observed, leading some to conclude that a live bacterial placental microbiome exists in typical term pregnancy. However, the low-biomass nature of the proposed microbiome and high sensitivity of current DNA sequencing technologies indicate that the signal may alternatively derive from environmental or delivery-associated bacterial DNA contamination. Here we address these alternatives with a re-analysis of 16S rRNA gene sequencing data from 15 publicly available placental datasets. After identical DADA2 pipeline processing of the raw data, subanalyses were performed to control for mode of delivery and environmental DNA contamination. Both environment and mode of delivery profoundly influenced the bacterial DNA signal from term-delivered placentas. Aside from these contamination-associated signals, consistency was lacking across studies. Thus, placentas delivered at term are unlikely to be the original source of observed bacterial DNA signals.
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  • 文章类型: Systematic Review
    肠道菌群在婴儿健康和发育中起着重要作用。然而,母乳微生物群在婴儿肠道定植中的作用尚不清楚.进行了系统评价以评估母乳微生物群的组成和转移到婴儿肠道/定植的证据。使用PUBMED进行搜索,OVID,LILACS和PROQUEST从成立到2020年3月18日,发布更新到2021年12月。在最终批评之前,根据研究能力评估了88篇全文,避免样品污染,storage,净化过程,DNA提取/分析,并考虑孕产妇健康和其他潜在的混杂因素。皮肤污染的风险主要通过乳房清洁和拒绝第一滴牛奶来降低。样品存储,DNA提取和生物信息学各不相同。一些研究在可能选择性影响细菌DNA保存的条件下储存样品。其他人使用预培养降低可靠性。只有15项研究,具有可接受的样本量,处理,提取,和细菌分析,考虑将细菌转移给婴儿。三个报告了细菌从婴儿转移到母乳。尽管母乳微生物群的证据一致,以及最近使用改进方法调查影响其成分的因素的研究,很少有研究充分考虑了转移到婴儿肠道,很少有证据表明对肠道定植有有效影响。
    The intestinal microbiota plays a major role in infant health and development. However, the role of the breastmilk microbiota in infant gut colonisation remains unclear. A systematic review was performed to evaluate the composition of the breastmilk microbiota and evidence for transfer to/colonisation of the infant gut. Searches were performed using PUBMED, OVID, LILACS and PROQUEST from inception until 18th March 2020 with a PUBMED update to December 2021. 88 full texts were evaluated before final critique based on study power, sample contamination avoidance, storage, purification process, DNA extraction/analysis, and consideration of maternal health and other potential confounders. Risk of skin contamination was reduced mainly by breast cleaning and rejecting the first milk drops. Sample storage, DNA extraction and bioinformatics varied. Several studies stored samples under conditions that may selectively impact bacterial DNA preservation, others used preculture reducing reliability. Only 15 studies, with acceptable sample size, handling, extraction, and bacterial analysis, considered transfer of bacteria to the infant. Three reported bacterial transfer from infant to breastmilk. Despite consistent evidence for the breastmilk microbiota, and recent studies using improved methods to investigate factors affecting its composition, few studies adequately considered transfer to the infant gut providing very little evidence for effective impact on gut colonisation.
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  • 文章类型: Journal Article
    DNA重组修复系统是生物体维持基因组稳定性所必需的。近年来,我们提高了对RecBCD/AddAB家族介导的DNA双链断裂修复机制的认识.在大肠杆菌中,RecBCD发挥了核心作用,在枯草芽孢杆菌中,它是起作用的AddAB复合物。然而,有关于细菌DNA修复机制的公开问题。例如,含有交叉热点煽动者(Chi)位点的细菌如何调节蛋白质的活性。此外,我们仍然不知道RecB核酸酶或AddA核酸酶结构域将RecA加载到DNA上的确切过程。我们对工业上重要的生产细菌谷氨酸棒杆菌(C.谷氨酸)。因此,探索细菌中的DNA修复机制不仅可以加深我们对该物种DNA修复过程的理解,还可以指导我们靶向治疗与重组缺陷相关的疾病,比如癌症。在本文中,本文首先综述了经典的参与DNA重组修复的蛋白质RecBCD和AddAB,其次重点研究了在分枝杆菌属中发现的新型螺旋核酸酶AdnAB。
    DNA recombination repair systems are essential for organisms to maintain genomic stability. In recent years, we have improved our understanding of the mechanisms of RecBCD/AddAB family-mediated DNA double-strand break repair. In E. coli, it is RecBCD that plays a central role, and in Firmicute Bacillus subtilis it is the AddAB complex that functions. However, there are open questions about the mechanism of DNA repair in bacteria. For example, how bacteria containing crossover hotspot instigator (Chi) sites regulate the activity of proteins. In addition, we still do not know the exact process by which the RecB nuclease or AddA nuclease structural domains load RecA onto DNA. We also know little about the mechanism of DNA repair in the industrially important production bacterium Corynebacterium glutamicum (C. glutamicum). Therefore, exploring DNA repair mechanisms in bacteria may not only deepen our understanding of the DNA repair process in this species but also guide us in the targeted treatment of diseases associated with recombination defects, such as cancer. In this paper, we firstly review the classical proteins RecBCD and AddAB involved in DNA recombination repair, secondly focus on the novel helical nuclease AdnAB found in the genus Mycobacterium.
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  • 文章类型: Journal Article
    厌氧肠真菌(Neocallimastigomcota)的成员位于较大哺乳动物和某些爬行动物的瘤胃和消化道中,有袋动物和鸟类食草动物。在最近的十年中,所描述的Neocallimastigomcota属和种的数量显着增加。然而,与分离和维持新念珠菌菌株相关的困难使解决种间和种内关系的比较研究变得非常复杂。这里,我们提供了新食环菌分类学的最新大纲。我们批判性地评估各种形态学,微观和系统发育特征,以前和目前在新allimastigomcota分类学中使用,并为所有属的快速表征提供更新的密钥。然后我们从分类群描述手稿中合成数据,先前的比较工作和分子序列数据,以提供最新的新马甲属和物种列表,强调解决关系并确定最近和历史菌株之间的同义词。我们用作者收藏中菌株的信息和插图来补充已发表手稿的数据。20属36种被认定,但是盲肠属的10个物种的状况,Piromyces,由于无法获得培养物和供养物,厌氧酵母和Cyllamyces仍然不确定(参见)菌株,缺少序列数据,和/或可用的微观和表型数据不足。在Neocallimastix和Caecomyces属中发现了6例同义词,并且根据明显的错误分类拒绝了Piromyces属中的两个名称。
    Members of the anaerobic gut fungi (Neocallimastigomycota) reside in the rumen and alimentary tract of larger mammalian and some reptilian, marsupial and avian herbivores. The recent decade has witnessed a significant expansion in the number of described Neocallimastigomycota genera and species. However, the difficulties associated with the isolation and maintenance of Neocallimastigomycota strains has greatly complicated comparative studies to resolve inter- and intra-genus relationships. Here, we provide an updated outline of Neocallimastigomycota taxonomy. We critically evaluate various morphological, microscopic and phylogenetic traits previously and currently utilized in Neocallimastigomycota taxonomy, and provide an updated key for quick characterization of all genera. We then synthesize data from taxa description manuscripts, prior comparative efforts and molecular sequence data to present an updated list of Neocallimastigomycota genera and species, with an emphasis on resolving relationships and identifying synonymy between recent and historic strains. We supplement data from published manuscripts with information and illustrations from strains in the authors\' collections. Twenty genera and 36 species are recognized, but the status of 10 species in the genera Caecomyces, Piromyces, Anaeromyces and Cyllamyces remains uncertain due to the unavailability of culture and conferre (cf.) strains, lack of sequence data, and/or inadequacy of available microscopic and phenotypic data. Six cases of synonymy are identified in the genera Neocallimastix and Caecomyces, and two names in the genus Piromyces are rejected based on apparent misclassification.
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  • 文章类型: Case Reports
    Paenibacilli是克变量,内生孢子形成细菌,占据各种生态位。已知这些微生物偶尔在各种解剖部位感染人类。然而,在人类中,以及其他脊椎动物,病与菌种分离的关系.仍然知之甚少。我们在这里报告一例成年贵宾犬感染的病例。该动物肺部有结节和多灶性溶骨性骨扩张性骨病变。从骨头,通过培养回收溶淀粉芽孢杆菌,并通过MALDI-TOF质谱和16SrDNA测序进行鉴定;在肺和骨标本中观察到脓性肉芽肿性炎症。该微生物对克林霉素和亚胺培南具有抗性。用阿莫西林-克拉维酸治疗四个月导致该狗的疾病的临床消退。然而,应考虑更长时间的治疗,因为由于类芽孢杆菌孢子向营养细胞的转变,可能会发生复发性感染。以前在狗中没有报道过由类芽孢杆菌引起的疾病,我们的知识。
    Paenibacilli are gram-variable, endospore-forming bacteria that occupy various ecologic niches. These microorganisms have been known to infect humans occasionally at various anatomic sites. However, in humans, as well as in other vertebrate animals, the relationship between disease and isolation of Paenibacillus spp. remains poorly understood. We report here a case of infection in an adult Poodle dog. The animal had nodules in the lungs and multifocal osteolytic expansile bone lesions. From bone, Paenibacillus amylolyticus was recovered by culture and identified by MALDI-TOF mass spectroscopy and 16S rDNA sequencing; pyogranulomatous inflammation was observed in lung and bone specimens. The microorganism was resistant to clindamycin and imipenem. Four-month treatment with amoxicillin-clavulanate resulted in clinical resolution of disease in this dog. Nevertheless, therapy for more prolonged periods should be considered because recurrent infections can occur as a result of the transition of Paenibacillus spores to vegetative cells. Disease caused by a Paenibacillus species has not been reported previously in dogs, to our knowledge.
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  • 文章类型: Journal Article
    DNA条形码被认为是遗传继承代码,可作为识别标记来解决与识别有关的几个问题。分类,群落生态学,以及生物体某些功能性状的进化。线粒体细胞色素c氧化酶1(CO1)基因作为DNA条形码对于区分脊椎动物和无脊椎动物物种非常有效。同样,不同的特定标记用于其他生物,包括核糖二磷酸羧化酶(rbcL),成熟酶激酶(matK),转移RNA-H和光系统IID1-Apbs拟南芥(trnH-psbA),和植物物种的内部转录间隔区(ITS);16S核糖体RNA(16SrRNA),延伸因子Tu基因(Tuf基因),细菌菌株和伴侣蛋白;真菌菌株的核ITS。然而,参考序列的分类单元覆盖对于属或物种水平的鉴定而言远未完成。将下一代测序方法应用于DNA条形码序列的平行获取可以极大地扩展在生物多样性研究中的文库制备或准确鉴定的潜力。总的来说,这篇综述阐述了应用于不同生物的DNA条形码技术,其普遍性,适用性,以及处理基于DNA的物种鉴定的创新方法。
    DNA barcodes are regarded as hereditary succession codes that serve as a recognition marker to address several queries relating to the identification, classification, community ecology, and evolution of certain functional traits in organisms. The mitochondrial cytochrome c oxidase 1 (CO1) gene as a DNA barcode is highly efficient for discriminating vertebrate and invertebrate animal species. Similarly, different specific markers are used for other organisms, including ribulose bisphosphate carboxylase (rbcL), maturase kinase (matK), transfer RNA-H and photosystem II D1-ApbsArabidopsis thaliana (trnH-psbA), and internal transcribed spacer (ITS) for plant species; 16S ribosomal RNA (16S rRNA), elongation factor Tu gene (Tuf gene), and chaperonin for bacterial strains; and nuclear ITS for fungal strains. Nevertheless, the taxon coverage of reference sequences is far from complete for genus or species-level identification. Applying the next-generation sequencing approach to the parallel acquisition of DNA barcode sequences could greatly expand the potential for library preparation or accurate identification in biodiversity research. Overall, this review articulates on the DNA barcoding technology as applied to different organisms, its universality, applicability, and innovative approach to handling DNA-based species identification.
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  • 文章类型: Journal Article
    每年约有141万人死于结核病。根除结核病的主要问题之一是对各种抗生素的耐药性的发展。然而,当前检测电阻的努力面临挑战,如设备有限,预算,和时间。这项基于证据的综述研究了环介导的等温扩增,一种在发展中国家具有良好性能和适用性的替代分子诊断工具,并将其与Au-纳米探针联合用于检测结核病中的抗生素耐药性。文献检索是通过四个数据库(Proquest,EBSCOhost,Scopus,和Pubmed)有关环介导等温扩增和Au-纳米探针在检测结核病和结核病耐药性方面的有用文章。用纳入和排除标准过滤结果后,搜索产生了三篇论文,最好地回答了临床问题。环介导等温扩增扩增靶序列,和Au-纳米探针响应特异于目标突变体的DNA,产生可观察的颜色变化。环介导的等温扩增和Au-纳米探针在检测利福平和异烟肼抗性方面显示出100%的灵敏度和特异性。另一项研究调查了其检测结核病的可行性,发现98.2%的灵敏度和88.2%的特异性。结合环介导等温扩增和Au-Nanoprobe具有更短的时间来获得结果,并且还应该相对便宜,因为它不需要高温来工作并且需要更少的设备。总之,环介导等温扩增和Au-Nanoprobe可作为检测异烟肼和利福平耐药结核菌株的一种高效、准确的方法。这项新技术对发展中国家来说是有前途的,因为它们的疾病负担很高,但面临着一些医疗保健障碍。
    Approximately 1.41 million people die annually due to tuberculosis. One of the main problems in Tuberculosis eradication is the development of resistance to various antibiotics. However, current efforts to detect resistances face challenges such as limited equipment, budget, and time. This evidence-based review investigated loop-mediated isothermal amplification, an alternative molecular diagnostic tool with promising performance and applicability in developing countries, and its use combined with Au-Nanoprobe to detect antibiotic resistance in tuberculosis. The literature search was conducted through four databases (Proquest, EBSCOhost, Scopus, and Pubmed) for useful articles on loop-mediated isothermal amplification and Au-Nanoprobe in detecting tuberculosis and tuberculosis resistance. After filtering the result with inclusion and exclusion criteria, the search produced three papers that best answer the clinical question. Loop-mediated isothermal amplification amplifies a target sequence, and Au-Nanoprobe responds to the DNA specific to the target mutant, producing an observable color change. Loop-mediated isothermal amplification and Au-Nanoprobe showed 100% sensitivity and specificity in detecting rifampicin and isoniazid resistance. Another study investigated its viability to detect tuberculosis and found 98.2% sensitivity and 88.2% specificity. Combining loop-mediated isothermal amplification and Au-Nanoprobe had a shorter time to get results and should also be relatively cheaper because it does not need a high temperature to work and requires less equipment. In conclusion, loop-mediated isothermal amplification and Au-Nanoprobe can be used as an efficient and accurate method to detect isoniazid and rifampicin-resistant tuberculosis strains. The new technology is promising for developing countries due to their high disease burden but facing several healthcare barriers.
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  • 文章类型: Journal Article
    非结核分枝杆菌(NTM)感染与结核分枝杆菌(MTB)感染相似。NTM和MTB感染的早期临床识别和区分仍然是主要挑战。核酸扩增试验(NAAT)具有高效、快速检测病原体的能力,广泛应用于分枝杆菌感染。这项研究的目的是评估NAAT对NTM的诊断准确性。
    我们将通过PubMed搜索评估NAAT诊断NTM准确性的候选研究,Embase和Cochrane图书馆,直到2021年5月。将包括符合纳入标准的全文研究。在修订后的诊断准确性研究质量评估工具(QUADAS-2)之后,两名研究人员将独立评估研究质量。STATA软件(15.0版)将用于进行荟萃分析。当观察到异质性时,亚组分析和荟萃回归分析将用于探索异质性的来源.灵敏度分析将用于检查分析的稳健性。
    我们希望这项研究将为NTM的NAAT的早期和快速诊断提供有意义的证据。有助于指导NTM的治疗,改善患者的预后。
    Nontuberculous mycobacteria (NTM) infection is similar to Mycobacterium tuberculosis (MTB) infection. Early clinical identification and differentiation of NTM and MTB infections continues to be a major challenge. Nucleic acid amplification tests (NAATs) have the ability to efficiently and rapidly detect pathogens and are widely used in mycobacterial infections. The objective of this study is to estimate the diagnostic accuracy of NAATs for NTM.
    We will search candidate studies that assessing the accuracy of NAATs for diagnosis of NTM through PubMed, Embase and the Cochrane Library until May 2021. Studies with full text that meet the inclusion criteria will be included. Following a revised tool for Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2), two researchers will independently evaluate the study quality. The STATA software (version 15.0) will be used to carry out meta-analyses. When heterogeneity is observed, subgroup analyses and meta-regression analyses will be used to explore sources of heterogeneity. Sensitivity analyses will be used to check the robustness of analyses.
    We hope that this study will provide meaningful evidence for the early and rapid diagnosis of NAATs for NTM, which will help to guide the treatment of NTM and improve the prognosis of patients.
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