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Same-day test helps doctors detect hidden infections in critically ill children - BBC News

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Willow sits in a chair in hospital cuddling a soft toy. She has a tube in her nose and is smiling

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Same-day metagenomic test helps doctors detect hidden infections in critically ill children

Überblick

A pioneering same-day metagenomic testing method has been used at Great Ormond Street Hospital (GOSH) to detect hidden, drug-resistant bacterial, viral, and fungal infections in critically ill children. The diagnostic technique sequences all genetic material in a sample, helping clinicians identify pathogens that standard tests miss and guiding precise antibiotic prescriptions. A study published in the Lancet Microbe evaluated the method on 122 children, showing it influenced prescribing decisions in a quarter of cases and detected 50 organisms missed by routine diagnostics. The technology is now being rolled out to around 30 intensive care units across the UK.

Wichtige Punkte

  • Great Ormond Street Hospital (GOSH) used same-day metagenomic testing on respiratory samples from over 100 critically ill children.
  • Metagenomic testing sequences all genetic material in a sample, allowing it to identify bacteria, viruses, and fungi without needing to target specific pathogens in advance.
  • The technology helped save the life of 10-year-old Willow Crowther by identifying a drug-resistant bacterial infection after traditional methods failed.
  • A study published in the Lancet Microbe found that the test influenced prescribing decisions in a quarter of cases.
  • The testing service is currently being rolled out to roughly 30 adult and paediatric intensive care units across the UK.
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