Role of Rapid Diagnostics in Diagnosis and Management of Patients With Sepsis

J Infect Dis. 2020 Jul 21;222(Suppl 2):S103-S109. doi: 10.1093/infdis/jiaa263.

Abstract

Delayed administration of active anti-infective therapy is associated with increased rates of adverse events, mortality, and costs among sepsis patients. Inherent limitations of conventional culture identification methods and the lengthy turnaround time of antimicrobial susceptibility testing are significant barriers to the timely delivery of life-saving therapy, particularly among antibiotic-resistant infections. Culture-independent diagnostic techniques that detect pathogens and antimicrobial resistance genes within clinical samples present a tremendous benefit to timely diagnosis and management of patients. Improved outcomes for rapid intervention with rapid diagnostics have been documented and include decreased mortality rates, decreased health care delivery costs, and faster delivery of appropriate therapeutics.

Keywords: antimicrobial stewardship; rapid diagnostic testing; sepsis.

MeSH terms

  • Antimicrobial Stewardship
  • Humans
  • Microbial Sensitivity Tests
  • Molecular Diagnostic Techniques*
  • Polymerase Chain Reaction
  • Sepsis* / diagnosis
  • Sepsis* / drug therapy
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
  • Time Factors
  • Time-to-Treatment*