中国中西医结合急救杂志2025，Vol.32Issue(1)：43-47,5.DOI:10.3969/j.issn.1008-9691.2025.01.008
宏基因组二代测序对感染性疾病患儿的病原学诊断价值及临床特征分析
Pathogen diagnosis value of metagenomic next-generation sequencing and clinical characteristics in pediatric infectious diseases
摘要
Abstract
Objective To investigate the clinical value of metagenomic next-generation sequencing(mNGS)in the detection of pathogenic microorganisms in pediatric infectious diseases and to analyze the clinical characteristics of relevant cases.Methods A retrospective analysis was conducted on 30 pediatric patients who underwent mNGS pathogen detection in Hangzhou Red Cross Hospital from January 2023 to January 2024,along with 30 patients who did not undergo mNGS testing as the control group.Clinical information,including age,gender,hospital stay,symptoms and signs,routine blood tests,C-reactive protein(CRP),imaging findings,mNGS pathogen detection results,and patient outcomes,was collected.The differences between mNGS and conventional microbiological testing(CMT)results were compared,and the impact of mNGS testing on infection treatment and hospitalization duration was analyzed.Results Among the 30 patients who underwent mNGS testing,21 were male and 9 were female;with an age range of 1 year 5 months to 12 years 9 months,mean age:(7.15±3.13)years.The mNGS test identified 9 viruses,10 Gram-positive bacteria,5 Gram-negative bacteria,3 fungi,and 5 specific pathogens.Based on the test results,12 patients had their anti-infective treatment plans adjusted,with an average hospital stay of(10.63±3.15)days.In the control group,7 patients had their treatment plans adjusted,with an average hospital stay of(12.64±2.79)days.The average hospital stay was significantly shorter in the mNGS group compared to the control group(P<0.05).Conclusions The clinical symptoms and signs of pediatric infectious diseases often lack specificity,and CMT methods are suboptimal.mNGS exhibits high sensitivity for pathogen detection and demonstrates significant value in etiological diagnosis and therapeutic guidance when CMT fails to identify pathogens.However,interpretation of mNGS results requires integration with clinical presentations and other auxiliary diagnostic findings.关键词
感染性疾病/宏基因组二代测序/病原体Key words
Infectious diseases/Metagenomic next-generation sequencing/Pathogens引用本文复制引用
姜琦俊,詹璐,陈园园..宏基因组二代测序对感染性疾病患儿的病原学诊断价值及临床特征分析[J].中国中西医结合急救杂志,2025,32(1):43-47,5.基金项目
国家自然科学基金青年科学基金项目(82104236)National Natural Science Foundation of China,Youth Science Foundation Project(82104236) （82104236）
