Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective
ABSTRACT Severe bacterial pneumonia is a major global cause of morbidity and mortality, yet current diagnostic approaches rely on identification of causative pathogens by cultures, which require extended incubation periods and often fail to detect relevant pathogens. Consequently, patients are presc...
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American Society for Microbiology
2018
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oai:doaj.org-article:2aca53aa734848e1bb258b471c0beb1b2021-12-02T18:15:47ZTranslating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective10.1128/mSystems.00153-172379-5077https://doaj.org/article/2aca53aa734848e1bb258b471c0beb1b2018-04-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSystems.00153-17https://doaj.org/toc/2379-5077ABSTRACT Severe bacterial pneumonia is a major global cause of morbidity and mortality, yet current diagnostic approaches rely on identification of causative pathogens by cultures, which require extended incubation periods and often fail to detect relevant pathogens. Consequently, patients are prescribed broad-spectrum antibiotics in a “one-size-fits-all” manner, which may be inappropriate for their individual needs and promote antibiotic resistance. My research focuses on leveraging next-generation sequencing of microbial DNA directly from patient samples for the development of new, culture-independent definitions of pneumonia. In this perspective article, I discuss the current state of the field and focus on the conceptual and research design challenges for clinical translation. With ongoing technological advancements and application of computational biology methods for assessing clinical validity and utility, I anticipate that sequencing-based diagnostics will soon be able to positively disrupt the way we think about, diagnose, and treat pulmonary infections.Georgios D. KitsiosAmerican Society for Microbiologyarticleintensive care unitlung microbiomemetagenomicsnext-generation sequencingpneumoniaMicrobiologyQR1-502ENmSystems, Vol 3, Iss 2 (2018) |
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intensive care unit lung microbiome metagenomics next-generation sequencing pneumonia Microbiology QR1-502 |
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intensive care unit lung microbiome metagenomics next-generation sequencing pneumonia Microbiology QR1-502 Georgios D. Kitsios Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
description |
ABSTRACT Severe bacterial pneumonia is a major global cause of morbidity and mortality, yet current diagnostic approaches rely on identification of causative pathogens by cultures, which require extended incubation periods and often fail to detect relevant pathogens. Consequently, patients are prescribed broad-spectrum antibiotics in a “one-size-fits-all” manner, which may be inappropriate for their individual needs and promote antibiotic resistance. My research focuses on leveraging next-generation sequencing of microbial DNA directly from patient samples for the development of new, culture-independent definitions of pneumonia. In this perspective article, I discuss the current state of the field and focus on the conceptual and research design challenges for clinical translation. With ongoing technological advancements and application of computational biology methods for assessing clinical validity and utility, I anticipate that sequencing-based diagnostics will soon be able to positively disrupt the way we think about, diagnose, and treat pulmonary infections. |
format |
article |
author |
Georgios D. Kitsios |
author_facet |
Georgios D. Kitsios |
author_sort |
Georgios D. Kitsios |
title |
Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
title_short |
Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
title_full |
Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
title_fullStr |
Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
title_full_unstemmed |
Translating Lung Microbiome Profiles into the Next-Generation Diagnostic Gold Standard for Pneumonia: a Clinical Investigator’s Perspective |
title_sort |
translating lung microbiome profiles into the next-generation diagnostic gold standard for pneumonia: a clinical investigator’s perspective |
publisher |
American Society for Microbiology |
publishDate |
2018 |
url |
https://doaj.org/article/2aca53aa734848e1bb258b471c0beb1b |
work_keys_str_mv |
AT georgiosdkitsios translatinglungmicrobiomeprofilesintothenextgenerationdiagnosticgoldstandardforpneumoniaaclinicalinvestigatorsperspective |
_version_ |
1718378323923435520 |