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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Autor principal: Georgios D. Kitsios
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Lenguaje:EN
Publicado: American Society for Microbiology 2018
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Acceso en línea:https://doaj.org/article/2aca53aa734848e1bb258b471c0beb1b
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic intensive care unit
lung microbiome
metagenomics
next-generation sequencing
pneumonia
Microbiology
QR1-502
spellingShingle 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
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