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| ID | Type | Description | Link |
|---|---|---|---|
| 2022YFC2304700 | Other Grant/Funding Number | Ministry of Science and Technology |
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Infection post liver transplantation is an important factor in the death in patients. The traditional method of diagnosing infection post liver transplantation is laboratory tests. But the sensitivity and specificity of blood tests is poor. Next-generation sequencing (NGS) has greater detection rate for mycobacterium tuberculosis, anaerobes and fungi and greater sensitivity compare with blood tests. However use of NGS is limited because of the short read-length. Oxford nanopore adaptive sequencing (NAS) method is the Third Revolution in Sequencing Technology. For each 1 Gbp of data, NAS sequencing detected 45 times more microbiome sequences than Nanopore standard sequencing and 2.5 times more than Illumina sequencing. The purpose of this study is to compare NAS with NGS and laboratory tests for the diagnostic rate of infection post liver transplantation.
Based on the previous work, the investigators found that: 1. NAS has a higher microbial enrichment efficiency and can detect pathogenic information more quickly compared with nanopores normal sequencing (NNS); 2. NAS can detect more specific pathogen fragments with short-time sequencing; 3. NAS can cover more pathogenic genomes than NNS in a short-time; 4. NAS can detect antibiotic resistance information of pathogenic bacteria in clinical samples.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NAS group | In this group, the investigators will detect the number of pathogen in alveolar lavage fluid, blood and peritoneal drainage by using NAS. |
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| NGS group | In this group, the investigators will detect the number of pathogen in alveolar lavage fluid, blood and peritoneal drainage by using NGS. |
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| Lab Tests group | In this group, the investigators will detect the number of pathogen in alveolar lavage fluid, blood and peritoneal drainage by using laboratory tests. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NAS, NGS and Laboratory tests | Diagnostic Test | Using three diffrent detection methods and comparing their efficiency |
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| Measure | Description | Time Frame |
|---|---|---|
| Diagnosed infection post liver transplantation | Any pathogens are detected in alveolar lavage fluid, peritoneal drainage or blood before patients discharge from hospital, an average of 1 months | Post liver transplantation before patients discharge from hospital, an average of 1 months. |
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Inclusion Criteria:
Exclusion Criteria:
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Participants will be recruited randomly and if they violate the protocol or occur clinical adverse events, the investigators will ask them to withdraw from this study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| pusen Wang, Dr | Contact | 18621006138 | pusenwang@sjtu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Lin Zhong, Dr | Shenzhen Third People's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shenzhen Third People's Hospital | Shenzhen | Guangdong | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36259361 | Result | Cheng H, Sun Y, Yang Q, Deng M, Yu Z, Zhu G, Qu J, Liu L, Yang L, Xia Y. A rapid bacterial pathogen and antimicrobial resistance diagnosis workflow using Oxford nanopore adaptive sequencing method. Brief Bioinform. 2022 Nov 19;23(6):bbac453. doi: 10.1093/bib/bbac453. |
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