Author: C Langelier; MS Zinter; K Kalantar; GA Yanik; S Christenson; B Odonovan; C White; M Wilson; A Sapru; CC Dvorak; S Miller; CY Chiu; JL DeRisi
Title: Metagenomic Sequencing Detects Respiratory Pathogens in Hematopoietic Cellular Transplant Patients Document date: 2017_1_24
ID: km0b1z64_3
Snippet: The limitations of current microbiologic tests drive excessive use of empiric broadspectrum antimicrobials, which potentiates the emergence of drug resistance and increases risk of Clostridium difficile infection (8) . In some situations, empiric regimens may lack activity against an underlying microbe, leading to treatment failure, disease progression, and consequent adverse outcomes (5, 9) . Furthermore, in transplant patients, concern for GVHD.....
Document: The limitations of current microbiologic tests drive excessive use of empiric broadspectrum antimicrobials, which potentiates the emergence of drug resistance and increases risk of Clostridium difficile infection (8) . In some situations, empiric regimens may lack activity against an underlying microbe, leading to treatment failure, disease progression, and consequent adverse outcomes (5, 9) . Furthermore, in transplant patients, concern for GVHD may compel clinicians to initiate empiric immunosuppressive agents that could inadvertently exacerbate disease in the presence of an unrecognized infection (10) .
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