RecruitingNCT06145841

Metagenomic Next-Generation Sequencing Guides Anti-Infection Strategies

Clinical Application of Metagenomic Next-Generation Sequencing-Guided Anti-Infection Strategies in AIDS Patients With Severe Pneumonia and/or Sepsis


Sponsor

Guangzhou 8th People's Hospital

Enrollment

400 participants

Start Date

Oct 23, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

This study aims to observe the effectiveness of clinical application in guiding anti-infection treatments in AIDS patients with severe pneumonia and/or sepsis using Metagenomic Next-Generation Sequencing-based technology in the real world


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria6

  • Confirmed HIV infection;
  • Progression to AIDS stage: CD4+ count \<200 cells/ul and/or occurrence of AIDS opportunistic infections;
  • Age between 18 and 65 years;
  • Meeting the diagnosis of severe pneumonia or septic shock:
  • The criteria for severe pneumonia diagnosis refer to the 2021 ATS (American Thoracic Society) and IDSA (Infectious Diseases Society of America) guidelines for the treatment of community-acquired pneumonia;
  • The criteria for septic shock refer to the Chinese Society of Critical Care Medicine's "Chinese Guidelines for the Emergency Treatment of Sepsis/Septic Shock (2018).

Exclusion Criteria6

  • Coexisting central nervous system lesions, severe liver disease, or cirrhosis;
  • Concurrent AIDS-related or unrelated tumors;
  • Women who are pregnant or breastfeeding;
  • Severe underlying diseases of the heart, lungs, liver, kidneys, etc.;
  • Alcohol abuse or drug use;
  • The researcher believes that the overall condition of the subject affects the evaluation and completion of the trial.

Interventions

DIAGNOSTIC_TESTPathogen metagenomic next-generation sequencing

In diagnosing patients with AIDS combined with severe pneumonia and/or sepsis, use pathogen metagenomics technology to detect peripheral blood specimens


Locations(1)

Linghua Li

Guangzhou, Guangdong, China

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NCT06145841


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