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August 29, 2026International Journal of Molecular SciencesOpen Access

Diagnosing Sepsis and Identifying Bacterial Resistance Genes Directly from Whole Blood Using a Rapid Real-Time PCR System

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Authors

SBSelbi BegmyradovaLÖLütfiye ÖksüzZAZerrin Aktaş

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Overview

Diagnostic study demonstrates rapid real-time PCR accurately detects pathogens and resistance genes in septic adults, suggesting a faster path to targeted antibiotic therapy.

Key Points

  • To evaluate the diagnostic accuracy of a rapid real-time PCR panel designed to detect 32 bacterial pathogens and common resistance genes directly from whole blood within four hours in patients with sepsis.
  • Enrolled 160 adult patients with sepsis and collected simultaneous whole-blood samples and automated blood cultures.
  • Tested blood samples using a rapid real-time PCR panel to identify 32 pathogens and resistance genes directly, comparing performance to standard automated blood culture systems.
  • Rapid real-time PCR demonstrated an overall agreement rate of 79.4% with blood culture results, achieving a sensitivity of 80.7% and a specificity of 99.0%.
  • Staphylococcus aureus, Klebsiella pneumoniae, and Escherichia coli were the most frequent isolates, while resistance genes were detected in 7.5% of cases, predominantly mecA, OXA-48, and CTX-M.

Cite This Study

Begmyradova et al. (2026) studied this question.

synapsesocial.com/papers/6a9299bb8e5d7d1fc0c11da1https://doi.org/10.3390/ijms27177669
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  1. 1Rapid and accurate sepsis diagnostics via a novel probe-based multiplex real-time PCR system2025 · 3 citations
  2. 2866: DETERMINING THE LIKELIHOOD OF BLOOD CULTURE POSITIVITY IN SEPSIS IN ONE HOUR USING SEPTICYTE RAPID2026
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  4. 4A-375 Fast-Track Sepsis Detection: Genes2Me *Sepsis-Q* Direct Blood Test for 32 Pathogens in 120 Minutes2025
  5. 5Diagnostic accuracy of rapid molecular tests for detecting antimicrobial resistance in bloodstream infections: a systematic review2026