Novel methods for diagnosis of infection

  • Research type

    Research Study

  • Full title

    Improving diagnostic tests for sepsis and other infection and assessing the impact on patient management

  • IRAS ID

    268670

  • Contact name

    Nathaniel Storey

  • Contact email

    nathaniel.storey@gosh.nhs.uk

  • Sponsor organisation

    Great Ormond Street Hospital NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    18HLT03, EMPIR / EUROMET

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Sepsis affects ~30 million people a year causing 6 million deaths worldwide, more than bowel, breast and prostate cancer combined. Sepsis is the life-threatening condition that arises when the body’s immune system over reacts to an infection potentially resulting in multi-organ dysfunction or failure.Sepsis must be detected and treated within hours if high mortality is to be avoided. Yet today there are a
    lack of fast tests to diagnose and manage the condition. With each hour of delayed treatment associated with an additional 4% risk of death.Medical staff currently rely on numerous non-specific clinical signs to predict patient condition. Confusion associated with the accuracy and reproducibility of potential diagnostic solutions has led to variable hospital uptake. The main method for microbiological identification, blood culture, is simply not fast enough to guide initial sepsis treatment forcing physicians to guess which antibiotic to administer.
    Next generation diagnostic methodologies could deliver innovative, fast, near
    patient solutions to aid sepsis management. Yet they require support for robust
    evaluation to ensure they can meet regulatory needs and be rapidly translated to
    impact today’s sepsis patient. The solutions to many of these diagnostic challenges lies in better application of measurement science. Whether through supporting the development of rapid near patient tests or establishing a metrological framework dedicated to ensuring diagnostic accuracy, measurement science could have a crucial role in advancing sepsis diagnosis.This clinically focused research aims to develop rapid and accurate diagnostic tests for sepsis and other serious infections and facilitate their translation and application to provide the information to improve patient management.

  • REC name

    HSC REC B

  • REC reference

    19/NI/0186

  • Date of REC Opinion

    24 Sep 2019

  • REC opinion

    Favourable Opinion