Dincer Can, Bruch Richard, Kling André, Dittrich Petra S, Urban Gerald A
University of Freiburg, Department of Microsystems Engineering (IMTEK), Laboratory for Sensors, Georges-Koehler-Allee 103, 79110 Freiburg, Germany; University of Freiburg, Freiburg Materials Research Center (FMF), Stefan-Meier-Straße 21, 79104 Freiburg, Germany.
University of Freiburg, Department of Microsystems Engineering (IMTEK), Laboratory for Sensors, Georges-Koehler-Allee 103, 79110 Freiburg, Germany.
Trends Biotechnol. 2017 Aug;35(8):728-742. doi: 10.1016/j.tibtech.2017.03.013. Epub 2017 Apr 26.
Multiplexed point-of-care testing (xPOCT), which is simultaneous on-site detection of different analytes from a single specimen, has recently gained increasing importance for clinical diagnostics, with emerging applications in resource-limited settings (such as in the developing world, in doctors' offices, or directly at home). Nevertheless, only single-analyte approaches are typically considered as the major paradigm in many reviews of point-of-care testing. Here, we comprehensively review the present diagnostic systems and techniques for xPOCT applications. Different multiplexing technologies (e.g., bead- or array-based systems) are considered along with their detection methods (e.g., electrochemical or optical). We also address the unmet needs and challenges of xPOCT. Finally, we critically summarize the in-field applicability and the future perspectives of the presented approaches.
多重即时检验(xPOCT)可对单个样本中的不同分析物进行同步现场检测,近年来在临床诊断中日益重要,在资源有限的环境(如发展中国家、医生办公室或直接在家中)有新的应用。然而,在许多即时检验的综述中,通常仅将单分析物方法视为主要范例。在此,我们全面综述了用于xPOCT应用的当前诊断系统和技术。考虑了不同的多重技术(如基于微珠或阵列的系统)及其检测方法(如电化学或光学方法)。我们还讨论了xPOCT未满足的需求和挑战。最后,我们批判性地总结了所介绍方法的现场适用性和未来前景。