Division of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Chest. 2018 Nov;154(5):1213-1222. doi: 10.1016/j.chest.2018.06.003. Epub 2018 Jun 14.
Viral pathogens are a common cause of severe lower respiratory tract infection in adults. Our ability to rapidly and accurately identify viral infections has dramatically improved as slow culture-based techniques have been largely replaced by multiplex high-throughput systems. Given these advances, reevaluation of the role of respiratory viral testing in adults presenting with lower respiratory tract infection is important. This article reviews the potential benefits of testing, provides an overview of the most commonly used diagnostic techniques, and considers whether current evidence supports routine testing.
病毒病原体是导致成人严重下呼吸道感染的常见原因。随着基于培养的缓慢技术在很大程度上被高通量多重检测系统所取代，我们快速准确识别病毒感染的能力得到了显著提高。鉴于这些进展，重新评估呼吸道病毒检测在出现下呼吸道感染的成人中的作用非常重要。本文综述了检测的潜在益处，概述了最常用的诊断技术，并考虑了当前证据是否支持常规检测。
