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Routine molecular point-of-care testing for respiratory viruses in adults presenting to hospital with acute respiratory illness (ResPOC): a pragmatic, open-label, randomised controlled trial.常规分子即时检测在急性呼吸道疾病成人患者中的应用(ResPOC):一项实用、开放标签、随机对照试验。
Lancet Respir Med. 2017 May;5(5):401-411. doi: 10.1016/S2213-2600(17)30120-0. Epub 2017 Apr 6.
2
Impact of a Rapid Herpes Simplex Virus PCR Assay on Duration of Acyclovir Therapy.快速单纯疱疹病毒聚合酶链反应检测对阿昔洛韦治疗疗程的影响。
J Clin Microbiol. 2017 May;55(5):1557-1565. doi: 10.1128/JCM.02559-16. Epub 2017 Mar 8.
3
Interventions to improve antibiotic prescribing practices for hospital inpatients.改善医院住院患者抗生素处方行为的干预措施。
Cochrane Database Syst Rev. 2017 Feb 9;2(2):CD003543. doi: 10.1002/14651858.CD003543.pub4.
4
Use of a Molecular Panel To Aid in Diagnosis of Culture-Negative Meningitis.使用分子检测板辅助诊断培养阴性脑膜炎。
J Clin Microbiol. 2016 Dec;54(12):3069-3070. doi: 10.1128/JCM.01957-16. Epub 2016 Sep 28.
5
The Confounding Role of Antimicrobial Stewardship Programs in Understanding the Impact of Technology on Patient Care.抗菌药物管理计划在理解技术对患者护理影响方面的混杂作用。
J Clin Microbiol. 2016 Oct;54(10):2420-3. doi: 10.1128/JCM.01484-16. Epub 2016 Aug 17.
6
The First Fully Automated Molecular Diagnostic Panel for Meningitis and Encephalitis: How Well Does It Perform, and When Should It Be Used?首款用于脑膜炎和脑炎的全自动分子诊断检测板:其性能如何,何时应使用?
J Clin Microbiol. 2016 Sep;54(9):2222-4. doi: 10.1128/JCM.01255-16. Epub 2016 Jul 13.
7
Multicenter Evaluation of BioFire FilmArray Meningitis/Encephalitis Panel for Detection of Bacteria, Viruses, and Yeast in Cerebrospinal Fluid Specimens.BioFire FilmArray脑膜炎/脑炎检测板用于脑脊液标本中细菌、病毒和酵母菌检测的多中心评估
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8
Impact of Early Detection of Respiratory Viruses by Multiplex PCR Assay on Clinical Outcomes in Adult Patients.多重聚合酶链反应检测呼吸道病毒早期发现对成年患者临床结局的影响
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9
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10
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快速分子检测板:怎样做才最符合患者利益?对用于血流感染、呼吸道感染及神经系统感染的多重检测板的患者预后研究综述

Rapid Molecular Panels: What Is in the Best Interest of the Patient? A Review of Patient Outcome Studies for Multiplex Panels Used in Bloodstream, Respiratory, and Neurological Infections.

作者信息

Sullivan Kaede V

机构信息

Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Temple University Health System, Philadelphia, Pennsylvania.

出版信息

Clin Microbiol Newsl. 2017 Aug 15;39(16):125-129. doi: 10.1016/j.clinmicnews.2017.08.001. Epub 2017 Aug 9.

DOI:10.1016/j.clinmicnews.2017.08.001
PMID:32336853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7172105/
Abstract

In the clinical microbiology laboratory, the focus when choosing new tests is often on performance, turnaround time, and labor needs. This review examines available rapid, multiplexed tests from a different perspective: that of the patient. It considers whether published evidence supports the notion that use of rapid, on-demand tests (as opposed to batched testing) leads to better patient outcomes and whether broad, syndrome-based, multiplexed panels translate into better patient care than narrower monoplex or duplex assays. Finally, we examine how synergy between the clinical microbiology and antimicrobial stewardship programs is necessary to ensure that rapid tests, if implemented, impact the patients they are designed to support.

摘要

在临床微生物学实验室中,选择新检测方法时通常关注的是性能、周转时间和人力需求。本综述从不同角度审视了现有的快速、多重检测方法:患者角度。它探讨了已发表的证据是否支持以下观点,即使用快速、即时检测方法(与批量检测相对)能带来更好的患者预后,以及基于综合征的广泛多重检测组合是否比更窄的单重或双重检测方法能为患者提供更好的护理。最后,我们研究了临床微生物学与抗菌药物管理计划之间的协同作用如何必要,以确保如果实施快速检测,能对其旨在支持的患者产生影响。