Department of Laboratory Diagnostics, Children's Hospital Zagreb, Zagreb, Croatia.
Clinical Department of Laboratory Diagnostics, Clinical Hospital Center Rijeka, Rijeka, Croatia.
Biochem Med (Zagreb). 2022 Feb 15;32(1):010501. doi: 10.11613/BM.2022.010501.
The sweat test (ST) is a cornerstone in the diagnosis of cystic fibrosis (CF), together with newborn screening and genetic testing. However, the performance of the ST can depend on the operator's skill, so several international guidelines have been published to standardise the ST, but inconsistencies remain. The joint Working Group for ST Standardisation (WG STS) of the Croatian Society of Medical Biochemistry and Laboratory Medicine, in association with cistic fybrosis health professional and the Cistic Fibrosis Centre for Paediatrics and Adults, have issued National Guidelines for the Performance of the Sweat Test in order to ensure consistency in ST performance and accuracy of reported results. Many of the standards were taken from the 2nd Edition of the UK Guidelines for Performance of the ST for the Diagnosis of CF, while others were taken from independent consensus statements from the WG STS based on local ST equipment and practices. The standards cover every step of the ST, from the indications for testing to reporting of results and their interpretation, including the analytical phase and quality control. In addition, National Guidelines include appendices with practical examples in order to aid implementation of the recommendations in routine practice.
汗液测试(ST)是囊性纤维化(CF)诊断的基石之一,与新生儿筛查和基因检测一起使用。然而,ST 的性能可能取决于操作人员的技能,因此已经发布了几项国际指南来规范 ST,但仍然存在不一致之处。克罗地亚医学生物化学和实验室医学学会的 ST 标准化联合工作组(WG STS)与囊性纤维化健康专业人员和儿科与成人囊性纤维化中心合作,发布了汗液测试性能的国家指南,以确保 ST 性能的一致性和报告结果的准确性。许多标准取自英国 ST 用于 CF 诊断的性能第 2 版指南,而其他标准则取自 WG STS 根据当地 ST 设备和实践的独立共识声明。这些标准涵盖了 ST 的每一个步骤,从测试的适应症到结果的报告和解释,包括分析阶段和质量控制。此外,国家指南还包括附录,其中包含实际示例,以帮助在常规实践中实施建议。