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尿液聚合酶链反应检测：管理助手还是阻碍？

Urine polymerase chain reaction tests: stewardship helper or hinderance?

作者信息

Zering Jessica, Stohs Erica J

机构信息

Healthcare Associated Infections Program, Washington State Department of Health, Shoreline, WA, USA.

Division of Infectious Diseases, Department of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 Mar 6;4(1):e77. doi: 10.1017/ash.2024.71. eCollection 2024.

DOI:10.1017/ash.2024.71
PMID:38721490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11077600/
Abstract

Urine polymerase chain reaction is a laboratory test promoted to healthcare professionals working in long-term care facilities as a rapid diagnostic platform for urinary tract infection. Little is known about the place of this testing and its potential impact on antimicrobial stewardship programs. In this commentary, we review the currently available literature and provide recommendations for long-term care stewardship programs to consider.

摘要

尿聚合酶链反应是一种向长期护理机构的医护人员推广的实验室检测方法，作为尿路感染的快速诊断平台。关于这种检测方法的地位及其对抗菌药物管理计划的潜在影响，人们知之甚少。在这篇评论中，我们回顾了目前可用的文献，并为长期护理管理计划提供了可供考虑的建议。

相似文献

[1]
Urine polymerase chain reaction tests: stewardship helper or hinderance?

Antimicrob Steward Healthc Epidemiol. 2024-3-6

[2]
Applying Diagnostic Stewardship to Proactively Optimize the Management of Urinary Tract Infections.

Antibiotics (Basel). 2022-2-24

[3]
Antimicrobial stewardship in long term care facilities: what is effective?

Antimicrob Resist Infect Control. 2014-2-12

[4]
Advances in Diagnostic Testing that Impact Infection Prevention and Antimicrobial Stewardship Programs.

Curr Infect Dis Rep. 2019-5-1

[5]
Diagnostic stewardship programme for urine culture: impact on antimicrobial prescription in a multi-centre cohort.

J Hosp Infect. 2021-2

[6]
Variability in antifungal stewardship strategies among Society for Healthcare Epidemiology of America (SHEA) Research Network facilities.

Infect Control Hosp Epidemiol. 2020-5

[7]
Review of rapid diagnostic tests used by antimicrobial stewardship programs.

Clin Infect Dis. 2014-10-15

[8]
From bottle to bedside: Implementation considerations and antimicrobial stewardship considerations for bloodstream infection rapid diagnostic testing.

Pharmacotherapy. 2023-8

[9]
Antimicrobial stewardship in long-term care facilities in Belgium: a questionnaire-based survey of nursing homes to evaluate initiatives and future developments.

Antimicrob Resist Infect Control. 2016-3-8

[10]
Promoting appropriate urine culture management to improve health care outcomes and the accuracy of catheter-associated urinary tract infections.

Am J Infect Control. 2017-5-2

引用本文的文献

[1]
Multiplex Polymerase Chain Reaction vs Standard Urine Culture in Women Presenting with Symptoms of Acute Cystitis.

Int Urogynecol J. 2025-9-5

[2]
Rapid, Amplification-free, RNA-based Uropathogen Detection With LbuCas13a.

Open Forum Infect Dis. 2025-8-12

[3]
Polymicrobial urine cultures: reconciling contamination with the urobiome while recognizing the pathogens.

Front Cell Infect Microbiol. 2025-5-19

[4]
From Preliminary Urinalysis to Decision Support: Machine Learning for UTI Prediction in Real-World Laboratory Data.

J Pers Med. 2025-5-16

[5]
Decoding Urinary Tract Infection Trends: A 5-Year Snapshot from Central Portugal.

Clin Pract. 2025-1-6

[6]
Novel technologies for the diagnosis of urinary tract infections.

J Clin Microbiol. 2025-2-19

[7]
Rapid and accurate testing for urinary tract infection: new clothes for the emperor.

Clin Microbiol Rev. 2025-3-13

[8]
Use of Multiplex Molecular Panels to Diagnose Urinary Tract Infection in Older Adults.

JAMA Netw Open. 2024-11-4

本文引用的文献

[1]
The regulatory landscape of laboratory developed tests: Past, present, and a perspective on the future.

J Mass Spectrom Adv Clin Lab. 2023-2-23

[2]
Molecular Diagnostic Methods Versus Conventional Urine Culture for Diagnosis and Treatment of Urinary Tract Infection: A Systematic Review and Meta-analysis.

Eur Urol Open Sci. 2022-9-2

[3]
Antibiotics versus no treatment for asymptomatic bacteriuria in residents of aged care facilities: a systematic review and meta-analysis.

Br J Gen Pract. 2022-5-6

[4]
A New Gold Rush: A Review of Current and Developing Diagnostic Tools for Urinary Tract Infections.

Diagnostics (Basel). 2021-3-9

[5]
Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee.

J Am Med Dir Assoc. 2020-1

[6]
Multiplex PCR Based Urinary Tract Infection (UTI) Analysis Compared to Traditional Urine Culture in Identifying Significant Pathogens in Symptomatic Patients.

Urology. 2019-11-9

[7]
Interplay between Rapid Diagnostic Tests and Antimicrobial Stewardship Programs among Patients with Bloodstream and Other Severe Infections.

J Appl Lab Med. 2019-1

[8]
Screening for Asymptomatic Bacteriuria in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

JAMA. 2019-9-24

[9]
Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.

Clin Infect Dis. 2019-5-2

[10]
The Effect of Molecular Rapid Diagnostic Testing on Clinical Outcomes in Bloodstream Infections: A Systematic Review and Meta-analysis.

Clin Infect Dis. 2016-9-26

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