Department of Pediatrics, Yale University, New Haven, CT, United States.
Department of Medicine, Harvey Cushing/John Hay Whitney Medical Library, New Haven, CT, United States.
Front Public Health. 2024 Apr 24;12:1360322. doi: 10.3389/fpubh.2024.1360322. eCollection 2024.
Point-of-Care Tests (POCTs) are utilized daily in resource abundant regions, however, are limited in the global south, particularly in the prehospital setting. Few studies exist on the use of non-malarial POCTs by Community Health Workers (CHWs). The purpose of this scoping review is to delineate the current diversity in and breadth of POCTs evaluated in the prehospital setting.
A medical subject heading (MeSH) analysis of known key articles was done by an experienced medical librarian and scoping searches were performed in each database to capture "point of care testing" and "community health workers." This review was guided by the PRISMA Extension for scoping reviews.
2735 publications were returned, 185 were nominated for full-text review, and 110 studies were confirmed to meet study criteria. Majority focused on malaria (74/110; 67%) or HIV (25/110; 23%); 9/110 (8%) described other tests administered. Results from this review demonstrate a broad geographic range with significant heterogeneity in terminology for local CHWs.
The use of new POCTs is on the rise and may improve early risk stratification in limited resource settings. Current evidence from decades of malaria POCTs can guide future implementation strategies.
在资源丰富的地区，即时检验（POCT）每天都在使用，但在全球南方，特别是在院前环境中，这种检验受到限制。社区卫生工作者（CHW）使用非疟疾 POCT 的研究很少。本范围综述的目的是阐明目前在院前环境中评估的 POCT 的多样性和广度。
一位经验丰富的医学图书馆员对已知关键文章进行了医学主题词（MeSH）分析，并在每个数据库中进行了范围搜索，以捕获“即时检验”和“社区卫生工作者”。本综述遵循 PRISMA 扩展用于范围综述的指导原则。
共返回 2735 篇出版物，提名进行全文审查的有 185 篇，110 项研究被确认为符合研究标准。大多数研究集中在疟疾（74/110；67%）或 HIV（25/110；23%）；9/110（8%）描述了其他进行的检验。本综述的结果表明，术语在当地 CHW 中存在广泛的地理差异和显著的异质性。
新的 POCT 的使用正在增加，并且可能改善资源有限环境中的早期风险分层。几十年来疟疾 POCT 的现有证据可以为未来的实施策略提供指导。
