Nahmias A, Yolken R, Keyserling H
Adv Pediatr. 1985;32:507-25.
Pediatricians are likely to encounter a limited number of viruses causing a significant number of problems. Many of these infections, such as the common cold, do not currently require specific viral diagnosis. On the other hand, the rapid diagnosis of some viral infections has become clinically and epidemiologically more important as a result of improved understanding of viral transmissability and recent developments in preventive and therapeutic approaches. Concomitantly, several new diagnostic methods have been applied to many of these agents with increasing numbers of commercial kits. This double-edged sword of the predictably greater availability of means to obtain a rapid specific diagnosis of many viral infections, together with the various problems discussed here which can lead to erroneous management of patients, is becoming an important new challenge to the pediatrician.
儿科医生可能会遇到少数几种引发大量问题的病毒。目前,许多这类感染,如普通感冒,并不需要进行特定的病毒诊断。另一方面,由于对病毒传播性的认识有所提高以及预防和治疗方法的最新进展,某些病毒感染的快速诊断在临床和流行病学上变得更加重要。与此同时,随着商业试剂盒数量的增加,几种新的诊断方法已应用于许多此类病原体。能够更快速地对多种病毒感染进行特异性诊断的手段越来越容易获得,这把双刃剑,再加上这里讨论的可能导致对患者管理错误的各种问题,正成为儿科医生面临的一项重要新挑战。