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综述:当前实验室和即时诊断性咽炎检测及知识空白

Review: Current Laboratory and Point-of-Care Pharyngitis Diagnostic Testing and Knowledge Gaps.

机构信息

Department of Pathology and Laboratory Medicine, Arkansas Children's Hospital, Little Rock, AR, USA.

Department of Pathology and Laboratory Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

出版信息

J Infect Dis. 2024 Oct 23;230(Supplement_3):S182-S189. doi: 10.1093/infdis/jiae415.

Abstract

Pharyngitis is an inflammatory condition of the pharynx and/or tonsils commonly seen in both children and adults. Viruses and bacteria represent the most common encountered etiologic agents-yeast/fungi and parasites are infrequently implicated. Some of these are predominantly observed in unique populations (eg, immunocompromised or unvaccinated individuals). This manuscript (part 2 of 3) summarizes the current state of laboratory and point-of-care diagnostic testing and highlights the expanding role of nucleic acid amplification in the expedited diagnosis and management of patients with acute pharyngitis. It discusses preanalytical, analytical, and postanalytical variables that impact the performance of culture, rapid antigen, and nucleic acid amplification testing. Finally, it sets the stage for part 3, which discusses the emerging role of biomarkers in the management of individuals with acute pharyngitis.

摘要

咽炎是一种常见于儿童和成人的咽部和/或扁桃体炎症。病毒和细菌是最常见的病因-酵母/真菌和寄生虫很少涉及。其中一些主要见于特定人群(例如,免疫功能低下或未接种疫苗的个体)。本手稿(共 3 部分中的第 2 部分)总结了目前实验室和即时诊断检测的状态,并强调了核酸扩增在加速诊断和管理急性咽炎患者方面的作用不断扩大。它讨论了影响培养、快速抗原和核酸扩增检测性能的分析前、分析中和分析后变量。最后,它为第 3 部分奠定了基础,该部分讨论了生物标志物在急性咽炎患者管理中的新兴作用。

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Review: Known, Emerging, and Remerging Pharyngitis Pathogens.综述:已知、新兴和再现的咽炎病原体。
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本文引用的文献

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Performance of a Molecular Test for Group A Streptococcus Pharyngitis.A 组链球菌咽峡炎分子检测的性能。
J Pediatric Infect Dis Soc. 2023 Feb 9;12(1):56-59. doi: 10.1093/jpids/piac115.
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Here to stay: rapid nucleic acid tests for group A streptococcus pharyngitis.持续存在:用于A组链球菌性咽炎的快速核酸检测
Clin Microbiol Infect. 2021 Dec;27(12):1718-1720. doi: 10.1016/j.cmi.2021.07.037. Epub 2021 Aug 4.

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