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Remote Laboratory Management: Respiratory Virus Diagnostics
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Diagnostics in a Forward Deployed Setting.

Brett Swierczewski1, Mark Simons2

  • 1Department of Enteric Diseases, Armed Forces Research Institute of Medical Sciences, 315/6 Rajvithi Road, Bangkok 10400, Thailand.

Military Medicine
|September 9, 2017
PubMed
Summary

Diagnosing enteric pathogens in military settings is challenging due to operational demands. New molecular methods offer improved traveler's diarrhea diagnostics, but field applicability requires further assessment.

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Military Medicine

Background:

  • Conventional and molecular diagnostic methods exist for enteric pathogens.
  • Forward-deployed military settings present unique challenges for diagnostic testing.
  • Traveler's diarrhea impacts both civilian and military populations.

Purpose of the Study:

  • To review current diagnostic methods for enteric pathogens in military settings.
  • To discuss the impact of the operational environment on diagnostic platform performance.
  • To explore the potential of new diagnostic technologies for traveler's diarrhea.

Main Methods:

  • Review of existing diagnostic techniques, including traditional microbiology and molecular methods.
  • Analysis of factors influencing test selection in deployed environments (turnaround time, cost, capabilities).
  • Consideration of recent advancements in multiplex molecular assays.

Main Results:

  • Diagnostic test choice is influenced by operational constraints and pathogen prevalence.
  • The military operational environment poses significant challenges to diagnostic accuracy and utility.
  • Advancements in molecular diagnostics present opportunities for improved traveler's diarrhea detection.

Conclusions:

  • New diagnostic platforms, particularly multiplex molecular methods, show promise for traveler's diarrhea.
  • Further evaluation is essential to confirm the field applicability of these advanced tests in deployed military settings.
  • Integrating new diagnostics with traditional methods can enhance etiological understanding.