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[The TORCH study. A reevaluation]

L W Holtmon1, T W Hansen, E Holter

  • 1Barneklinikken, Rikshospitalet, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 30, 1994
PubMed
Summary
This summary is machine-generated.

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The TORCH panel, used for congenital infection screening, is often overused by pediatricians, leading to unnecessary work for labs with little diagnostic yield. A more targeted approach to diagnosing congenital infections is recommended.

Area of Science:

  • Medical Microbiology
  • Pediatrics
  • Infectious Diseases

Context:

  • The TORCH panel is a standard screening tool for congenital infections.
  • Pediatricians and trainees in a university department were evaluated for their use of the TORCH panel.
  • A retrospective chart review of 109 samples from 1987-1991 was conducted.

Purpose:

  • To evaluate the current utilization patterns of the TORCH panel by pediatricians and pediatric trainees.
  • To assess the diagnostic yield and appropriateness of TORCH panel testing in a clinical setting.
  • To identify areas for improvement in the diagnostic approach to congenital infections.

Summary:

  • Review of patient charts revealed limited information justifying the broad use of TORCH panels.
  • None of the 109 samples tested provided conclusive evidence of congenital infection.

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  • TORCH studies were frequently requested based on liberal indications, suggesting overuse.

    • Impact:

    • The current use of the TORCH panel generates significant workload for microbiology laboratories with minimal diagnostic return.
    • Findings suggest that the current approach to TORCH testing is inefficient.
    • A more focused and targeted strategy for diagnosing congenital infections is necessary to improve clinical utility and resource allocation.