呼吸道病原体面板在门诊瘤学设置中的实用性
Emily W Gripp1, Bryan D Hess2, Adam F Binder3
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
概括
呼吸道病原体面板 (RPPs) 对呼吸道感染 (RTIs) 的门诊瘤患者具有有限的价值. 针对流感,RSV和SARS-CoV-2的向测试在临床上更相关和更有效.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 患有呼吸道感染 (RTIs) 的瘤学患者经常接受广泛的病毒检测.
- 呼吸道病原体面板 (RPP) 经常与流感和SARS-CoV-2测试一起使用.
- 目前在门诊环境中使用RPP缺乏强有力的支持证据,并且涉及不适.
研究的目的:
- 评估呼吸道病原体面板 (RPPs) 的临床实用性和影响,用于RTIs的门诊瘤患者.
- 评估抗生素和抗病毒管理中的RPP驱动的变化.
- 为优化诊断测试提供质量改进计划的信息.
主要方法:
- 在门诊瘤病患者中对183名RPP进行了回顾性图表审查,这些患者有RTI症状.
- 数据收集包括患者的人口统计,症状,测试结果,药物使用和结果.
- 用描述性统计数据来分析数据.
主要成果:
- 只有16.9%的RPP检测到呼吸道病毒.
- 只有1.6%的患者在药物管理 (抗生素或抗病毒药物) 中发生了RPP驱动的变化.
- 大多数抗生素和抗病毒决定是独立于RPP结果的.
结论:
- 呼吸道病原体面板对于呈现RTI症状的门诊瘤患者具有有限的临床实用性.
- 针对流感,RSV和SARS-CoV-2的向测试可能是一个更相关的诊断方法.
- 减少RPP利用可以提高效率和患者舒适度.
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