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适合结核病诊断的创新性COVID-19治疗点诊断:一个范围审查
Lydia M L Holtgrewe1, Sonal Jain1, Ralitza Dekova1
1Department of Infectious Diseases and Tropical Medicine, Heidelberg University Hospital and Faculty of Medicine, Heidelberg University, 69120 Heidelberg, Germany.
Journal of clinical medicine
|October 16, 2024
概括
适应COVID-19护理点测试用于结核病诊断是可行的. 这次审查确定了66种潜在适用于外围结核病检测的SARS-CoV-2诊断设备,为全球结核病倡议提供了新的途径.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 传染病研究 传染病研究
- 公共卫生 公共卫生
背景情况:
- 快速而准确的治疗点诊断对于解决全球结核病 (TB) 诊断差距至关重要.
- 在COVID-19诊断方面的进步为适应现有技术进行结核病检测提供了机会.
- 世界卫生组织 (WHO) 为理想的结核病诊断测试制定了目标产品概况 (TPP).
研究的目的:
- 系统地绘制商业上可用的POC SARS-CoV-2诊断测试,以潜在地适应结核病诊断.
- 评估这些测试与世卫组织TPP对外结核病测试设置的评估.
- 确定可用于全球结核病控制工作的有希望的诊断平台.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 搜索了多个数据库和网站,查找POC抗原和分子SARS-CoV-2诊断测试,直到2022年11月.
- 关于性能,运营特征和监管状况的数据被提取并使用标准化得分卡进行评估.
主要成果:
- 审查了2003年的报告,其中有408份符合资格标准.
- 66个商业化SARS-CoV-2设备被确定为可能适应结核病诊断.
- 获得最高分的平台包括LumiraDx (抗原),Lucira Check-It (POC分子),Visby (近POC分子) 和Idylla (低复杂分子).
结论:
- 商用SARS-CoV-2诊断测试的多种范围显示出适应外围结核病测试的潜力.
- 利用这些技术可以支持全球结核病倡议,并应对诊断挑战.
- 促进合作和探索新的商业途径是改善结核病诊断的关键.
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