尿液药物检测:服务模型和实验室实践,以满足临床护理需求
Cristiana Stefan1,2, Benjamin Jung1,3, Janet Zhou4,5
1Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Therapeutic drug monitoring
|February 23, 2026
概括
尿液药物检测 (UDT) 是检测药物暴露和监测治疗的重要实验室工具. 本综述详细介绍了分析前,分析后和分析后的步骤,以获得准确的UDT结果和解释.
科学领域:
- 临床化学 临床化学
- 毒理学 毒理学 毒理学
- 实验室医学 实验室医学
背景情况:
- 尿液药物检测 (UDT) 在医疗保健中对于识别药物暴露和支持患者护理至关重要.
- UDT具有多种应用,包括滥用物质的检测,治疗监测和识别有毒物质.
- 临床实验室必须根据护理环境和患者需求优化UDT服务模型.
研究的目的:
- 审查实施UDT的临床实验室的分析前,分析后和分析后考虑因素.
- 在UDT过程的每个阶段强调质量要求的重要性.
- 讨论分析方法的局限性,并确定需要改进的领域.
主要方法:
- 关于UDT实施和质量保证的综合文献审查.
- 对UDT的预分析,分析和后分析阶段的分析.
- 讨论当前的差距,机会和标准化建议.
主要成果:
- 准确的UDT依赖于在样本收集,测试和解释方面严格的质量控制.
- 不同的分析方法具有固有的局限性,影响结果.
- 标准化和质量提高对于可靠的UDT至关重要.
结论:
- 有效的UDT需要仔细注意所有测试阶段和方法特定的限制.
- 实验室应将UDT服务适应当地临床需求,并考虑新的测试方法.
- 更好地了解UDT的复杂性可以改善医疗保健提供者的临床解释.
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