疫情的教训:撒哈拉以南非洲传染病护理点检测选择分子诊断的新最佳实践。

IF 3.9 3区 医学 Q1 PATHOLOGY Expert Review of Molecular Diagnostics Pub Date : 2024-03-01 Epub Date: 2023-11-09 DOI:10.1080/14737159.2023.2277368
Mamadu Baldeh, Flavia K Bawa, Faiza U Bawah, Martin Chamai, Francis Dzabeng, Waleed M A Jebreel, Jean-Bertin B Kabuya, Shola K Molemodile Dele-Olowu, Erick Odoyo, Dimbintsoa Rakotomalala Robinson, Aubrey J Cunnington
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引用次数: 0

摘要

简介:护理点分子诊断为资源有限的环境中有限的诊断可用性和可访问性提供了解决方案。在新冠肺炎大流行期间,分子诊断成为准确检测和监测SARS-CoV-2的重要工具。对分子诊断的空前需求带来了挑战和催化创新,这可能为未来选择护理点分子诊断提供经验教训。涵盖的领域:我们从2020年1月至2023年8月搜索了PubMed,以确定从新冠肺炎大流行中吸取的教训,这可能会影响撒哈拉以南非洲未来使用的定点分子诊断的选择。我们在资源有限的环境下,根据合理的护理点诊断标准(实时连接;易于采集样本;价格合理;敏感;特定;用户友好;快速可靠;无设备;可在需要时交付给用户)对此进行了评估。专家意见:新冠肺炎大流行期间的诊断挑战和成功肯定了合理标准的重要性,但表明这些标准不足以确保新的诊断方法适用于公共卫生紧急情况。快速扩大诊断测试的能力以及分析、数据和技术的可转移性也很重要,从而更新REST-ASSURED标准。很少有诊断能够满足所有标准,标准之间的权衡需要根据具体情况进行。
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Lessons from the pandemic: new best practices in selecting molecular diagnostics for point-of-care testing of infectious diseases in sub-Saharan Africa.

Introduction: Point-of-care molecular diagnostics offer solutions to the limited diagnostic availability and accessibility in resource-limited settings. During the COVID-19 pandemic, molecular diagnostics became essential tools for accurate detection and monitoring of SARS-CoV-2. The unprecedented demand for molecular diagnostics presented challenges and catalyzed innovations which may provide lessons for the future selection of point-of-care molecular diagnostics.

Areas covered: We searched PubMed from January 2020 to August 2023 to identify lessons learned from the COVID-19 pandemic which may impact the selection of point-of-care molecular diagnostics for future use in sub-Saharan Africa. We evaluated this in the context of REASSURED criteria (Real-time connectivity; Ease of specimen collection; Affordable; Sensitive; Specific; User-friendly; Rapid and robust; Equipment free; and Deliverable to users at the point of need) for point-of-care diagnostics for resource-limited settings.

Expert opinion: The diagnostic challenges and successes during the COVID-19 pandemic affirmed the importance of the REASSURED criteria but demonstrated that these are not sufficient to ensure new diagnostics will be appropriate for public health emergencies. Capacity for rapid scale-up of diagnostic testing and transferability of assays, data, and technology are also important, resulting in updated REST-ASSURED criteria. Few diagnostics will meet all criteria, and trade-offs between criteria will need to be context-specific.

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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
71
审稿时长
1 months
期刊介绍: Expert Review of Molecular Diagnostics (ISSN 1473-7159) publishes expert reviews of the latest advancements in the field of molecular diagnostics including the detection and monitoring of the molecular causes of disease that are being translated into groundbreaking diagnostic and prognostic technologies to be used in the clinical diagnostic setting. Each issue of Expert Review of Molecular Diagnostics contains leading reviews on current and emerging topics relating to molecular diagnostics, subject to a rigorous peer review process; editorials discussing contentious issues in the field; diagnostic profiles featuring independent, expert evaluations of diagnostic tests; meeting reports of recent molecular diagnostics conferences and key paper evaluations featuring assessments of significant, recently published articles from specialists in molecular diagnostic therapy. Expert Review of Molecular Diagnostics provides the forum for reporting the critical advances being made in this ever-expanding field, as well as the major challenges ahead in their clinical implementation. The journal delivers this information in concise, at-a-glance article formats: invaluable to a time-constrained community.
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