Effect of Culture-Independent Diagnostic Tests on Future Emerging Infections Program Surveillance

被引：42

作者：

Langley, Gayle ^{[1
]}

Besser, John ^{[1
]}

Iwamoto, Martha ^{[1
]}

Lessa, Fernanda C. ^{[1
]}

Cronquist, Alicia ^{[2
]}

Skoff, Tami H. ^{[1
]}

Chaves, Sandra ^{[1
]}

Boxrud, Dave ^{[3
]}

Pinner, Robert W. ^{[1
]}

Harrison, Lee H. ^{[4
]}

机构：

[1] Ctr Dis Control & Prevent, Atlanta, GA 30329 USA

[2] Colorado Dept Publ Hlth & Environm, Denver, CO USA

[3] Minnesota Dept Hlth, St Paul, MN USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

来源：

EMERGING INFECTIOUS DISEASES | 2015年 / 21卷 / 09期

关键词：

CLOSTRIDIUM-DIFFICILE INFECTION; UNITED-STATES; BORDETELLA-PERTUSSIS; METHICILLIN-RESISTANT; QUANTITATIVE PCR; WHOLE-BLOOD; BACTERIAL; ASSAY; GENE; SUSCEPTIBILITY;

D O I：

10.3201/eid2109.150570

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The Centers for Disease Control and Prevention Emerging Infections Program (EIP) network conducts population-based surveillance for pathogens of public health importance. Central to obtaining estimates of disease burden and tracking microbiological characteristics of these infections is accurate laboratory detection of pathogens. The use of culture-independent diagnostic tests (CIDTs) in clinical settings presents both opportunities and challenges to EIP surveillance. Because CIDTs offer better sensitivity than culture and are relatively easy to perform, their use could potentially improve estimates of disease burden. However, changes in clinical testing practices, use of tests with different sensitivities and specificities, and changes to case definitions make it challenging to monitor trends. Isolates are still needed for performing strain typing, antimicrobial resistance testing, and identifying other molecular characteristics of organisms. In this article, we outline current and future EIP activities to address issues associated with adoption of CIDTs, which may apply to other public health surveillance.

引用

收藏

页码：1582 / 1588

页数：7

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