Better Tests, Better Care: Improved Diagnostics for Infectious Diseases

被引：442

作者：

Caliendo, Angela M. ^{[1
]}

Gilbert, David N. ^{[2
,3
]}

Ginocchio, Christine C. ^{[4
,5
,6
]}

Hanson, Kimberly E. ^{[7
,8
]}

May, Larissa ^{[9
]}

Quinn, Thomas C. ^{[10
,11
]}

Tenover, Fred C. ^{[12
]}

Alland, David ^{[13
]}

Blaschke, Anne J. ^{[14
]}

Bonomo, Robert A. ^{[15
,16
,17
,18
]}

Carroll, Karen C. ^{[19
,20
]}

Ferraro, Mary Jane ^{[21
,22
]}

Hirschhorn, Lisa R. ^{[23
,24
]}

Joseph, W. Patrick ^{[25
,26
,27
,28
]}

Karchmer, Tobi ^{[29
]}

MacIntyre, Ann T. ^{[30
]}

Reller, L. Barth ^{[31
,32
]}

Jackson, Audrey F. ^{[33
]}

机构：

[1] Brown Univ, Dept Med, Alpert Med Sch, Providence, RI 02912 USA

[2] Providence Portland Med Ctr, Div Infect Dis, Portland, OR USA

[3] Oregon Hlth & Sci Univ, Dept Med, Portland, OR 97201 USA

[4] North Shore LIJ Labs, Div Infect Dis Diagnost, Lake Success, NY USA

[5] Hofstra North Shore LIJ Sch Med, Dept Pathol & Lab Med, Hempstead, NY USA

[6] Hofstra North Shore LIJ Sch Med, Dept Mol Med, Hempstead, NY USA

[7] Univ Utah, Dept Med, Salt Lake City, UT 84112 USA

[8] Univ Utah, Dept Pathol, Salt Lake City, UT USA

[9] George Washington Univ, Dept Emergency Med, Washington, DC USA

[10] NIAID, Div Intramural Res, NIH, Bethesda, MD 20892 USA

[11] Johns Hopkins Sch Med, Dept Med, Baltimore, MD USA

[12] Cepheid, Sunnyvale, CA USA

[13] Rutgers State Univ, Rutgers New Jersey Med Sch, Dept Med, Ctr Emerging Pathogens, Newark, NJ USA

[14] Univ Utah, Sch Med, Dept Pediat, Div Pediat Infect Dis, Salt Lake City, UT USA

[15] Louis Stokes Cleveland Dept Vet Affairs Med Ctr, Res Serv, Cleveland, OH USA

[16] Case Western Reserve Univ, Sch Med, Dept Med, Cleveland, OH 44106 USA

[17] Case Western Reserve Univ, Sch Med, Dept Pharmacol, Cleveland, OH 44106 USA

[18] Case Western Reserve Univ, Sch Med, Dept Mol Biol & Microbiol, Cleveland, OH 44106 USA

[19] Johns Hopkins Univ, Sch Med, Dept Pathol, Div Med Microbiol, Baltimore, MD 21205 USA

[20] Johns Hopkins Univ, Sch Med, Dept Med, Div Infect Dis, Baltimore, MD 21205 USA

[21] Harvard Univ, Sch Med, Dept Pathol, Boston, MA 02115 USA

[22] Harvard Univ, Sch Med, Dept Med, Boston, MA USA

[23] Harvard Univ, Sch Med, Dept Global Hlth & Social Med, Boston, MA USA

[24] JSI Res & Training Inst, Boston, MA USA

[25] Siemens Clin Lab, Berkeley, CA USA

[26] Genom Hlth, Redwood City, CA USA

[27] XDx Lab, San Francisco, CA USA

[28] Tethys Biosci, Emeryville, CA USA

[29] Becton Dickinson & Co, Sparks, MD USA

[30] Nova SE Univ, Dept Internal Med, Ft Lauderdale, FL 33314 USA

[31] Duke Univ, Sch Med, Dept Med, Durham, NC 27706 USA

[32] Duke Univ, Sch Med, Dept Pathol, Durham, NC 27706 USA

[33] Infect Dis Soc Amer, Arlington, VA 22209 USA

来源：

CLINICAL INFECTIOUS DISEASES | 2013年 / 57卷

关键词：

diagnostics; rapid diagnostics; point-of-care testing; molecular diagnostics; clinical microbiology; infectious diseases; DESORPTION IONIZATION-TIME; POLYMERASE-CHAIN-REACTION; FLIGHT MASS-SPECTROMETRY; BLOOD-STREAM INFECTIONS; VENTILATOR-ASSOCIATED PNEUMONIA; RESPIRATORY-TRACT INFECTIONS; CHLAMYDIA-TRACHOMATIS; RAPID INFLUENZA; MULTIPLEX PCR; ANTIMICROBIAL THERAPY;

D O I：

10.1093/cid/cit578

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

In this IDSA policy paper, we review the current diagnostic landscape, including unmet needs and emerging technologies, and assess the challenges to the development and clinical integration of improved tests. To fulfill the promise of emerging diagnostics, IDSA presents recommendations that address a host of identified barriers. Achieving these goals will require the engagement and coordination of a number of stakeholders, including Congress, funding and regulatory bodies, public health agencies, the diagnostics industry, healthcare systems, professional societies, and individual clinicians.

引用

页码：S139 / S170

页数：32

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