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Near patient testing must improve patient care

机译:病人附近测试必须改善病人护理

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With the technological development, new possibilities emerge for near patient testing. Numerous kits and instruments are offered to primary care laboratories. Their use should, however, be determined by medical needs rather than by availability. The utility of a test in specific situation depends on its ability to contribute information, and on whether the test result enables the clinician to cross a diagnostic or therapeutic threshold. It has been shown that rapid diagnosis and treatment of group A beta haemolytic streptococcal (GAS) pharyngitis shorten the disease duration and clinical symptoms (1-3). In addition, the incidence of rheumatic fever, as well as suppurative complications, decreased after penicillin therapy (4, 5). Thus the premises for evaluation of a patient near test for Gas pharyngitis are present. An important question then emerges: Is a specific test with detection of antigen on group A beta-haemolytic streptococci better than other general tests for inflammation such as C-reactive protein (CRP), while blood cells counts (WBC), or erythrocyte sedimentation rate (ESR)? This questions is addressed by Hjortdahl and Melbye in the present issue [6].
机译:随着技术的发展,近距离患者测试出现了新的可能性。向初级保健实验室提供了许多工具包和仪器。但是,其使用应根据医疗需求而不是可用性来确定。在特定情况下进行测试的效用取决于其提供信息的能力,以及测试结果是否使临床医生能够跨越诊断或治疗阈值。研究表明,快速诊断和治疗A组溶血性链球菌(GAS)咽炎可缩短疾病持续时间和临床症状(1-3)。此外,在青霉素治疗后,风湿热以及化脓性并发症的发生率降低了(4,5)。因此,存在用于评估患者咽喉炎近期测试的前提。然后出现一个重要的问题:在A组β-溶血性链球菌上检测抗原的特异性检测是否优于其他一般的炎症检测,例如C反应蛋白(CRP),血细胞计数(WBC)或红细胞沉降率(ESR)? Hjortdahl和Melbye在本期中解决了这个问题[6]。

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