Early diagnosis of lower respiratory tract infections (point-of-care tests)

Current Opinion in Pulmonary Medicine
Patrick G P Charles

Abstract

Respiratory tract infections are a common reason for prescribing antibiotics, although not all of these infections require such therapy. Rapid diagnosis of etiology using point-of-care tests is a potentially useful way of reducing prescriptions of both unnecessary and unnecessarily broad-spectrum antibiotics. This can also lead to the facilitation of appropriate infection control measures to prevent spread of respiratory viruses within institutions. Point-of-care tests are available for diagnosing influenza, respiratory syncytial virus, Streptococcus pneumoniae, and Legionella infections using easily obtainable specimens. Their main benefit is that results can be obtained in about 15 min with reasonable accuracy. In many situations, however, it is still important to confirm diagnosis with more accurate but slower tests such as bacterial cultures with antibacterial susceptibility testing or viral polymerase chain reaction testing. Although the sensitivities of many of the rapid diagnostic tests are moderate, when used at the time of initial consultation, they have the potential to reduce costs, length of stay, secondary spread of respiratory viruses, and inappropriate antibiotic prescribing.

References

Mar 1, 1995·Antimicrobial Agents and Chemotherapy·K V Clemons, D A Stevens
May 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M J CatalánJ C Bernaldo de Quirós
Feb 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C C John
Sep 4, 1997·The New England Journal of Medicine·J E Stout, V L Yu
Sep 4, 1998·BMJ : British Medical Journal·R WiseM Sprenger
Jun 1, 1999·The Journal of Antimicrobial Chemotherapy·I M Gould
Mar 4, 2000·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·D E NoyolaG J Demmler
Sep 15, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C B Hall
Feb 15, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J H RexJ E Edwards
Mar 7, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S F DowellY H Yang
May 30, 2001·Lancet·M A MarcosM T Jiménez de Anta
Jun 23, 2001·The New England Journal of Medicine·C B Hall
Jan 5, 2002·Current Opinion in Pharmacology·M G Ison, F G Hayden
Feb 7, 2002·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Deirdre L ChurchCam Donaldson
May 15, 2002·The Pediatric Infectious Disease Journal·William J RodriguezMary Margaret Thorne
May 15, 2002·Pathology·E Geoffrey Playford, Dominic E Dwyer
Jun 29, 2002·Journal of Clinical Microbiology·Marilyn S HamiltonKomandoor E Achyuthan
Jul 20, 2002·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·V SintchenkoD Dwyer
Jul 20, 2002·The Lancet Infectious Diseases·Javier Garau
Sep 20, 2002·Annals of Emergency Medicine·Mark I Neuman, Marvin B Harper
Nov 28, 2002·Archives of Pediatrics & Adolescent Medicine·Carrie L ByingtonAndrew T Pavia
Dec 25, 2002·Emerging Infectious Diseases·Kamilla D LettingaPeter Speelman
Jan 23, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Félix GutiérrezAlberto M Hidalgo
Jan 25, 2003·Current Opinion in Pediatrics·Gregory A Storch
Mar 1, 2003·The European Respiratory Journal·M A MarcosA Torres
Nov 19, 2003·Nihon rinsho. Japanese journal of clinical medicine·Keiko Mitamura, Chiharu Kawakami
Dec 31, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Beatriz RosónFrancesc Gudiol
May 6, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Brad SpellbergJohn E Edwards
Jul 10, 2004·Journal of Clinical Microbiology·Marilyn J Ohm-SmithBarbara L Haller
Jul 20, 2004·Journal of Medical Virology·William D RawlinsonIan W Carter
Aug 18, 2004·Diagnostic Microbiology and Infectious Disease·Wade K AldousJudy A Daly
Sep 15, 2004·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Xiaotian ZhengBen Z Katz
Nov 16, 2004·The Medical Journal of Australia·Patrick G P Charles, M Lindsay Grayson
Dec 23, 2004·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Tadashi IshidaMakiko Jinnai
Apr 26, 2005·Current Infectious Disease Reports·Constance T Pachucki

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Citations

Feb 5, 2011·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Yuan-Pin HungWen-Chien Ko
May 31, 2014·Revista española de geriatría y gerontología·Juan González Del CastilloJosé Barberán
Oct 4, 2008·Journal of Clinical Microbiology·Suzanne E DaleMarilyn A Menegus
Feb 20, 2010·International Journal of Occupational and Environmental Health·Marcelo Firpo PortoArmando Meyer
Apr 6, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Fred C Tenover
Sep 10, 2014·Scandinavian Journal of Infectious Diseases·Malin J SvenssonJan Albert
Jul 31, 2010·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·L Bissonnette, M G Bergeron
Apr 21, 2009·Analytical and Bioanalytical Chemistry·Jan Weile, Cornelius Knabbe
Dec 19, 2017·Expert Review of Molecular Diagnostics·Kerri BasileDominic E Dwyer
Jan 19, 2020·International Journal of Environmental Research and Public Health·Chien-Yu LinHsin Chi

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