期刊
EMERGENCY MEDICINE JOURNAL
卷 39, 期 1, 页码 70-76出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/emermed-2021-211814
关键词
COVID-19; diagnosis; emergency department; infectious diseases
资金
- COVID-19 National Diagnostic Research and Evaluation Platform
- National Institute for Health Research (NIHR)
- British Lung Foundation
- National Institute for Health Research Greater Manchester Applied Research Collaboration
- National Institute for Health Research
- Royal College of Emergency Medicine
- NIHR
- NIHR Newcastle In Vitro Diagnostics Co-operative
- NIHR Leeds In Vitro Diagnostics Co-operative (MIC)
- UK Research and Innovation
- Asthma UK
- Manchester University NHS Foundation Trust
Point-of-care tests for SARS-CoV-2 can quickly rule in or rule out COVID-19, aiding in rapid and accurate patient categorization and potentially reducing the risk of nosocomial transmission. Various technologies have different strengths and weaknesses that must be understood in order to maximize benefits for patients and the healthcare system.
Point-of-care tests for SARS-CoV-2 could enable rapid rule-in and/or rule-out of COVID-19, allowing rapid and accurate patient cohorting and potentially reducing the risk of nosocomial transmission. As COVID-19 begins to circulate with other more common respiratory viruses, there is a need for rapid diagnostics to help clinicians test for multiple potential causative organisms simultaneously. However, the different technologies available have strengths and weaknesses that must be understood to ensure that they are used to the benefit of the patient and healthcare system. Device performance is related to the deployed context, and the diagnostic characteristics may be affected by user experience. This practice review is written by members of the UK's COVID-19 National Diagnostic Research and Evaluation programme. We discuss relative merits and test characteristics of various commercially available technologies. We do not advocate for any given test, and our coverage of commercially supplied tests is not intended to be exhaustive.
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