Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, 4650 Sunset Boulevard MS#32, Los Angeles, CA 90027, USA; University of Southern California, Keck School of Medicine.
Department of Pathology and Laboratory Medicine, Evanston Hospital, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA; University of Chicago Pritzker School of Medicine. Electronic address: https://twitter.com/e_mcelvania.
Clin Lab Med. 2020 Dec;40(4):393-420. doi: 10.1016/j.cll.2020.08.001. Epub 2020 Oct 1.
Syndromic panels have allowed clinical microbiology laboratories to rapidly identify bacteria, viruses, fungi, and parasites and are now fully integrated into the standard testing practices of many clinical laboratories. To maximize the benefit of syndromic testing, laboratories must implement strict measures to ensure that syndromic panels are being used responsibly. This article discusses commercially available syndromic panels, the benefits and limitations of testing, and how diagnostic and laboratory stewardship can be used to optimize testing and improve patient care while keeping costs at a minimum.
症候群检测 panels 已使得临床微生物学实验室能够快速识别细菌、病毒、真菌和寄生虫,并已完全整合到许多临床实验室的标准检测实践中。为了最大限度地发挥症候群检测的优势,实验室必须采取严格措施确保症候群检测 panels 的使用是负责任的。本文讨论了市售症候群检测 panels、检测的益处和局限性,以及如何利用诊断和实验室管理来优化检测,改善患者护理,同时将成本控制在最低水平。