What's the Point? How Point-of-Care STI Tests Can Impact Infected Patients.
What's the Point? How Point-of-Care STI Tests Can Impact Infected Patients.
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DOI：
10.1097/poc.0b013e3181d2d8cc
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发表时间：
2010-03-01
期刊：
影响因子：
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通讯作者：
Gaydos CA
中科院分区：
文献类型：
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作者：
Huppert J;Hesse E;Gaydos CA
护理点（POC）测试是解决青少年和年轻人中性传播感染（STI）流行病的一项重要战略。虽然获得护理和保密是性传播感染护理的主要障碍，但POC测试允许临床医生提供即时和保密的测试结果和治疗。此外，POC测试结果构成了一个“可教的时刻”;也就是说，有机会向患者提供可能影响其风险行为的即时反馈。本文回顾了已发表的数据和制造商的产品文献，描述了当前的床旁STI测试，包括测试性能的研究以及对治疗间隔和疾病传播的影响。它提出了在临床环境，非传统环境和家庭护理场所实施POC测试的理论和建议的陷阱和解决方案。我们根据世界卫生组织（WHO）判断POC测试的标准：“保证”标准（负担得起，敏感，特异性，用户友好，快速和强大，无设备，交付）审查了可用的STI测试。
Point-of-care (POC) tests are an important strategy to address the epidemic of sexually transmitted infections (STIs) among both adolescents and young adults. While access to care and confidentiality are major barriers to STI care, POC tests allow the clinician to provide immediate and confidential test results and treatment. In addition, POC test results constitute a “teachable moment”; that is, an opportunity to provide immediate feedback to the patient that may impact his/her risk behaviors. This paper reviews published data and manufacturer’s product literature describing current point-of-care STI tests, including studies of test performance as well as impact on treatment intervals and disease spread. It presents theoretical and proposed pitfalls and solutions of implementing POC tests in clinical settings, non-traditional settings, and home care venues. We reviewed the available STI tests according to the World Health Organization (WHO) criteria for judging POC tests: the “ASSURRED” criteria (Affordable, Sensitive, Specific, User-friendly, Rapid and Robust, Equipment-free, Delivered).