A Quality Management Approach to Implementing Point-of-Care Technologies for HIV Diagnosis and Monitoring in Sub-Saharan Africa.
A Quality Management Approach to Implementing Point-of-Care Technologies for HIV Diagnosis and Monitoring in Sub-Saharan Africa.
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DOI：
10.1155/2012/651927
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发表时间：
2012
影响因子：
2.2
通讯作者：
Reynolds SJ
中科院分区：
文献类型：
--
作者：
Shott JP;Galiwango RM;Reynolds SJ
近年来，人类免疫缺陷病毒（艾滋病毒）感染的快速诊断和临床监测技术取得了进展，极大地造福于撒哈拉以南非洲面临艾滋病毒感染风险的人、需要护理和治疗的人以及接受抗逆转录病毒疗法的人。然而，资源有限、地理位置偏远和气候恶劣的地区缺乏获得这些技术的统一途径。目前正在开发艾滋病毒快速诊断测试和监测工具，如CD4计数测试和合并感染测试，这些测试在这些情况下很有希望帮助患者护理。在这里，我们探讨了在便携式设备将实验室带到患者身边的时代，即时护理（POC）技术的进步。质量管理方法对于在地方性环境中成功实施POC检测以改善患者护理至关重要。
Technology advances in rapid diagnosis and clinical monitoring of human immunodeficiency virus (HIV) infection have been made in recent years, greatly benefiting those at risk of HIV infection, those needing care and treatment, and those on antiretroviral (ART) therapy in sub-Saharan Africa. However, resource-limited, geographically remote, and harsh climate regions lack uniform access to these technologies. HIV rapid diagnostic tests (RDTs) and monitoring tools, such as those for CD4 counts, as well as tests for coinfections, are being developed and have great promise in these settings to aid in patient care. Here we explore the advances in point-of-care (POC) technology in the era where portable devices are bringing the laboratory to the patient. Quality management approaches will be imperative for the successful implementation of POC testing in endemic settings to improve patient care.