流感快筛
流感快速诊断测试（rapid influenza diagnostic test，简称RIDT）是针对流行性感冒的快速诊断测试[1]，是侦测流行性感冒病毒核蛋白抗原。一般用的流感快筛可以在三十分钟以内知道结果。结果会用颜色变化或是其他可以看到的讯息来表示[2][3]。对临床医师而言，流感快筛是第一线的测试，可以用其他传统诊断测试来确认（特别是阴性的情形）。流感快筛也可以让临床医师提早针对高危险族群进行抗病毒治疗、制定有效的感染控制措施、或是对诊断到的结果告知病患，以进行相关医疗决定[4][5]。已证实流感快筛可以减少胸腔的射线照相术，以及救护车上的血液检测，但对抗生素的处方或是在急诊部门的时间则没有改善[6]
根据研究，H1N1快筛测试的灵敏度66%, 代表伪阴性（有感染，但没有检测到）的比例是34%[7]。
相关条目[编辑]
参考资料[编辑]
- ^ 张家荣. 流感快篩檢驗的迷思. [2016-03-26]. （原始内容存档于2020-02-18）.
- ^ Vemula SV, Zhao J, Liu J, Wang X, Biswas S, Hewlett I. Current Approaches for Diagnosis of Influenza Virus Infections in Humans. Viruses. April 2016, 8 (4): 96. PMC 4848591
. PMID 27077877. doi:10.3390/v8040096 .
- ^ Rapid Influenza Diagnostic Tests | Seasonal Influenza (Flu) | CDC. www.cdc.gov. 2017-04-07 [2018-09-08].
- ^ Accuracy of Rapid Influenza Diagnostic Tests: A Meta Analysis. www.annals.org. 2012-04-03 [2018-11-01].
- ^ Chartrand C, Pai M. How accurate are rapid influenza diagnostic tests?. Expert Review of Anti-Infective Therapy. June 2012, 10 (6): 615–7. PMID 22734950. doi:10.1586/eri.12.49 .
- ^ Lee, Joseph J; Verbakel, Jan Y; Goyder, Clare R; Ananthakumar, Thanusha; Tan, Pui San; Turner, Phillip J; Hayward, Gail; Van den Bruel, Ann. The clinical utility of point-of-care tests for influenza in ambulatory care: A systematic review and meta-analysis. Clinical Infectious Diseases. 4 October 2018, 69 (1): 24–33. PMC 6579962 . PMID 30285232. doi:10.1093/cid/ciy837.
- ^ Louie JK, Guevara H, Boston E, Dahlke M, Nevarez M, Kong T, Schechter R, Glaser CA, Schnurr DP. Rapid influenza antigen test for diagnosis of pandemic (H1N1) 2009. Emerging Infectious Diseases. May 2010, 16 (5): 824–6. PMC 2954007 . PMID 20409373. doi:10.3201/eid1605.091797.
外部链接[编辑]
- Interim Guidance for the Detection of Novel Influenza A Virus Using Rapid Influenza Diagnostic Tests. H1N1 Flu. Centers for Disease Control and Prevention. 2009-08-10 [2009-11-23]. （原始内容存档于2021-03-22）.