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Clinical Applications of Point-of-Care Testing in Different Conditions.

Authors :
Sumita NM
Ferreira CES
Martino MDV
Franca CN
Faulhaber ACL
Scartezini M
Pinho JRR
Dias CM
Cesar KR
Pariz VM
Guerra JCC
Barbosa IV
Faulhaber MHW
Batista MC
Andriolo A
Mendes ME
Machado AMO
Colombini MP
Slhessarenko N
Shcolnik W
Khawali C
Campana GA
Berlitz F
Galoro CA
Source :
Clinical laboratory [Clin Lab] 2018 Jul 01; Vol. 64 (7), pp. 1105-1112.
Publication Year :
2018

Abstract

Background: The use of point-of-care testing (POCT) in different clinical applications is justified by the fact that the time to release the result is shortened, allowing the physician to define the diagnosis and most appropriate therapy in a shorter time. However, the negative aspects must also be highlighted and studied so that we can move forward with the use of these devices. These negative aspects include greater analytical imprecision compared to laboratory automation, the variability between different equipment from different manufacturers, the risk of inappropriate use, a low level of global regulation, higher costs compared with laboratory testing and cost ineffectiveness in terms of health care. Methods and.<br />Results: This review presents some clinical applications of POCT in different scenarios, such as for diabetes mellitus, infectious diseases, pediatrics, and chronic kidney disease, among others.<br />Conclusions: We hope to see a global consensus on an acceptable quality standard for performing POCT that is adaptable, practical, and cost effective in primary care settings, ensuring patient safety, and minimizing the risk of harm.

Details

Language :
English
ISSN :
1433-6510
Volume :
64
Issue :
7
Database :
MEDLINE
Journal :
Clinical laboratory
Publication Type :
Academic Journal
Accession number :
30146832
Full Text :
https://doi.org/10.7754/Clin.Lab.2018.171021