Development, implementation, and impact of acceptability criteria for serologic tests for infectious diseases.

作者: J. A. Crump , J. R. Corder , N. G. Henshaw , L. B. Reller

DOI: 10.1128/JCM.42.2.881-883.2004

关键词:

摘要: Serologic testing is essential for the diagnosis of some infectious diseases and yet fraught with potential pitfalls. All parts diagnostic process must be optimized to ensure that serologic tests perform adequately. Recognizing a lack clinical data correctly timed, paired sera frequently led uninterpretable serology results at our laboratory, we developed implemented simple acceptability criteria tests. We assessed impact these by comparing submissions year before after implementation criteria. The number performed declined 25% criteria, despite an increase in requests Inappropriate acute-phase alone fell from 49 0% (P < 0.001) monitored. Appropriate submission rose 9 19% = 0.006). proportion classified as interpretable 52 100% 0.001). recommend applied samples submitted microbiology laboratories testing.

参考文章(6)
Robert E. Albright, C. Blease Graham, Robert H. Christenson, Wiley A. Schell, Mary C. Bledsoe, James L. Emlet, Terry P. Mears, L. Barth Reller, Kenneth A. Schneider, Issues in cerebrospinal fluid management. Acid-fast bacillus smear and culture. American Journal of Clinical Pathology. ,vol. 95, pp. 418- 423 ,(1991) , 10.1093/AJCP/95.3.418
A J Morris, L K Smith, S Mirrett, L B Reller, Cost and time savings following introduction of rejection criteria for clinical specimens. Journal of Clinical Microbiology. ,vol. 34, pp. 355- 357 ,(1996) , 10.1128/JCM.34.2.355-357.1996
A J Morris, M L Wilson, L B Reller, Application of rejection criteria for stool ovum and parasite examinations. Journal of Clinical Microbiology. ,vol. 30, pp. 3213- 3216 ,(1992) , 10.1128/JCM.30.12.3213-3216.1992
L B Reller, K Fan, A J Morris, Application of rejection criteria for stool cultures for bacterial enteric pathogens. Journal of Clinical Microbiology. ,vol. 31, pp. 2233- 2235 ,(1993) , 10.1128/JCM.31.8.2233-2235.1993
Yi‐Wei Tang, Jonathan R. Hibbs, Kimberly R. Tau, Qingfang Qian, Heather A. Skarhus, Thomas F. Smith, David H. Persing, Effective use of polymerase chain reaction for diagnosis of central nervous system infections. Clinical Infectious Diseases. ,vol. 29, pp. 803- 806 ,(1999) , 10.1086/520439
H D Isenberg, Rejection criteria for endotracheal aspirates. Journal of Clinical Microbiology. ,vol. 31, pp. 2555- 2555 ,(1993) , 10.1128/JCM.31.9.2555-.1993