Molecular testing for acute respiratory tract infections: clinical and diagnostic recommendations from the IDSA's Diagnostics Committee.
Identifieur interne : 000453 ( Main/Exploration ); précédent : 000452; suivant : 000454Molecular testing for acute respiratory tract infections: clinical and diagnostic recommendations from the IDSA's Diagnostics Committee.
Auteurs : Kimberly E. Hanson [États-Unis] ; Marwan M. Azar [États-Unis] ; Ritu Banerjee [États-Unis] ; Andrew Chou [États-Unis] ; Robert C. Colgrove [États-Unis] ; Christine C. Ginocchio [États-Unis] ; Mary K. Hayden [États-Unis] ; Mark Holodiny [États-Unis] ; Seema Jain [États-Unis] ; Sophia Koo [États-Unis] ; Jaclyn Levy [États-Unis] ; Tristan T. Timbrook [États-Unis] ; Angela M. Caliendo [États-Unis]Source :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2020.
Abstract
The clinical signs and symptoms of acute respiratory tract infections (RTIs) are not pathogen specific. Highly sensitive and specific nucleic acid amplification tests have become the diagnostic reference standard for viruses and translation of bacterial assays from basic research to routine clinical practice represents an exciting advance in respiratory medicine. Most recently, molecular diagnostics have played an essential role in the global health response to the novel coronavirus pandemic. How best to use newer molecular tests for RTI in combination with clinical judgment and traditional methods can be bewildering given the plethora of available assays and rapidly evolving technologies. Here, we summarize the current state of the art with respect to the diagnosis of viral and bacterial RTIs, provide a practical framework for diagnostic decision-making using selected patient-centered vignettes, and make recommendations for future studies to advance the field.
DOI: 10.1093/cid/ciaa508
PubMed: 32369578
PubMed Central: PMC7454374
Affiliations:
- États-Unis
- Californie, Connecticut, Illinois, Massachusetts, Rhode Island, Tennessee, Texas, Utah, Virginie, État de New York
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Ginocchio</name><affiliation wicri:level="2"><nlm:affiliation>bioMérieux, Durham, North Carolina; Department of Pathology and Laboratory Medicine, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>bioMérieux, Durham, North Carolina; Department of Pathology and Laboratory Medicine, Hofstra North Shore-LIJ School of Medicine, Hempstead</wicri:cityArea></affiliation></author><author><name sortKey="Hayden, Mary K" sort="Hayden, Mary K" uniqKey="Hayden M" first="Mary K" last="Hayden">Mary K. Hayden</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois; Division of Laboratory Medicine, Department of Pathology, Rush University Medical Center, Chicago, Illinois.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois; Division of Laboratory Medicine, Department of Pathology, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Holodiny, Mark" sort="Holodiny, Mark" uniqKey="Holodiny M" first="Mark" last="Holodiny">Mark Holodiny</name><affiliation wicri:level="2"><nlm:affiliation>VA Palo Alto Health Care System, Palo Alto, California; Stanford University, Palo Alto, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>VA Palo Alto Health Care System, Palo Alto, California; Stanford University, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Jain, Seema" sort="Jain, Seema" uniqKey="Jain S" first="Seema" last="Jain">Seema Jain</name><affiliation wicri:level="2"><nlm:affiliation>Disease Investigations Section, Infectious Diseases Branch, California Department of Public Health, Richmond, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Disease Investigations Section, Infectious Diseases Branch, California Department of Public Health, Richmond</wicri:cityArea></affiliation></author><author><name sortKey="Koo, Sophia" sort="Koo, Sophia" uniqKey="Koo S" first="Sophia" last="Koo">Sophia Koo</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Levy, Jaclyn" sort="Levy, Jaclyn" uniqKey="Levy J" first="Jaclyn" last="Levy">Jaclyn Levy</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases Society of America, Arlington, Virginia.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Infectious Diseases Society of America, Arlington</wicri:cityArea></affiliation></author><author><name sortKey="Timbrook, Tristan T" sort="Timbrook, Tristan T" uniqKey="Timbrook T" first="Tristan T" last="Timbrook">Tristan T. 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Hanson</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Section of Clinical Microbiology, Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City, Utah.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Utah</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Section of Clinical Microbiology, Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City</wicri:cityArea></affiliation></author><author><name sortKey="Azar, Marwan M" sort="Azar, Marwan M" uniqKey="Azar M" first="Marwan M" last="Azar">Marwan M. Azar</name><affiliation wicri:level="2"><nlm:affiliation>Yale University School of Medicine, Department of Medicine, Section of Infectious Diseases, AIDS Program, New Haven, Connecticut.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Connecticut</region></placeName><wicri:cityArea>Yale University School of Medicine, Department of Medicine, Section of Infectious Diseases, AIDS Program, New Haven</wicri:cityArea></affiliation></author><author><name sortKey="Banerjee, Ritu" sort="Banerjee, Ritu" uniqKey="Banerjee R" first="Ritu" last="Banerjee">Ritu Banerjee</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville</wicri:cityArea></affiliation></author><author><name sortKey="Chou, Andrew" sort="Chou, Andrew" uniqKey="Chou A" first="Andrew" last="Chou">Andrew Chou</name><affiliation wicri:level="2"><nlm:affiliation>Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Colgrove, Robert C" sort="Colgrove, Robert C" uniqKey="Colgrove R" first="Robert C" last="Colgrove">Robert C. Colgrove</name><affiliation wicri:level="2"><nlm:affiliation>Department of Microbiology and Immunobiology, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Microbiology and Immunobiology, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Ginocchio, Christine C" sort="Ginocchio, Christine C" uniqKey="Ginocchio C" first="Christine C" last="Ginocchio">Christine C. Ginocchio</name><affiliation wicri:level="2"><nlm:affiliation>bioMérieux, Durham, North Carolina; Department of Pathology and Laboratory Medicine, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>bioMérieux, Durham, North Carolina; Department of Pathology and Laboratory Medicine, Hofstra North Shore-LIJ School of Medicine, Hempstead</wicri:cityArea></affiliation></author><author><name sortKey="Hayden, Mary K" sort="Hayden, Mary K" uniqKey="Hayden M" first="Mary K" last="Hayden">Mary K. Hayden</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois; Division of Laboratory Medicine, Department of Pathology, Rush University Medical Center, Chicago, Illinois.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois; Division of Laboratory Medicine, Department of Pathology, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Holodiny, Mark" sort="Holodiny, Mark" uniqKey="Holodiny M" first="Mark" last="Holodiny">Mark Holodiny</name><affiliation wicri:level="2"><nlm:affiliation>VA Palo Alto Health Care System, Palo Alto, California; Stanford University, Palo Alto, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>VA Palo Alto Health Care System, Palo Alto, California; Stanford University, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Jain, Seema" sort="Jain, Seema" uniqKey="Jain S" first="Seema" last="Jain">Seema Jain</name><affiliation wicri:level="2"><nlm:affiliation>Disease Investigations Section, Infectious Diseases Branch, California Department of Public Health, Richmond, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Disease Investigations Section, Infectious Diseases Branch, California Department of Public Health, Richmond</wicri:cityArea></affiliation></author><author><name sortKey="Koo, Sophia" sort="Koo, Sophia" uniqKey="Koo S" first="Sophia" last="Koo">Sophia Koo</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Levy, Jaclyn" sort="Levy, Jaclyn" uniqKey="Levy J" first="Jaclyn" last="Levy">Jaclyn Levy</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases Society of America, Arlington, Virginia.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Infectious Diseases Society of America, Arlington</wicri:cityArea></affiliation></author><author><name sortKey="Timbrook, Tristan T" sort="Timbrook, Tristan T" uniqKey="Timbrook T" first="Tristan T" last="Timbrook">Tristan T. Timbrook</name><affiliation wicri:level="2"><nlm:affiliation>Division of Epidemiology, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Pharmacy, University of Utah Health, Salt Lake City, Utah.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Utah</region></placeName><wicri:cityArea>Division of Epidemiology, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Pharmacy, University of Utah Health, Salt Lake City</wicri:cityArea></affiliation></author><author><name sortKey="Caliendo, Angela M" sort="Caliendo, Angela M" uniqKey="Caliendo A" first="Angela M" last="Caliendo">Angela M. Caliendo</name><affiliation wicri:level="2"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Brown University Warren Alpert School of Medicine, Providence, Rhode Island.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Division of Infectious Diseases, Department of Medicine, Brown University Warren Alpert School of Medicine, Providence</wicri:cityArea></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The clinical signs and symptoms of acute respiratory tract infections (RTIs) are not pathogen specific. Highly sensitive and specific nucleic acid amplification tests have become the diagnostic reference standard for viruses and translation of bacterial assays from basic research to routine clinical practice represents an exciting advance in respiratory medicine. Most recently, molecular diagnostics have played an essential role in the global health response to the novel coronavirus pandemic. How best to use newer molecular tests for RTI in combination with clinical judgment and traditional methods can be bewildering given the plethora of available assays and rapidly evolving technologies. Here, we summarize the current state of the art with respect to the diagnosis of viral and bacterial RTIs, provide a practical framework for diagnostic decision-making using selected patient-centered vignettes, and make recommendations for future studies to advance the field.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32369578</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>May</Month><Day>05</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin Infect Dis</ISOAbbreviation></Journal><ArticleTitle>Molecular testing for acute respiratory tract infections: clinical and diagnostic recommendations from the IDSA's Diagnostics Committee.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">ciaa508</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/ciaa508</ELocationID><Abstract><AbstractText>The clinical signs and symptoms of acute respiratory tract infections (RTIs) are not pathogen specific. Highly sensitive and specific nucleic acid amplification tests have become the diagnostic reference standard for viruses and translation of bacterial assays from basic research to routine clinical practice represents an exciting advance in respiratory medicine. Most recently, molecular diagnostics have played an essential role in the global health response to the novel coronavirus pandemic. How best to use newer molecular tests for RTI in combination with clinical judgment and traditional methods can be bewildering given the plethora of available assays and rapidly evolving technologies. Here, we summarize the current state of the art with respect to the diagnosis of viral and bacterial RTIs, provide a practical framework for diagnostic decision-making using selected patient-centered vignettes, and make recommendations for future studies to advance the field.</AbstractText><CopyrightInformation>Published by Oxford University Press for the Infectious Diseases Society of America 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hanson</LastName><ForeName>Kimberly E</ForeName><Initials>KE</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Section of Clinical Microbiology, Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City, Utah.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Azar</LastName><ForeName>Marwan M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Yale University School of Medicine, Department of Medicine, Section of Infectious Diseases, AIDS Program, New Haven, Connecticut.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Banerjee</LastName><ForeName>Ritu</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chou</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Colgrove</LastName><ForeName>Robert C</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Department of Microbiology and Immunobiology, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ginocchio</LastName><ForeName>Christine C</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>bioMérieux, Durham, North Carolina; Department of Pathology and Laboratory Medicine, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hayden</LastName><ForeName>Mary K</ForeName><Initials>MK</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois; Division of Laboratory Medicine, Department of Pathology, Rush University Medical Center, Chicago, Illinois.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holodiny</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Palo Alto, California; Stanford University, Palo Alto, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jain</LastName><ForeName>Seema</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Disease Investigations Section, Infectious Diseases Branch, California Department of Public Health, Richmond, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koo</LastName><ForeName>Sophia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Levy</LastName><ForeName>Jaclyn</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Infectious Diseases Society of America, Arlington, Virginia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timbrook</LastName><ForeName>Tristan T</ForeName><Initials>TT</Initials><AffiliationInfo><Affiliation>Division of Epidemiology, Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Pharmacy, University of Utah Health, Salt Lake City, Utah.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caliendo</LastName><ForeName>Angela M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Brown University Warren Alpert School of Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>Diagnostics Committee of the Infectious Diseases Society of America (IDSA)</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">molecular diagnostics</Keyword><Keyword MajorTopicYN="N">respiratory viruses</Keyword><Keyword MajorTopicYN="N">utilization</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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