Serveur d'exploration MERS

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Remote Laboratory Management: Respiratory Virus Diagnostics.

Identifieur interne : 000404 ( Main/Exploration ); précédent : 000403; suivant : 000405

Remote Laboratory Management: Respiratory Virus Diagnostics.

Auteurs : Elena V. Petrova [États-Unis] ; Vasanthi Avadhanula [États-Unis] ; Sarah Michel [États-Unis] ; Karen E. Gincoo [États-Unis] ; Pedro A. Piedra [États-Unis] ; Sharmila Anandasabapathy [États-Unis]

Source :

RBID : pubmed:31009009

Descripteurs français

English descriptors

Abstract

An uptick in recent pandemics (Ebola, Zika, MERS, influenza, etc.) underlines the need for a more 'nimble,' coordinated response that addresses a multitude of issues ranging from transportation, access, facilities, equipment, and communication to provider training. To address this need, we have developed an innovative, scalable, logistics-enhanced, mobile, laboratory facility for emergencies and epidemics in resource-constrained global settings. Utilizing a background in clinical operations as an academic medical center, we designed a rapidly-deployable, modular BSL-2 and BSL-3 facility with user-friendly software for tracking and management of drugs and supplies in remote regions during epidemics and outbreaks. Here, we present our intermodal, mobile, expandable shipping-container laboratory units. The design of the laboratory facilitates off-grid usage by minimizing power consumption and allowing alternate water sources. The unit's information communication technology (ICT) platform provides (i) user-friendly tablet-based documentation, (ii) enhanced tracking of patients and supplies, and (iii) integrated communication onsite with built-in telehealth capabilities. To ensure quality in remote environments, we have developed a checklist for a basic laboratory workflow and a protocol for respiratory viral diagnosis using reverse-transcription polymerase chain reaction (RT-PCR). As described, this innovative and comprehensive approach allows for the provision of laboratory capability in resource-limited global environments.

DOI: 10.3791/59188
PubMed: 31009009


Affiliations:


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