Molecular point-of-care devices for the diagnosis of infectious diseases in resource-limited settings - A review of the current landscape, technical challenges, and clinical impact

Copyright © 2023. Published by Elsevier B.V..

Molecular point-of-care (POC) tests offer high sensitivity, rapid turnaround times, relative ease of use, and the convenience of laboratory-grade testing in the absence of formal laboratory spaces and equipment, making them appealing options for infectious disease diagnosis in resource-limited settings. In this review, we discuss the role and potential of molecular POC tests in resource-limited settings and their associated logistical challenges. We discuss U.S. Food and Drug Administration approval, Clinical Laboratory Improvement Amendments complexity levels, and the REASSURED criteria as a starting point for assessing options currently available inside and outside of the United States. We then present POC tests currently in research and development phases that have potential for commercialization and implementation in limited-resource settings. Finally, we review published studies that have assessed the clinical impact of molecular POC testing in limited- and moderate-resource settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:169

Enthalten in:

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology - 169(2023) vom: 11. Dez., Seite 105613

Sprache:

Englisch

Beteiligte Personen:

Gavina, Kenneth [VerfasserIn]
Franco, Lauren C [VerfasserIn]
Khan, Haseeba [VerfasserIn]
Lavik, John-Paul [VerfasserIn]
Relich, Ryan F [VerfasserIn]

Links:

Volltext

Themen:

Infectious disease
Journal Article
Point-of-care device
Point-of-care test
Real-time PCR
Resource-limited settings
Review

Anmerkungen:

Date Completed 16.12.2023

Date Revised 02.04.2024

published: Print-Electronic

ClinicalTrials.gov: NCT05048472

Citation Status MEDLINE

doi:

10.1016/j.jcv.2023.105613

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363584188