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重视呼吸道感染病原学检测方法的合理应用和结果解读

Reasonable application and interpretation of etiological diagnosis methods in respiratory tract infections
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摘要 病原学检测在呼吸道感染的诊疗中具有重要作用,但不同的病原学检测方法各有优缺点。临床医生需要根据患者的临床表现、相关流行病学等信息提示和疑似的病原体种类选择合适的检测方法。不同病原学实验室检测方法结果的临床意义存在差异,临床医师也需要结合疾病的季节性、患者的年龄、临床表现和病程等方面信息综合分析检测结果的临床意义。危重和疑难呼吸道感染疾病的病因复杂,单一的检测结果往往不足以协助临床做出反映疾病病原体的准确判断。临床医生需了解每种病原学检测方法的原理、适用的样本类型及其优缺点,合理选择病原学检查方法,并结合临床综合分析,对呼吸道感染的病原体做出精准判断。 Etiological diagnosis plays a crucial role in the identification and treatment of respiratory tract infections.However,different methods have their own advantages and disadvantages.Clinicians need to select the appropriate detection method based on patients’clinical symptoms,relevant epidemiological data,and suspected pathogens.There are differences in the clinical significance of results from different pathogen laboratory detection methods,and clinicians also need to take into account the factors such as the season of the illness,the patients'age and clinical characteristics,and the progression of the disease.The etiology of severe and complicated respiratory infections is often multifaceted,and a single test result might not be sufficient to accurately identify the causative agent.Clinicians must have a thorough understanding of the principles underlying each etiological diagnosis method,the types of specimens that are suitable for analysis,and the pros and cons of each method.By making informed decisions and combining comprehensive clinical analysis with the results of diagnostic tests,clinicians can achieve an accurate diagnosis of the pathogen responsible for the respiratory tract infection.
作者 艾军红 王然 谢正德 Ai Junhong;Wang Ran;Xie Zhengde(Beijing Key Laboratory of Pediatric Respiratory Infection Diseases,Key Laboratory of Major Diseases in Children,Ministry of Education,National Clinical Research Center for Respiratory Diseases,Research Unit of Critical Infection in Children,Chinese Academy of Medical Sciences,Laboratory of Infection and Virology,Beijing Pediatric Research Institute,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing 100045,China)
出处 《国际流行病学传染病学杂志》 CAS 2023年第6期373-377,共5页 International Journal of Epidemiology and Infectious Disease
基金 国家科技重大专项(2017ZX10103004-004) 中国医学科学院医学与健康科技创新工程(创新单元)(2019-I2M-5-026)。
关键词 呼吸道感染 病原学检测 结果解读 判断 Respiratory tract infections Etiological detection Interpretation of results Judgment
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