TY - JOUR
T1 - Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America
T2 - Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
AU - Alvarez-Moreno, Carlos Arturo
AU - de Araújo, Evaldo Stanislau Affonso
AU - Baumeister, Elsa
AU - Nogales Crespo, Katya A.
AU - Kalergis, Alexis M.
AU - Muñoz Medina, José Esteban
AU - Tsukayama, Pablo
AU - Ugarte-Gil, Cesar
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/2
Y1 - 2024/2
N2 - This review provides a comprehensive summary of evidence to explore the role and value of differential diagnosis in the management of Acute Respiratory Infections (ARIs) through point-of-care (POC) rapid testing in a post-pandemic scenario, paying particular attention to coronavirus disease 2019 (COVID-19), influenza, and respiratory syncytial virus (RSV). The document builds on a review of literature and policies and a process of validation and feedback by a group of seven experts from Latin America (LATAM). Evidence was collected to understand scientific and policy perspectives on the differential diagnosis of ARIs and POC rapid testing, with a focus on seven countries: Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, and Peru. The evidence indicates that POC rapid testing can serve to improve ARI case management, epidemiological surveillance, research and innovation, and evidence-based decision-making. With multiple types of rapid tests available for POC, decisions regarding which tests to use require the consideration of the testing purpose, available resources, and test characteristics regarding accuracy, accessibility, affordability, and results turnaround time. Based on the understanding of the current situation, this document provides a set of recommendations for the implementation of POC rapid testing in LATAM, supporting decision-making and guiding efforts by a broad range of stakeholders.
AB - This review provides a comprehensive summary of evidence to explore the role and value of differential diagnosis in the management of Acute Respiratory Infections (ARIs) through point-of-care (POC) rapid testing in a post-pandemic scenario, paying particular attention to coronavirus disease 2019 (COVID-19), influenza, and respiratory syncytial virus (RSV). The document builds on a review of literature and policies and a process of validation and feedback by a group of seven experts from Latin America (LATAM). Evidence was collected to understand scientific and policy perspectives on the differential diagnosis of ARIs and POC rapid testing, with a focus on seven countries: Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico, and Peru. The evidence indicates that POC rapid testing can serve to improve ARI case management, epidemiological surveillance, research and innovation, and evidence-based decision-making. With multiple types of rapid tests available for POC, decisions regarding which tests to use require the consideration of the testing purpose, available resources, and test characteristics regarding accuracy, accessibility, affordability, and results turnaround time. Based on the understanding of the current situation, this document provides a set of recommendations for the implementation of POC rapid testing in LATAM, supporting decision-making and guiding efforts by a broad range of stakeholders.
KW - acute respiratory infections
KW - COVID-19
KW - diagnostic testing
KW - health policies
KW - influenza
KW - Latin America
KW - point-of-care testing
KW - rapid testing
KW - respiratory syncytial virus
UR - http://www.scopus.com/inward/record.url?scp=85191176554&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85191176554&partnerID=8YFLogxK
U2 - 10.3390/covid4020017
DO - 10.3390/covid4020017
M3 - Review article
AN - SCOPUS:85191176554
SN - 2673-8112
VL - 4
SP - 221
EP - 260
JO - COVID
JF - COVID
IS - 2
ER -