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Nucleic Acid-based Testing for Noninfluenza Viral Pathogens in Adults with Suspected Community-acquired Pneumonia An Official American Thoracic Society Clinical Practice Guideline

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单位: [1]Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University, New Haven, Connecticut [2]Department of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas [3]Section of Infectious Diseases, Department of Medicine, Yale University, New Haven, Connecticut [4]Department of Pulmonary and Critical Care Medicine, China–Japan Friendship Hospital, Beijing, China [5]Division of Pulmonary, Critical Care, and Sleep Medicine, Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle, Washington [6]Department of Medicine,School of Medicine, University of Michigan, Ann Arbor, Michigan [7]Department of Microbiology and Immunology, School of Medicine, University of Michigan, Ann Arbor, Michigan [8]Department of Internal Medicine II, Section of Infectious Diseases, Universities of Giessen and Marburg Lung Center, Member of the German Center for Lung Research (DZL), Giessen, Germany [9]California Department of Public Health, Richmond, California [10]Harborview Medical Center, Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Washington, Seattle, Washington [11]Information Center, ECRI, Plymouth Meeting, Pennsylvania [12]Division of Pulmonary, Critical Care and Sleep Medicine, University of Connecticut, Farmington, Connecticut [13]Division of Pulmonary/Critical Care Medicine, Massachusetts General Hospital, Boston, Massachusetts [14]Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, California [15]Department of Medicine, Section of Pulmonary and Critical Care Medicine, South Texas Veterans Health Care System and University of Texas Health San Antonio, San Antonio, Texas [16]Division of Infectious Diseases, Department of Medicine,McGill University Health Centre, Montreal, Quebec, Canada [17]Department of Medical Microbiology, McGill University Health Centre, Montreal, Quebec, Canada [18]Pulmonary and Critical Care Division, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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关键词: community-acquired pneumonia pneumonia viral diagnostics

摘要:
Background: This document provides evidence-based clinical practice guidelines on the diagnostic utility of nucleic acid-based testing of respiratory samples for viral pathogens other than influenza in adults with suspected community-acquired pneumonia (CAP). Methods: A multidisciplinary panel developed a Population-Intervention-Comparison-Outcome question, conducted a pragmatic systematic review, and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. Results: The panel evaluated the literature to develop recommendations regarding whether routine diagnostics should include nucleic acid-based testing of respiratory samples for viral pathogens other than influenza in suspected CAP. The evidence addressing this topic was generally adjudicated to be of very low quality because of risk of bias and imprecision. Furthermore, there was little direct evidence supporting a role for routine nucleic acid-based testing of respiratory samples in improving critical outcomes such as overall survival or antibiotic use patterns. However, on the basis of direct and indirect evidence, recommendations were made for both outpatient and hospitalized patients with suspected CAP. Testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was not addressed in the literature at the time of the evidence review. Conclusions: The panel formulated and provided their rationale for recommendations on nucleic acid-based diagnostics for viral pathogens other than influenza for patients with suspected CAP.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 呼吸系统 2 区 危重病医学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 危重病医学 1 区 呼吸系统
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出版当年[2019]版:
Q1 CRITICAL CARE MEDICINE Q1 RESPIRATORY SYSTEM
最新[2024]版:
Q1 CRITICAL CARE MEDICINE Q1 RESPIRATORY SYSTEM

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University, New Haven, Connecticut [*2]Department of Pulmonary and Critical Care Medicine, Yale University School of Medicine, 300 Cedar Street, The Anlyan Center (TAC) Room South (S-441D), New Haven, CT 06518.
通讯作者:
通讯机构: [1]Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, Yale University, New Haven, Connecticut [2]Department of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas [*1]Department of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1100, Houston, TX 78730. [*2]Department of Pulmonary and Critical Care Medicine, Yale University School of Medicine, 300 Cedar Street, The Anlyan Center (TAC) Room South (S-441D), New Haven, CT 06518.
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