Advances in diagnostic tools for respiratory tract infections

Respiratory tract infections (RTIs) are one of the most common reasons for seeking healthcare, but are amongst the most challenging diseases in terms of clinical decision-making. Proper and timely diagnosis is critical in order to optimise management and prevent further emergence of antimicrobial re...

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Detalles Bibliográficos
Autores: Stojanovic, Zoran|||0000-0001-5082-0750, Gonçalves-Carvalho, Filipe|||0000-0003-0665-1667, Marín, Alicia|||0000-0002-9358-2120, Abad Capa, Jorge|||0000-0002-8129-7859, Domínguez, José|||0000-0001-7888-0309, Latorre, Irene|||0000-0001-8159-2455, Lacoma, Alicia|||0000-0002-2049-3872, Prat i Aymerich, Cristina|||0000-0001-6974-9165
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:282786
Acceso en línea:https://ddd.uab.cat/record/282786
https://dx.doi.org/urn:doi:10.1183/23120541.00113-2022
Access Level:acceso abierto
Descripción
Sumario:Respiratory tract infections (RTIs) are one of the most common reasons for seeking healthcare, but are amongst the most challenging diseases in terms of clinical decision-making. Proper and timely diagnosis is critical in order to optimise management and prevent further emergence of antimicrobial resistance by misuse or overuse of antibiotics. Diagnostic tools for RTIs include those involving syndromic and aetiological diagnosis: from clinical and radiological features to laboratory methods targeting both pathogen detection and host biomarkers, as well as their combinations in terms of clinical algorithms. They also include tools for predicting severity and monitoring treatment response. Unprecedented milestones have been achieved in the context of the COVID-19 pandemic, involving the most recent applications of diagnostic technologies both at genotypic and phenotypic level, which have changed paradigms in infectious respiratory diseases in terms of why, how and where diagnostics are performed. The aim of this review is to discuss advances in diagnostic tools that impact clinical decision-making, surveillance and follow-up of RTIs and tuberculosis. If properly harnessed, recent advances in diagnostic technologies, including omics and digital transformation, emerge as an unprecedented opportunity to tackle ongoing and future epidemics while handling antimicrobial resistance from a One Health perspective. Unprecedented advances have been achieved by improving and applying the latest technologies to key aspects such as epidemiology, contact tracing and diagnostics of respiratory tract infections that need to be properly addressed for global improvements