儿科呼吸道感染中的病毒检测精准诊断并不

ViralTestingforPediatricRespiratoryInfections：WhyPreciseDiagnosesDoNotAlwaysTranslatetoPatientBenefit

Whilemostviralrespiratoryinfectionscanbediagnosedclinically,cliniciansfrequentlyorderteststoidentifythespecificoffendingvirus.Whiletherehasbeentremendousgrowthinthevariety,availability,andsophisticationofthetypesofrespiratoryviraltests,theremayhavebeenlesscriticalthoughtanddiscussionamongfrontlinecliniciansabouttheclinicalutilityandspecificindicationsfortesting.Wesummarizetherationalehistoricallyusedtosupportrespiratoryvirustestinginchildren,withareviewofthesupportingevidence.Weoutlinepotentialconsiderationsandlimitationsofthevarioustypesofrespiratoryviraltestsandsuggestsomeclinicalindicationswhereviraltestingmayplayanimportantroleinclinicalmanagement.

虽然大多数病毒性呼吸道感染可以在临床上诊断，但临床医生经常通过检测来确定特定的有害病毒。虽然在各种类型的呼吸道病毒测试的种类、利用性和复杂性方面都有了巨大的增长，但一线临床医生对临床效用和具体适应症的临床应用的批判性思考和讨论却少之又少。我们总结了过去用于支持儿童呼吸道病毒检测的基本原理，并对支持证据进行了回顾。我们概述了各种类型的呼吸道病毒测试的潜在考虑和局限性，并提出了一些临床适应症，可能在临床管理中可能发挥重要作用的。

Themainvalueoftestingforvirusesinchildrenwhopresentwitharespiratoryinfectionistodifferentiatebetweenviralandbacterialinfections,hopefullyfacilitatingclinicaldecisionmakingregardingfurtherinvestigationsandtheneedforantibiotics.Wehavehighlighted







































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