Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus

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 (CO...

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Main Authors: Carlos Arturo Alvarez-Moreno, Evaldo Stanislau Affonso de Araújo, Elsa Baumeister, Katya A. Nogales Crespo, Alexis M. Kalergis, José Esteban Muñoz Medina, Pablo Tsukayama, Cesar Ugarte-Gil
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:COVID
Subjects:
Online Access:https://www.mdpi.com/2673-8112/4/2/17
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author Carlos Arturo Alvarez-Moreno
Evaldo Stanislau Affonso de Araújo
Elsa Baumeister
Katya A. Nogales Crespo
Alexis M. Kalergis
José Esteban Muñoz Medina
Pablo Tsukayama
Cesar Ugarte-Gil
author_facet Carlos Arturo Alvarez-Moreno
Evaldo Stanislau Affonso de Araújo
Elsa Baumeister
Katya A. Nogales Crespo
Alexis M. Kalergis
José Esteban Muñoz Medina
Pablo Tsukayama
Cesar Ugarte-Gil
author_sort Carlos Arturo Alvarez-Moreno
collection DOAJ
description 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.
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spelling doaj.art-130bac43f94747f0b7014c2423a0425d2024-02-23T15:13:04ZengMDPI AGCOVID2673-81122024-02-014222126010.3390/covid4020017Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial VirusCarlos Arturo Alvarez-Moreno0Evaldo Stanislau Affonso de Araújo1Elsa Baumeister2Katya A. Nogales Crespo3Alexis M. Kalergis4José Esteban Muñoz Medina5Pablo Tsukayama6Cesar Ugarte-Gil7Unidad Infectologia, Facultad de Medicina, Universidad Nacional de Colombia, Bogota 111321, ColombiaInfectious Diseases Department at Hospital das Clínicas, University of São Paulo, São Paulo 05403-010, BrazilBiological Sciences Department, Faculty of Exact Sciences, National University of La Plata, La Plata B1900, ArgentinaPolicy Wisdom LLC, Quebradillas 00678-2705, Puerto RicoMillennium Institute on Immunology and Immunotherapy, Santiago de Chile 8330025, ChileCoordination of Quality of Supplies and Specialized Laboratories (CCILE), Mexican Social Security Institute (IMSS), Mexico City 07760, MexicoInstitute of Tropical Medicine Alexander von Humboldt (IMTAvH), Universidad Peruana Cayetano Heredia (UPCH), Lima 150135, PeruInstitute of Tropical Medicine Alexander von Humboldt (IMTAvH), Universidad Peruana Cayetano Heredia (UPCH), Lima 150135, PeruThis 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.https://www.mdpi.com/2673-8112/4/2/17acute respiratory infectionspoint-of-care testingrapid testingdiagnostic testingCOVID-19influenza
spellingShingle Carlos Arturo Alvarez-Moreno
Evaldo Stanislau Affonso de Araújo
Elsa Baumeister
Katya A. Nogales Crespo
Alexis M. Kalergis
José Esteban Muñoz Medina
Pablo Tsukayama
Cesar Ugarte-Gil
Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
COVID
acute respiratory infections
point-of-care testing
rapid testing
diagnostic testing
COVID-19
influenza
title Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
title_full Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
title_fullStr Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
title_full_unstemmed Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
title_short Differential Diagnosis in the Management of Acute Respiratory Infections through Point-of-Care Rapid Testing in a Post-Pandemic Scenario in Latin America: Special Focus on COVID-19, Influenza, and Respiratory Syncytial Virus
title_sort differential diagnosis in the management of acute respiratory infections through point of care rapid testing in a post pandemic scenario in latin america special focus on covid 19 influenza and respiratory syncytial virus
topic acute respiratory infections
point-of-care testing
rapid testing
diagnostic testing
COVID-19
influenza
url https://www.mdpi.com/2673-8112/4/2/17
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