Point-of-Care Tests, perspective of laboratory medicine

Detalhes bibliográficos
Autor(a) principal: Azevedo, Ana Paula
Data de Publicação: 2024
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25761/anaisihmt.456
Resumo: One of the most effective methods for rapid diagnosis in healthcare are Point-of-Care (POCT) devices, whose potential has been highly explored in terms of safety and quality, with a view to better performance and applicability, especially in prevention, diagnosis, treatment and monitoring of patients. There are several types of existing devices, with different levels of complexity, inserted in different areas and based on different methodologies and procedures, allowing the analysis of numerous parameters. POCTs allow the analysis of biological products that are easy to obtain and are very useful in emergency situations, in doctors’ offices and in remote, poor and difficult to access geographical areas, with limited medical resources. Although more expensive, they are associated with the rationalization of healthcare, allowing results to be obtained in real time, at the patient’s bedside and immediately, reducing the time taken to make therapeutic decisions and improving the care provided. However, its use is also associated with risks, sometimes compromising its performance, the quality of the results obtained and patient safety. POCTs are subject to evaluation and approval in different countries, in order to guarantee compliance with regulations and safety standards and to certify the quality of the results. The Laboratory plays a leading role in its selection, based on performance and clinical needs, with the organization of continuous training plans for its users being essential, following established protocols and participating in External Quality Assessment Programs. Ideally, POCT should contribute to personalized medicine and the earlier detection and diagnosis of diseases, not intended to replace the complex and specialized laboratory tests carried out in central Laboratories, but rather to complement them.
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spelling Point-of-Care Tests, perspective of laboratory medicinePoint-of-Care Tests, perspective de la médecine de laboratoireTestes Point-of-Care, perspetiva da medicina laboratorialOne of the most effective methods for rapid diagnosis in healthcare are Point-of-Care (POCT) devices, whose potential has been highly explored in terms of safety and quality, with a view to better performance and applicability, especially in prevention, diagnosis, treatment and monitoring of patients. There are several types of existing devices, with different levels of complexity, inserted in different areas and based on different methodologies and procedures, allowing the analysis of numerous parameters. POCTs allow the analysis of biological products that are easy to obtain and are very useful in emergency situations, in doctors’ offices and in remote, poor and difficult to access geographical areas, with limited medical resources. Although more expensive, they are associated with the rationalization of healthcare, allowing results to be obtained in real time, at the patient’s bedside and immediately, reducing the time taken to make therapeutic decisions and improving the care provided. However, its use is also associated with risks, sometimes compromising its performance, the quality of the results obtained and patient safety. POCTs are subject to evaluation and approval in different countries, in order to guarantee compliance with regulations and safety standards and to certify the quality of the results. The Laboratory plays a leading role in its selection, based on performance and clinical needs, with the organization of continuous training plans for its users being essential, following established protocols and participating in External Quality Assessment Programs. Ideally, POCT should contribute to personalized medicine and the earlier detection and diagnosis of diseases, not intended to replace the complex and specialized laboratory tests carried out in central Laboratories, but rather to complement them.L’une des méthodes les plus efficaces pour un diagnostic rapide dans le domaine des soins de santé sont les dispositifs au point d’intervention (POCT), dont le potentiel a été largement exploré en termes de sécurité et de qualité, en vue d’une meilleure performance et applicabilité, notamment au niveau de la prévention. diagnostic, traitement et suivi des patients. Il existe plusieurs types de dispositifs, avec différents niveaux de complexité et portabilité, insérés dans différents domaines et basés sur différentes méthodologies et procédures, permettant l’analyse de nombreux paramètres. Les POCT permettent d’analyser des produits biologiques faciles à obtenir et très utiles dans les situations d’urgence, dans les cabinets médicaux et dans les zones géographiques reculées, pauvres et difficiles d’accès, aux ressources médicales limitées. Bien que plus coûteux, ils sont associés à la rationalisation des soins, permettant d’obtenir des résultats en temps réel, au chevet du patient et immédiatement, réduisant les délais de décision thérapeutique et améliorant les soins prodigués. Cependant, son utilisation est également associée à des risques, compromettant parfois ses performances, la qualité des résultats obtenus et la sécurité des patients. Les POCT sont soumis à évaluation et approbation dans différents pays, afin de garantir le respect des réglementations et normes de sécurité et de certifier la qualité des résultats. Le Laboratoire joue un rôle de premier plan dans sa sélection, en fonction des performances et des besoins cliniques, l’organisation de plans de formation continue pour ses utilisateurs étant essentielle, suivant des protocoles établis et participant à des programmes externes d’évaluation de la qualité. Idéalement, le POCT devrait contribuer à la médecine personnalisée ainsi qu’à la détection et au diagnostic plus précoces des maladies, non pas pour remplacer les tests de laboratoire complexes et spécialisés effectués dans les Laboratoires centraux, mais plutôt pour les compléter.Um dos métodos mais eficazes no diagnóstico rápido em cuidados de saúde são os dispositivos Point-of-Care (POCT), cujo potencial tem vindo a ser altamente explorado em termos de segurança e qualidade, com vista a um melhor desempenho e aplicabilidade, sobretudo ao nível da prevenção, diagnóstico, tratamento e monitorização dos doentes. São vários os tipos de dispositivos existentes, com distintos níveis de complexidade e portabilidade, inseridos em diversas áreas e baseados em metodologias e procedimentos diferentes, permitindo a análise de inúmeros parâmetros. Os POCT permitem analisar produtos biológicos de fácil obtenção e são de grande utilidade em situações de emergência, em consultórios médicos e em zonas geográficas remotas, pobres e de difícil acesso, com recursos médicos limitados. Embora mais dispendiosos, estão associados a uma racionalização dos cuidados de saúde, permitindo a obtenção de resultados em tempo real, à cabeceira do doente e de forma imediata, diminuição no tempo de decisão terapêutica e melhoria dos cuidados prestados. No entanto, a sua utilização também está associada a riscos, comprometendo por vezes o seu desempenho, a qualidade dos resultados obtidos e a segurança do doente. Os POCT estão sujeitos a avaliação e aprovação nos diferentes países, de forma a garantir o cumprimento da regulamentação e das normas de segurança e a certificar a qualidade dos resultados. O laboratório assume um papel preponderante na sua seleção, feita com base no desempenho e nas necessidades clínicas, sendo fundamental a organização dos planos de formação contínua dos seus utilizadores, o seguimento dos protocolos instituídos e a participação em Programas de Avaliação Externa da Qualidade. Idealmente os POCT deverão contribuir para uma medicina personalizada e para a deteção e diagnóstico mais precoces das doenças, não pretendendo substituir os testes laborato-riais complexos e especializados efetuados nos laboratórios centrais, mas sim complementá-los.Universidade Nova de Lisboa2024-01-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25761/anaisihmt.456https://doi.org/10.25761/anaisihmt.456Anais do Instituto de Higiene e Medicina Tropical; Vol 22 No 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 50-53Anais do Instituto de Higiene e Medicina Tropical; v. 22 n. 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 50-532184-23100303-7762reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://anaisihmt.com/index.php/ihmt/article/view/456http://anaisihmt.com/index.php/ihmt/article/view/456/378Direitos de Autor (c) 2024 Anais do Instituto de Higiene e Medicina Tropicalhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAzevedo, Ana Paula2024-02-21T21:32:53Zoai:ojs.anaisihmt.com:article/456Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:38:14.241590Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Point-of-Care Tests, perspective of laboratory medicine
Point-of-Care Tests, perspective de la médecine de laboratoire
Testes Point-of-Care, perspetiva da medicina laboratorial
title Point-of-Care Tests, perspective of laboratory medicine
spellingShingle Point-of-Care Tests, perspective of laboratory medicine
Azevedo, Ana Paula
title_short Point-of-Care Tests, perspective of laboratory medicine
title_full Point-of-Care Tests, perspective of laboratory medicine
title_fullStr Point-of-Care Tests, perspective of laboratory medicine
title_full_unstemmed Point-of-Care Tests, perspective of laboratory medicine
title_sort Point-of-Care Tests, perspective of laboratory medicine
author Azevedo, Ana Paula
author_facet Azevedo, Ana Paula
author_role author
dc.contributor.author.fl_str_mv Azevedo, Ana Paula
description One of the most effective methods for rapid diagnosis in healthcare are Point-of-Care (POCT) devices, whose potential has been highly explored in terms of safety and quality, with a view to better performance and applicability, especially in prevention, diagnosis, treatment and monitoring of patients. There are several types of existing devices, with different levels of complexity, inserted in different areas and based on different methodologies and procedures, allowing the analysis of numerous parameters. POCTs allow the analysis of biological products that are easy to obtain and are very useful in emergency situations, in doctors’ offices and in remote, poor and difficult to access geographical areas, with limited medical resources. Although more expensive, they are associated with the rationalization of healthcare, allowing results to be obtained in real time, at the patient’s bedside and immediately, reducing the time taken to make therapeutic decisions and improving the care provided. However, its use is also associated with risks, sometimes compromising its performance, the quality of the results obtained and patient safety. POCTs are subject to evaluation and approval in different countries, in order to guarantee compliance with regulations and safety standards and to certify the quality of the results. The Laboratory plays a leading role in its selection, based on performance and clinical needs, with the organization of continuous training plans for its users being essential, following established protocols and participating in External Quality Assessment Programs. Ideally, POCT should contribute to personalized medicine and the earlier detection and diagnosis of diseases, not intended to replace the complex and specialized laboratory tests carried out in central Laboratories, but rather to complement them.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-31
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Anais do Instituto de Higiene e Medicina Tropical; v. 22 n. 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 50-53
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