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Clin Microbiol Infect. 2010 Aug;16(8):1044-53. doi: 10.1111/j.1469-0691.2010.03282.x.

Diagnosing infections--current and anticipated technologies for point-of-care diagnostics and home-based testing.

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Département microbiologie-infectiologie et immunologie, Faculté de médecine, Université Laval, Montreal, Quebec, Canada.


In recent years, we have witnessed many transitions in healthcare systems around the globe. For example, population expansion and ageing, and the human immunodeficiency virus (HIV)-AIDS epidemics, have exerted pressure to decentralize the practice of healthcare outside of traditional settings to bring care to those in need. Upstream of patient management, diagnosis is aimed at adequately orienting medical decisions, and considerable efforts have been made to make this process faster and more efficient. However, there are several diseases and medical conditions that may/will benefit from technologies and tests that can be performed closer to the patient, at the point of care or even in the home. In this review, and in light of the paradox that technology and assay developers and healthcare officials must take into consideration for advancing human health in developed and developing countries, we present an overview of rapid diagnosis of infectious diseases at the point of care and of technologies that may contribute to enhancement of the worldwide point-of-care testing market.

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