AACC发布POCT操作指南！

2022年9月13日，美国临床化学协会（AACC）发布关于POCT的操作指南，目录分为：

摘要

POCT的优势

POCT在医疗保健系统中的应用场景

检测方法

如何建立POCT实验室

展望

该指南对POCT进行了概述，包括在实施POCT的成本效益分析和POCT在各种医疗保健系统中的应用场景。为了确保结果的准确性，指南中提出了在选择和使用POCT时需要考虑和面临的挑战，并对此给出了相应的管理和解决方案。

POCT在各种医疗保健系统中的应用场景

1、医院

1）住院 1. Triage 2. Trauma center/emergency ICU, NICU, PICU 3. Operating rooms/surgeries – several distinct types (e.g., transplant) 4. Extracorporeal membrane oxygenation (ECMO) center 5. Catheterization lab/cardiology 6. Stroke center 7. Cardiac rehab 8. Radiology/imaging center, interventional radiology 9. Coumadin clinic/coagulation clinic

2）门诊 1. Triage 2. Antenatal clinics (Ob-Gyn) 3. Oncology clinics 4. Urgent care clinics and rapid care centers 5. Geriatric clinics 6. Pediatric clinics 7. Diabetes/endocrinology clinics 8. Infectious disease clinics 9. General practitioner clinics 10. Ambulatory surgical settings 11. Congestive heart failure clinic (cardiac rehab) 12. Radiology/imaging center, interventional radiology 13. Coumadin clinic/coagulation clinic 14. Mobile health clinics 15. Helicopter, ambulance, airplanes 16. Executive health clinics

2、实验室 1. Rapid response laboratory 2. Deployed laboratory services (ER stat labs) 3. Emerging infectious disease laboratory/biohazard/ disaster planning lab

3、其他检测场景 1. Airlines, airports 2. Cruise ships, shipping ports 3. Mobile health clinics 4. Pharmacies 5. Sporting events, races, festivals, concerts, marathons 6. Nursing homes 7. Long-term acute care and skilled care 8. Rehabilitation centers 9. Public school and university/student healthcare centers 10. Employee health centers 11. Disaster relief post/military medical tents (field hospitals) • May be in conjunction with or contiguous to a local hospital 12. Expeditions – e.g., Mount Everest 13. Home health, visiting nurses 14. Hospital at home 15. Travel clinics/screening for travel 16. Community testing 17. Native American reservations (Indian Health Service) 18. Health fairs 19. Blood collection centers 提高POCT需要面临的问题及要求

5、大临床应用方向 1）Hematology 2）Coagulation 3）Infectious Disease 4）Cardiovascular Disease 5）Other Specific Diseases

建立POCT实验室所需配备的设备及设施要求