The impact of point-of-care testing for influenza A and B on patient flow and management in a medical assessment unit of a general hospital
Autor: | M. Reidy, J. Baruah, A. Mulgrew, C. Stack, C. Conlan, Shane O’Connell |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Point-of-care testing 030106 microbiology lcsh:Medicine Infection control GeneXpert Hospitals General ID Now General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Influenza Human Prevalence Medicine Humans 030212 general & internal medicine Medical prescription lcsh:Science (General) Influenza Point-of-care lcsh:QH301-705.5 Point of care GeneXpert MTB/RIF Dose-Response Relationship Drug business.industry lcsh:R Reproducibility of Results Influenza a General Medicine Anti-Bacterial Agents Research Note Influenza B virus lcsh:Biology (General) Influenza A virus Point-of-Care Testing Emergency medicine Cohort Medical assessment Seasons business lcsh:Q1-390 |
Zdroj: | BMC Research Notes, 13:143 BMC Research Notes BMC Research Notes, Vol 13, Iss 1, Pp 1-5 (2020) |
Popis: | Objectives Timely implementation of influenza infection control and treatment can significantly reduce the impact on Hospital resources and patient management when demand is at peak. Turnaround times of Laboratory based screening tests for the diagnosis of influenza may have an impact on the implementation of infection control measures and treatment. In this study the objectives included determining the correlation between the Abbott ID NOW point-of-care testing (POCT) instrument using the Influenza A&B2 test and the laboratory based GeneXpert Flu+RSV kit. In addition the impact of the POCT instrument on the prescription of antivirals and antibiotics was evaluated by comparing with practice when the instrument was not in place. Results The results of the correlation study with a cohort of 54 patients revealed the Abbott ID NOW POCT has 92% sensitivity for the detection of Influenza A, while specificity was 100% for both Influenza A and B. The impact of the POCT instrument on the frequency of prescription of antivirals and amount of antibiotics consumed (33% reduction in antibiotic consumption in a cohort of 65 (2017) and 61 (2018)) was significant. In addition the average patient length of Hospital stay was significantly reduced from 5.26 days to 3.73 days. |
Databáze: | OpenAIRE |
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