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
Identifieur interne : 000143 ( an2020/Analysis ); précédent : 000142; suivant : 000144The 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
Auteurs : S. O Onnell ; C. Conlan ; M. Reidy ; C. Stack ; A. Mulgrew ; J. BaruahSource :
- BMC Research Notes [ 1756-0500 ] ; 2020.
Abstract
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.
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.
Url:
DOI: 10.1186/s13104-020-04986-7
PubMed: 32156298
PubMed Central: 7063764
Affiliations:
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O Onnell</name><affiliation><nlm:aff id="Aff1">Pathology Department, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Shannon Applied Biotechnology Centre, Institute of Technology Tralee, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author><author><name sortKey="Conlan, C" sort="Conlan, C" uniqKey="Conlan C" first="C." last="Conlan">C. Conlan</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.460892.1</institution-id><institution-id institution-id-type="ISNI">0000 0004 0389 5639</institution-id><institution>Pharmacy Department,</institution><institution>Bon Secours Hospital,</institution></institution-wrap>Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author><author><name sortKey="Reidy, M" sort="Reidy, M" uniqKey="Reidy M" first="M." last="Reidy">M. Reidy</name><affiliation><nlm:aff id="Aff4">Infection Control Department, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author><author><name sortKey="Stack, C" sort="Stack, C" uniqKey="Stack C" first="C." last="Stack">C. Stack</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.460892.1</institution-id><institution-id institution-id-type="ISNI">0000 0004 0389 5639</institution-id><institution>Pharmacy Department,</institution><institution>Bon Secours Hospital,</institution></institution-wrap>Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author><author><name sortKey="Mulgrew, A" sort="Mulgrew, A" uniqKey="Mulgrew A" first="A." last="Mulgrew">A. Mulgrew</name><affiliation><nlm:aff id="Aff5">Consultant Respiratory Physician, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author><author><name sortKey="Baruah, J" sort="Baruah, J" uniqKey="Baruah J" first="J." last="Baruah">J. Baruah</name><affiliation><nlm:aff id="Aff1">Pathology Department, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</nlm:aff><wicri:noCountry code="subfield">Co. Kerry Ireland</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p id="Par1">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.</p></sec><sec><title>Results</title><p id="Par2">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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lankelma, J" uniqKey="Lankelma J">J Lankelma</name></author><author><name sortKey="Hermans, M" uniqKey="Hermans M">M Hermans</name></author><author><name sortKey="Hazenberg, E" uniqKey="Hazenberg E">E Hazenberg</name></author><author><name sortKey="Machen, T" uniqKey="Machen T">T Machen</name></author><author><name sortKey="Dautzenberg, P" uniqKey="Dautzenberg P">P Dautzenberg</name></author><author><name sortKey="Koeijvoets, K" uniqKey="Koeijvoets K">K Koeijvoets</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Irving, S" uniqKey="Irving S">S Irving</name></author><author><name sortKey="Vandermause, M" uniqKey="Vandermause M">M Vandermause</name></author><author><name sortKey="Shay, 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Baruah</name><name sortKey="Conlan, C" sort="Conlan, C" uniqKey="Conlan C" first="C." last="Conlan">C. Conlan</name><name sortKey="Mulgrew, A" sort="Mulgrew, A" uniqKey="Mulgrew A" first="A." last="Mulgrew">A. Mulgrew</name><name sortKey="O Onnell, S" sort="O Onnell, S" uniqKey="O Onnell S" first="S." last="O Onnell">S. O Onnell</name><name sortKey="Reidy, M" sort="Reidy, M" uniqKey="Reidy M" first="M." last="Reidy">M. Reidy</name><name sortKey="Stack, C" sort="Stack, C" uniqKey="Stack C" first="C." last="Stack">C. Stack</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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