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 : 000F18 ( Ncbi/Merge ); précédent : 000F17; suivant : 000F19The 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
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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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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id><journal-id journal-id-type="iso-abbrev">BMC Res Notes</journal-id><journal-title-group><journal-title>BMC Research Notes</journal-title></journal-title-group><issn pub-type="epub">1756-0500</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32156298</article-id><article-id pub-id-type="pmc">7063764</article-id><article-id pub-id-type="publisher-id">4986</article-id><article-id pub-id-type="doi">10.1186/s13104-020-04986-7</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Note</subject></subj-group></article-categories><title-group><article-title>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</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>O’Connell</surname><given-names>S.</given-names></name><address><email>sjpoconnell@bonsecours.ie</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Conlan</surname><given-names>C.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Reidy</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Stack</surname><given-names>C.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Mulgrew</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Baruah</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Pathology Department, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</aff><aff id="Aff2"><label>2</label>Shannon Applied Biotechnology Centre, Institute of Technology Tralee, Tralee, Co. Kerry Ireland</aff><aff id="Aff3"><label>3</label><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</aff><aff id="Aff4"><label>4</label>Infection Control Department, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</aff><aff id="Aff5"><label>5</label>Consultant Respiratory Physician, Bon Secours Hospital, Strand Street, Tralee, Co. Kerry Ireland</aff></contrib-group><pub-date pub-type="epub"><day>10</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="collection"><year>2020</year></pub-date><volume>13</volume><elocation-id>143</elocation-id><history><date date-type="received"><day>3</day><month>12</month><year>2019</year></date><date date-type="accepted"><day>27</day><month>2</month><year>2020</year></date></history><permissions><copyright-statement>© The Author(s) 2020</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated in a credit line to the data.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Point-of-care</kwd><kwd>Influenza</kwd><kwd>ID Now</kwd><kwd>Infection control</kwd><kwd>GeneXpert</kwd></kwd-group><funding-group><award-group><funding-source><institution>Bon Secours Hospital Tralee</institution></funding-source><award-id>POCT</award-id><principal-award-recipient><name><surname>O’Connell</surname><given-names>S.</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2020</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Baruah, J" sort="Baruah, J" uniqKey="Baruah J" first="J." last="Baruah">J. 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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|area= CovidV2
|flux= Ncbi
|étape= Merge
|type= RBID
|clé= PMC:7063764
|texte= 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
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:32156298" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a CovidV2
| This area was generated with Dilib version V0.6.33. |  |