Evidence map›Paper›PMID 28369370›Full record

ArticleFamily practice2017

Diagnostic performance and clinical feasibility of a point-of-care test for respiratory viral infections in primary health care.

Andrea H L Bruning, Wilhelmina B de Kruijf, Henk C P M van Weert, Wim L M Willems, Menno D de Jong, Dasja Pajkrt, Katja C Wolthers

Open access · bronzeAbstract read
In one paragraph

Article in Family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Rapid microbiological respiratory point-of-care testing: a qualitative study with primary care clinicians.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The future of diagnosis in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  14. Article
  15. Point-of-care diagnostics for respiratory viral infections.Expert review of molecular diagnostics · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Andrea H L BruningDepartment of Pediatric Infectious Diseases and Immunology, Emma Children's Hospital, Academic Medical Center (AMC), Amsterdam, The Netherlands.
Wilhelmina B de KruijfDepartment of Pediatric Infectious Diseases and Immunology, Emma Children's Hospital, Academic Medical Center (AMC), Amsterdam, The Netherlands.
Henk C P M van WeertDepartment of General Practice, AMC, Amsterdam, The Netherlands.
Wim L M WillemsHealth Center Gein, GAZO, Amsterdam, The Netherlands.
Menno D de JongDepartment of Medical Microbiology, AMC, Amsterdam, The Netherlands.
Dasja PajkrtDepartment of Pediatric Infectious Diseases and Immunology, Emma Children's Hospital, Academic Medical Center (AMC), Amsterdam, The Netherlands.
Katja C WolthersDepartment of Medical Microbiology, AMC, Amsterdam, The Netherlands.
Academic Medical Center · NLEmma Kinderziekenhuis · NLGGD Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective: The purpose of our study was to determine the diagnostic performance and clinical feasibility of a recently developed diagnostic POCT for respiratory viruses, the mariPOC®, in a Dutch primary healthcare setting. Methods: In patients with RTI symptoms presenting to a family practice during the 2015-2016 winter season, we determined the test's sensitivity and specificity relative to polymerase chain reaction (PCR) testing performed in a laboratory. The clinical feasibility of the POCT was evaluated by interviewing general practitioners (GPs). Results: One or more respiratory viruses were detected in 54.9% of the patients (n = 204). For influenza A virus (n = 24), sensitivity of the POCT was 54.2% and specificity was 98.9%; for influenza B virus (n = 18), sensitivity was 72.2% and specificity 99.5%; and for respiratory syncytial virus (RSV) (n = 12), sensitivity was 50.0% and specificity 100%. In samples with higher viral load, sensitivity was 85.7% for influenza A, 78.6% for influenza B and 85.7% for RSV. The availability of a diagnostic test for respiratory viruses was appreciated by both patients and GPs. Conclusions: Our study shows that diagnostic POCTs for respiratory viruses might contribute to a precise and evidence-based diagnosis of RTIs and could positively influence prescription of antibiotics by GPs. However, before implementation in primary healthcare, diagnostic accuracy of the POCT needs improvement and it is impact on clinical decision making should be further assessed.

Indexed as

Primary Health CareAdultFeasibility StudiesFemaleHumansInappropriate PrescribingInfluenza A virusInfluenza B virusInfluenza, HumanMaleNetherlandsPoint-of-Care SystemsProspective StudiesRespiratory Tract InfectionsSeasonsSensitivity and SpecificityPoint-of-care testingprimary health carerapid testingrespiratory tract infectionrespiratory virus

Identifiers

PMID28369370
PMCPMC7108454
OpenAlexW2599259923

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.