Evidence map›Paper›PMID 29706478›Full record

ArticleDiagnostic microbiology and infectious disease2018

Impact of a multiplex PCR point-of-care test for influenza A/B and respiratory syncytial virus on an acute pediatric hospital ward.

Andres I Vecino-Ortiz, Simon D Goldenberg, Sam T Douthwaite, Chih-Yuan Cheng, Rebecca E Glover, Catherine Mak, Elisabeth J Adams

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

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  12. Cost-Effective Respiratory Virus Testing.Journal of clinical microbiology · 2019
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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 4 institutions in 2 countries.

Andres I Vecino-OrtizAquarius Population Health Limited, 58a Highgate High Street, London, N6 5HX, UK; Department of International Health, Johns Hopkins School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
Simon D GoldenbergCentre for Clinical Infection and Diagnostics Research, King's College, London and Guy's & St. Thomas' NHS Foundation Trust, London, UK SE1 7EH.
Sam T DouthwaiteCentre for Clinical Infection and Diagnostics Research, King's College, London and Guy's & St. Thomas' NHS Foundation Trust, London, UK SE1 7EH.
Chih-Yuan ChengAquarius Population Health Limited, 58a Highgate High Street, London, N6 5HX, UK.
Rebecca E GloverAquarius Population Health Limited, 58a Highgate High Street, London, N6 5HX, UK.
Catherine MakAquarius Population Health Limited, 58a Highgate High Street, London, N6 5HX, UK.
Elisabeth J AdamsAquarius Population Health Limited, 58a Highgate High Street, London, N6 5HX, UK. Electronic address: Elisabeth.adams@aquariusph.com.
Aquarius Population Health · GBGuy's and St Thomas' NHS Foundation Trust · GBJohns Hopkins University · USKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with respiratory infections are often managed presumptively until confirmation of infection status. We assessed the impact of introducing the Enigma® MiniLab™ FluAB-RSV point-of-care test (POCT) on patients admitted with a suspected respiratory virus driven illness in an acute pediatric ward. This utilized a before and after design (respiratory viral seasons 2013/14 versus 2014/15). Following POCT implementation, oseltamivir prescribing increased in patients with influenza (OR = 12.7, P = 0.05, 95% CI [1.0, 153.8]). A reduction in the average reimbursement charges without a change in the length of stay was observed. Modeling suggested that laboratory test cost savings could be achieved if the POCT cost £30 and was used for screening, followed by the respiratory viral panel for RSV and influenza negative patients. A rapid POCT for influenza A/B and RSV infections in pediatric inpatients may improve oseltamivir prescribing, strengthen antimicrobial stewardship, reduce reimbursement charges and decrease laboratory costs.

Indexed as

Multiplex Polymerase Chain ReactionAdolescentAntiviral AgentsChildChild, PreschoolCost-Benefit AnalysisDiagnostic Tests, RoutineEnglandFemaleHospitalizationHospitals, PediatricHumansInfantInfant, NewbornInfluenza A virusInfluenza B virusAntiviral AgentsOseltamivirInfluenza virus AInfluenza virus BPoint-of-care technologyRapid diagnostic testsRespiratory syncytial virus

Identifiers

PMID29706478
PMCPMC7125905
OpenAlexW2795714063

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.