Evidence map›Paper›PMID 36139971›Full record

ReviewAntibiotics (Basel, Switzerland)2022

Point-of-Care and Rapid Tests for the Etiological Diagnosis of Respiratory Tract Infections in Children: A Systematic Review and Meta-Analysis.

Giulia Brigadoi, Andrea Gastaldi, Marco Moi, Elisa Barbieri, Sara Rossin, Annalisa Biffi, Anna Cantarutti, Carlo Giaquinto, Liviana Da Dalt, Daniele Donà

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07453914 (Clinical Assessment of Respiratory Events for Kids), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT07453914 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Assessment of Respiratory Events for Kids: Integrating Diagnostics and Stewardship

TypeinterventionalSponsorBioMérieuxRan2026 to 2026Enrolled720ConditionsRespiratory Tract Infections (RTI), Influenza-like Illness, ChildrenArmsSPOTFIRE R
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Giulia BrigadoiDepartment for Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.
Andrea GastaldiDepartment of Pediatrics, Women's and Children's Health, University of Verona, Piazz. Stefani 1, 37126 Verona, Italy.ORCID 0000-0002-8110-210X
Marco MoiDepartment for Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.
Elisa BarbieriDivision of Pediatric Infectious Diseases, Department for Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.ORCID 0000-0003-0850-8784
Sara RossinPediatric Emergency Department, Department for Woman and Child Health, University of Padua, Via Giustiani 3, 35128 Padua, Italy.
Annalisa BiffiUnit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, 20126 Milan, Italy.
Anna CantaruttiUnit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, 20126 Milan, Italy.ORCID 0000-0002-3700-780X
Carlo GiaquintoDivision of Pediatric Infectious Diseases, Department for Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.
Liviana Da DaltPediatric Emergency Department, Department for Woman and Child Health, University of Padua, Via Giustiani 3, 35128 Padua, Italy.
Daniele DonàDivision of Pediatric Infectious Diseases, Department for Women's and Children's Health, University of Padua, Via Giustiniani 3, 35128 Padua, Italy.ORCID 0000-0001-7105-2105
University of Padua · ITUniversity of Milano-Bicocca · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fever is one of the most common causes of medical evaluation of children, and early discrimination between viral and bacterial infection is essential to reduce inappropriate prescriptions. This study aims to systematically review the effects of point-of-care tests (POCTs) and rapid tests for respiratory tract infections on changing antibiotic prescription rate, length of stay, duration of therapy, and healthcare costs. Embase, MEDLINE, and Cochrane Library databases were systematically searched. All randomized control trials and non-randomized observational studies meeting inclusion criteria were evaluated using the NIH assessment tool. A meta-analysis was performed to assess the effects of rapid influenza diagnostic tests and film-array respiratory panel implementation on selected outcomes. From a total of 6440 studies, 57 were eligible for the review. The analysis was stratified by setting and POCT/rapid test type. The most frequent POCTs or rapid tests implemented were the Rapid Influenza Diagnostic Test and film-array and for those types of test a separate meta-analysis assessed a significant reduction in antibiotic prescription and an improvement in oseltamivir prescription. Implementing POCTs and rapid tests to discriminate between viral and bacterial infections for respiratory pathogens is valuable for improving appropriate antimicrobial prescriptions. However, more studies are needed to assess these findings in pediatric settings.

Indexed as

antimicrobialschildrendiagnostic stewardshipfilm-arrayPOCTRIDT

Identifiers

PMID36139971
PMCPMC9494981
OpenAlexW4294956232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.