Evidence map›Paper›PMID 39740928›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2025

Rapid microbiological respiratory point-of-care testing: a qualitative study with primary care clinicians.

Rebecca Clarke, Emily Brown, Alastair D Hay, Paul Mark Mitchell, Matthew J Ridd, Liang Zhu, Lucy Yardley

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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.

Rebecca ClarkeSchool of Psychological Science, University of Bristol, Bristol.ORCID 0000-0003-2969-837X
Emily BrownCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol.ORCID 0000-0002-8232-1769
Alastair D HayCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol.ORCID 0000-0003-3012-375X
Paul Mark MitchellHealth Economics and Health Policy, Population Health Sciences, University of Bristol, Bristol.ORCID 0000-0002-7593-4460
Matthew J RiddCentre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol.ORCID 0000-0002-7954-8823
Liang ZhuHealth Economics and Health Policy, Population Health Sciences, University of Bristol, Bristol.
Lucy YardleySchool of Psychological Science, University of Bristol, Bristol; School of Psychology, University of Southampton, Southampton.ORCID 0000-0002-3853-883X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid microbiological point-of-care tests (RM POCTs) present an opportunity to reduce antibiotic exposure and antimicrobial resistance (AMR). So far, there is limited understanding of how RM POCTs may support clinicians in primary care in the UK and how RM POCTs might be integrated into practice.

aimTo investigate clinicians' views on how RM POCTs can influence clinical decisions and routine practice, and perspectives on how RM POCTs can impact the clinician-patient relationship. DESIGN AND

settingA qualitative study was undertaken. The study was embedded in a multi-centre, individually randomised controlled efficacy trial, which evaluated the use of a multiplex RM POCT for suspected respiratory tract infections (RTIs) in primary care.

methodIndividual interviews were conducted with 18 clinicians (GPs,

resultsRM POCTs can guide prescribing decisions when clinicians experience diagnostic uncertainty and support communication with patients to reinforce prescribing decisions. Consequently, the perceived value of, and use of, RM POCTs varied according to clinicians' confidence in making prescribing decisions and managing patient expectations and their clinical roles. The costly and time-consuming nature of RM POCTs meant that integration of the tests into routine practice was considered unlikely at present.

conclusionThe findings from this study highlight the potential benefits and challenges of integrating RM POCTs into routine practice. Clinicians in this study had generally favourable views towards RM POCTs. However, further RM POCT training, complementary strategies, such as communication skills training and patient education, and clear guidance on implementation should be explored to optimise RM POCT feasibility and outcomes across different primary care settings.

Indexed as

Point-of-Care TestingPrimary Health CareRespiratory Tract InfectionsAnti-Bacterial AgentsAttitude of Health PersonnelClinical Decision-MakingFemaleHumansMaleQualitative ResearchUnited KingdomAnti-Bacterial Agentsantibioticsdiagnosticspoint-of-care testingprimary health carequalitative researchrespiratory tract infections

Identifiers

PMID39740928
PMCPMC11920898

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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.