The Importance of Rapid Influenza Testing in Pediatric Primary Care : Experience During Three Consecutive Influenza Seasons (2016-2019) in Barcelona (Catalonia, Spain)
van Esso, Diego (Institut Català de la Salut. Servei d'Atenció Primària Muntanya)
Vilà, Monica (Institut Català de la Salut)
Andrés, Cristina (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Iglesias, Sheila (Institut Català de la Salut)
Ferrer, Josep (Institut Català de la Salut)
Losada, Lucia (Institut Català de la Salut)
Ricos, Gemma (Institut Català de la Salut)
Sanchez, Lorena (Institut Català de la Salut)
Morera, Patricia (Institut Català de la Salut)
Pérez, Mar (Institut Català de la Salut)
Ferrandez, Mª Angeles (Institut Català de la Salut)
Hernando, Esther (Institut Català de la Salut)
Rodrigo Gonzalo de Líria, Carlos (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Pumarola Suñé, Tomàs (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Antón, Andrés (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	Clinical diagnosis of influenza has low sensitivity in infants and children. Signs and symptoms are non-specific and similar to those of other respiratory viruses. Rapid influenza diagnostic tests (RIDTs) with adequate sensitivity and specificity used at the point of care can be useful for an etiologic diagnosis of influenza in primary care. This should have an impact on better management of these patients. We conducted a study during three consecutive influenza seasons (2016-2017, 2017-2018, and 2018-2019) in pediatric primary care settings collecting data from influenza point-of-care tests (POCTs)-confirmed ≤ 6-year-old patients. During the first two influenza seasons, antibiotic prescriptions and additional visits from influenza POCT-confirmed patients (Group_1) were compared to patients with influenza-like illness (ILI) (Group_2), or fever (2016 ICD-10 code R50) with no other signs of influenza (Group_3). Group_1 had 0. 19 (2016-2017) and 0. 23 (2017-2018) additional visits compared to 0. 48 (2016-2017) and 0. 49 (2017-2018) Group_2 p < 0. 001 and 1. 01 (2016-2017) and 0. 80 (2017-2018) Group_3 p < 0. 001. Antibiotic prescription was lower in Group_1 (10. 2%) vs. Group_3 (17. 2%) p < 0. 002, difference statistically significant only for the 2017-2018 season. During the third season (2018-2019), RIDTs results were transmitted in real time to the reference laboratory ia the cloud, which strengthens the monitoring of circulating influenza viruses in the community. In our experience, the use of POCTs has a great potential in primary care specially in infants and young children in which the diagnosis maybe missed due to non-specific signs and symptoms.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Influenza ; Primary care ; Children ; Rapid influenza diagnostic test (RIDT) ; Point of care test (POCT) ; Pediatrics ; Respiratory viral infection
Publicado en:	Frontiers in Pediatrics, Vol. 8 (october 2020) , ISSN 2296-2360

DOI: 10.3389/fped.2020.00565
PMID: 33163462

7 p, 476.9 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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