Feasibility of Point-of-Care Testing for Influenza Within a National Primary Care Sentinel Surveillance Network in England: Protocol for a Mixed Methods Study


Por: de Lusignan, S, Hoang, U, Liyanage, H, Yonova, I, Ferreira, F, Diez-Domingo, J and Clark, T

Fecha de Publicación: 01/11/2019
Resumen:
Background: Point-of-care testing (POCT) for influenza promises to provide real-time information to influence clinical decision making and improve patient outcomes. Public Health England has published a toolkit to assist implementation of these tests in the UK National Health Service. Objective: A feasibility study will be undertaken to assess the implementation of influenza POCT in primary care as part of a sentinel surveillance network. Methods: We will conduct a mixed methods study to compare the sampling rates in practices using POCT and current virology swabbing practices not using POCT, and to understand the issues and barriers to implementation of influenza POCT in primary care workflows. The study will take place between March and May 2019. It will be nested in general practices that are part of the English national sentinel surveillance network run by the Royal College of General Practitioners Research and Surveillance Centre. The primary outcome is the number of valid influenza swabs taken and tested by the practices involved in the study using the new POCT. Results: A total of 6 practices were recruited, and data collection commenced on March 11, 2019. Moreover, 312 swab samples had been collected at the time of submission of the protocol, which was 32.5% (312/960) of the expected sample size. In addition, 68 samples were positive for influenza, which was 20.1% (68/338) of the expected sample size. Conclusions: To the best of our knowledge, this is the first time an evaluation study has been undertaken on POCT for influenza in general practice in the United Kingdom. This proposed study promises to shed light on the feasibility of implementation of POCT in primary care and on the views of practitioners about the use of influenza POCT in primary care, including its impact on primary care workflows.

Direcciones
de Lusignan, S: Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England; Univ Surrey, Dept Clin & Expt Med, Leggett Bldg,Daphne Jackson Rd, Guildford GU2 7WG, Surrey, England
Hoang, U: Univ Surrey, Dept Clin & Expt Med, Leggett Bldg,Daphne Jackson Rd, Guildford GU2 7WG, Surrey, England
Liyanage, H: Univ Surrey, Dept Clin & Expt Med, Leggett Bldg,Daphne Jackson Rd, Guildford GU2 7WG, Surrey, England
Yonova, I: Univ Surrey, Dept Clin & Expt Med, Leggett Bldg,Daphne Jackson Rd, Guildford GU2 7WG, Surrey, England
Ferreira, F: Univ Surrey, Dept Clin & Expt Med, Leggett Bldg,Daphne Jackson Rd, Guildford GU2 7WG, Surrey, England
Diez-Domingo, J: FISABIO SALUD PÚBLICA - INVESTIGACIÓN EN VACUNAS, Valencia, Spain
Clark, T: Univ Southampton, Acad Unit Clin & Expt Sci, Southampton, Hants, England
ISSN: 19290748





Jmir Research Protocols
Editorial
JMIR PUBLICATIONS, INC, 59 WINNERS CIRCLE, TORONTO, ON M4L 3Y7, CANADA, Canada
Tipo de documento: Article
Volumen: 8 Número: 11
Páginas: -s
WOS: 000500705500013
ID de PubMed: 31710303

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