儿科急诊医护人员流感检测的实践模式和认知。
Practice patterns and perceptions of influenza testing amongst pediatric urgent care providers.
机构信息
Division of Emergency Medicine, Children's National Health System, Wshington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Division of Emergency Medicine, Children's National Health System, Wshington, DC, USA.
出版信息
Diagn Microbiol Infect Dis. 2023 Feb;105(2):115818. doi: 10.1016/j.diagmicrobio.2022.115818. Epub 2022 Sep 18.
INTRODUCTION
Despite a sensitivity of 50% to 70% the rapid influenza diagnostic test (RIDT) continues to play an important role in clinical decision-making due to its quick turn-around time, high specificity, relative simplicity of use, and low cost.
METHODS
A quantitative study using a web-based survey was distributed to 110 members of the Society of Pediatric Urgent Care aimed to assess RIDT use for diagnosis and management of influenza in outpatient pediatric patients.
RESULTS
Responses from 61 providers were received. Forty-two percent (95% CI 29.5-54.5%) of respondents report higher confidence in their diagnosis of influenza with the aid of a positive RIDT. 28% of respondents (95% CI 16.6-39.4%) report a higher likelihood of prescribing antiviral medications to low-risk patients if an RIDT is positive than without laboratory confirmation.
CONCLUSION
Most pediatric urgent care respondents reported higher confidence in their diagnosis and higher likelihood of prescribing antivirals with a positive RIDT rather than by clinical symptoms alone.
简介
尽管快速流感诊断检测（RIDT）的灵敏度为 50%至 70%，但其由于其快速的周转时间、高特异性、相对简单的使用方法和低成本，继续在临床决策中发挥重要作用。
方法
一项使用基于网络的调查的定量研究分发给了 110 名儿科急症护理协会的成员，旨在评估 RIDT 在门诊儿科患者中用于诊断和管理流感的使用情况。
结果
收到了 61 名提供者的回复。42%（95%CI29.5-54.5%）的受访者报告说，借助阳性 RIDT，他们对流感的诊断更有信心。28%（95%CI16.6-39.4%）的受访者报告说，如果 RIDT 呈阳性，他们更有可能为低风险患者开抗病毒药物，而无需实验室确认。
结论
大多数儿科急症护理受访者报告说，他们对阳性 RIDT 的诊断更有信心，并且更有可能开抗病毒药物，而不仅仅是根据临床症状。
Zotero 插件