School of Law, Society & Criminology, Faculty of Law & Justice, University of New South Wales, Sydney Australia.
CSIRO Health and Biosecurity, Sydney, Australia.
Diagn Microbiol Infect Dis. 2024 Dec;110(4):116541. doi: 10.1016/j.diagmicrobio.2024.116541. Epub 2024 Sep 17.
Despite technological advances and readily available point of care test (POCT) devices with rapid turn-around results for respiratory tract infection (RTI) management, their adoption in primary care remains low. This paper summarises the challenges and facilitators of POCT implementation for RTIs in primary care settings in high-income countries. The review of 28 studies identified by systematic searches of electronic databases improves our understanding of the current state and will help guide the design and implementation of strategies to improve widespread POCT adoption. To effectively implement respiratory POCT in primary care, it is crucial to address several key challenges. These include ensuring the availability of resources to alleviate time pressures and costs, enhancing training, increasing quality control, improving device feasibility, and managing patient expectations. In doing so, diagnostic POCTs can contribute to an accurate, rapid, and evidence-based diagnosis of RTIs to reduce antimicrobial use and improve antimicrobial stewardship and patient outcomes.
尽管技术进步和便于携带的即时检测（POCT）设备可快速提供呼吸道感染（RTI）管理的结果，但它们在初级保健中的应用仍然很低。本文总结了在高收入国家初级保健环境中实施 RTIs POCT 的挑战和促进因素。通过对电子数据库进行系统检索确定的 28 项研究的回顾，提高了我们对当前状况的理解，并将有助于指导设计和实施策略，以提高广泛采用 POCT。为了在初级保健中有效地实施呼吸 POCT，解决几个关键挑战至关重要。这些包括确保有资源来缓解时间压力和成本，加强培训，提高质量控制，改善设备可行性以及管理患者的期望。这样，诊断性 POCT 有助于对 RTI 进行准确、快速和基于证据的诊断，以减少抗生素的使用并改善抗生素管理和患者结局。
