Improved diagnostic policy for respiratory tract infections essential for patient management in the emergency department

Poelman, R., van der Meer, J., van der Spek, C., Riezebos-Brilman, A., Knoester, M., Leer-Buter, C. V., Friedrich, A. W. & Niesters, H. G., 3-Jun-2020, In : Future microbiology. 15, 8, 10 p.

Research output: Contribution to journalArticleAcademicpeer-review

Aim: Establishing an optimal diagnostic policy for patients with respiratory tract infections, at the emergency department (ED) of a university hospital in The Netherlands. Methods: Adult patients were sampled at admission, during the respiratory season (2014-2015). The FilmArray-RP was implemented at the clinical virology laboratory. Diagnostics were provided from 8 am to 10 pm, weekends included. Results: 436/492 (89%) results were available while patients were still at the ED. Median TAT from admission to test result was 165 min (IQR:138-214). No antibiotics were prescribed in 94/207 (45%) patients who tested positive for a virus. 185/330 (56%) hospitalized patients did not need admission with isolation measures. The value-based measure, expressed in euro-hour (€hr), increased to tenfold compared with previous policy. Conclusion: An optimal policy is essential for patient management, by providing timely, reliable diagnostics.

Original languageEnglish
Number of pages10
JournalFuture microbiology
Issue number8
Publication statusE-pub ahead of print - 3-Jun-2020

ID: 127678154