TY - JOUR
T1 - Improved diagnostic policy for respiratory tract infections essential for patient management in the emergency department
AU - Poelman, Randy
AU - van der Meer, Johan
AU - van der Spek, Corina
AU - Riezebos-Brilman, Annelies
AU - Knoester, Marjolein
AU - Leer-Buter, Coretta Van
AU - Friedrich, Alexander W
AU - Niesters, Hubert G
PY - 2020/5
Y1 - 2020/5
N2 - 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 (€h), increased to tenfold compared with previous policy. Conclusion: An optimal policy is essential for patient management, by providing timely, reliable diagnostics.
AB - 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 (€h), increased to tenfold compared with previous policy. Conclusion: An optimal policy is essential for patient management, by providing timely, reliable diagnostics.
U2 - 10.2217/fmb-2019-0119
DO - 10.2217/fmb-2019-0119
M3 - Article
C2 - 32490688
SN - 1746-0913
VL - 15
SP - 623
EP - 632
JO - Future microbiology
JF - Future microbiology
IS - 8
ER -