Skip to main content

Main menu

  • Home
  • Articles
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • Home
  • Articles
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Editors' Blog
    • Email Alerts
  • Info For
    • Authors
    • Reviewers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • About
    • The JABFM
    • Editorial Board
  • Classifieds
  • More
    • Email Alerts
    • Feedback
    • ABFM News
    • Folders
    • Help
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleOriginal Research

Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use

Ariella Perry Dale, Mark Ebell, Brian McKay, Andreas Handel, Ronald Forehand and Kevin Dobbin
The Journal of the American Board of Family Medicine March 2019, 32 (2) 226-233; DOI: https://doi.org/10.3122/jabfm.2019.02.180183
Ariella Perry Dale
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Ebell
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brian McKay
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andreas Handel
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ronald Forehand
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kevin Dobbin
Department of Epidemiology and Biostatistics, University of Georgia, Athens (APD, ME, BM, AH, KD); Center for Ecology of Infectious Diseases, University of Georgia, Athens (AH); University Health Center, University of Georgia, Athens (RF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Abstract

Background: Rapid influenza diagnostic tests that detect the presence of viral antigens are currently used throughout the United States but have poor sensitivity. The objective of this study was to identify if the use of a new highly accurate rapid point of care test would significantly increase the likelihood of guideline consistent care.

Methods: We prospectively recruited 300 students at a university health clinic who presented with cough and 1 influenza-like illness symptom between December 2016 and February 2017 to receive care guided by a rapid polymerase chain reaction (PCR) test. Of the 300 patients receiving the PCR test, 264 had complete medical records and were compared to 771 who received usual care. We used a logistic regression model to identify whether PCR guided care was associated with guideline consistent care, based on the appropriate use of oseltamivir and antibiotics. We also assessed whether PCR guided care decreased the likelihood of return visits within 2 weeks by patients.

Results: Logistic regression revealed that the odds of receiving guideline supported care did not significantly increase for patients who received PCR guided care (adjusted odds ratio [aOR], 1.24; 95% CI, 0.83–1.88). It significantly decreased the likelihood of an antibiotic prescription (aOR, 0.61; 95% CI, 0.40–0.94), increased the likelihood of receiving oseltamivir (aOR, 1.57; 95% CI, 1.09–2.28), and decreased the likelihood of return visit within 2 weeks (aOR, 0.19; 95% CI, 0.04–0.81).

Conclusions: The use of a rapid PCR test did not significantly improve the likelihood of guideline consistent care. However, independent of test outcome, patients who received the test were more likely to receive an antiviral and less likely to receive an antibiotic or have a return visit within 2 weeks.

  • Antibiotics
  • Antiviral Agents
  • Diagnostic Tests
  • Influenza
  • Point of Care Testing
  • Polymerase Chain Reaction
View Full Text
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 32 (2)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 2
March-April 2019
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 16 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
Ariella Perry Dale, Mark Ebell, Brian McKay, Andreas Handel, Ronald Forehand, Kevin Dobbin
The Journal of the American Board of Family Medicine Mar 2019, 32 (2) 226-233; DOI: 10.3122/jabfm.2019.02.180183

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
Ariella Perry Dale, Mark Ebell, Brian McKay, Andreas Handel, Ronald Forehand, Kevin Dobbin
The Journal of the American Board of Family Medicine Mar 2019, 32 (2) 226-233; DOI: 10.3122/jabfm.2019.02.180183
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Response: Re: Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
  • Re: Impact of a Rapid Point of Care Test for Influenza on Guideline Consistent Care and Antibiotic Use
  • Multiple Research Methodologies Can Advance the Science of Family Medicine
  • Google Scholar

More in this TOC Section

  • A National Study of Community Health Centers’ Readiness to Address COVID-19
  • Development and Validation of the COVID-NoLab and COVID-SimpleLab Risk Scores for Prognosis in 6 US Health Systems
  • Demographic Characteristics Associated With Utilization of Noninvasive Treatments for Chronic Low Back Pain and Related Clinical Outcomes During the COVID-19 Pandemic in the United States
Show more ORIGINAL RESEARCH

Similar Articles

Keywords

  • Antibiotics
  • Antiviral Agents
  • Diagnostic Tests
  • Influenza
  • Point of Care Testing
  • Polymerase Chain Reaction

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us

© 2021 American Board of Family Medicine

Powered by HighWire