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Point of Care Testing for Infectious Disease in Europe

A Scoping Review and Survey Study

Bibliographic Data

ID22079232
AuthorsLucy Hocking (0000-0002-8319-962X, RAND Europe, corresponding author), Jenny George (RAND Europe), Eeva K Broberg, Eeva Broberg (0000-0003-2693-7224, European Centre for Disease Prevention and Control), Marc Struelens (0000-0001-5150-4944, European Centre for Disease Prevention and Control), Marc J Struelens, Katrin Leitmeyer (0000-0002-6248-4923, European Centre for Disease Prevention and Control), Katrin C Leitmeyer, Advait Deshpande (0000-0003-0540-1949, RAND Europe), Sarah Parkinson (0000-0002-2858-1842, RAND Europe), Joe Francombe (RAND Europe), Katherine I Morley (0000-0002-2725-5535, RAND Europe), Helena de Carvalho Gomes (0000-0003-4304-4217, European Centre for Disease Prevention and Control)
Year2021
Volume9
Pages722943-722943
Publication date2021-10-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.722943
PMID34746078
OpenAlexW3205325491
LanguageEN
References cited12

Background: Point of care testing (POCT) for infectious diseases is testing conducted near the patient. It allows clinicians to offer the most appropriate treatment more quickly. As POCT devices have increased in accuracy and become more cost-effective, their use has grown, but a systematic assessment of their use for clinical and public health management of infectious diseases in EU/EEA countries has not been previously undertaken. Methods: A scoping review of the literature on POCT in EU/ EEA countries as at November 2019, and a survey of key stakeholders. Results: 350 relevant articles were identified and 54 survey responses from 26 EU/EEA countries were analysed. POCT is available for a range of infectious diseases and in all countries responding to the survey (for at least one disease). POCT is commonly available for influenza, HIV/AIDS, Legionnaires' disease and malaria, where it is used in at least half of EU/EEA countries. While POCT has the potential to support many improvements to clinical care of infectious diseases (e.g., faster diagnosis, more appropriate use of antimicrobials), the results suggest POCT is infrequently used to support public health functions (e.g., disease surveillance and reporting). Conclusion: Although POCT is in use to some extent in all EU/EEA countries, the full benefits of POCT in wider public health functions have yet to be realised. Further research on barriers and facilitators to implementation is warranted

Disease · Family medicine · Intensive care medicine · Medical emergency · Pathology · Point-of-care testing · Public health · Antibiotic Use and Resistance · Bacterial Identification and Susceptibility Testing · Data-Driven Disease Surveillance · Medicine · Nursing

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