Near point-of-care adoption of Cepheid Xpert® Flu/RSV XC testing within an integrated healthcare delivery network

Diana R Hernandez; Grant P Pellitteri; Donna J Kimmich; Barbara J Heiter; Ken Smeal; Donna M Wolk

doi:10.1016/j.diagmicrobio.2018.11.013

Near point-of-care adoption of Cepheid Xpert® Flu/RSV XC testing within an integrated healthcare delivery network

Diagn Microbiol Infect Dis. 2019 May;94(1):28-29. doi: 10.1016/j.diagmicrobio.2018.11.013. Epub 2018 Nov 23.

Authors

Diana R Hernandez¹, Grant P Pellitteri², Donna J Kimmich³, Barbara J Heiter⁴, Ken Smeal⁵, Donna M Wolk⁶

Affiliations

¹ Geisinger, Center for Infectious Diseases Diagnostics and Research, 100 N Academy Ave., Danville, PA. 17822-2619. Electronic address: drhernandez@geisinger.edu.
² Geisinger, Center for Infectious Diseases Diagnostics and Research, 100 N Academy Ave., Danville, PA. 17822-2619. Electronic address: gppellitteri@geisinger.edu.
³ Geisinger Clinical Laboratories Division, 2520 Green Tech Drive, State College, PA. 16803. Electronic address: djkimmich@geisinger.edu.
⁴ Geisinger Diagnostics Medicine Institute, 100 N Academy Ave., Danville, PA. 17822-0131. Electronic address: bjheiter@geisinger.edu.
⁵ Geisinger Clinical Laboratories Division, 2520 Green Tech Drive, State College, PA. 16803. Electronic address: ksmeal@geisinger.edu.
⁶ Geisinger, Center for Infectious Diseases Diagnostics and Research, 100 N Academy Ave., Danville, PA. 17822-2619; Geisinger Diagnostics Medicine Institute, 100 N Academy Ave., Danville, PA. 17822-0131. Electronic address: dmwolk@geisinger.edu.

PMID: 30581009
DOI: 10.1016/j.diagmicrobio.2018.11.013

Abstract

Flu/RSV testing was implemented in out-patient clinic-based physician office laboratories throughout Pennsylvania. On-site testing reduced the collect-to-result time by 70% when compared to testing in a centralized core laboratory; over- or under-treatment for influenza A and B (measured by anti-viral prescription) was reduced by 15% (P < 0.0001). Antimicrobial prescription was not affected by on-site testing.

Keywords: Flu; Flu test; Point-of-care; RSV.

Publication types

Evaluation Study

MeSH terms

Ambulatory Care / methods*
Humans
Influenza, Human / diagnosis*
Molecular Diagnostic Techniques / methods*
Pennsylvania
Point-of-Care Systems*
Respiratory Syncytial Virus Infections / diagnosis*
Time