None listed
Conditions
Brief summary
Whanau (extended family) face barriers to accessing appropriate and timely primary health care in Aotearoa New Zealand due to significant stressors on the healthcare system. Group A Streptococcus (GAS) infections, serious skin infections and impetigo significantly affect tamariki (children). They are a priority nationally and identified by our partners, Te Hiku Hauora and Nga Kete Matauranga Pounamu Charitable Trust (Nga Kete), as focus areas. Innovative point of care testing (PoCT) technology is already here and being marketed to practices, but there is a gap in knowledge of the health benefits and how to implement this technology sustainably in primary care. We hypothesise that utilising Near-to-Whanau PoCT clinical care pathways will increase timely access to healthcare in Aotearoa, ultimately reducing tamariki morbidity and whanau health care complexities.
Interventions
For throat infections: Point of care testing swab in primary health setting for Group A Streptococcus (GAS) throat infections will be taken as part of the usual clinical care pathway. Clinicians involved in primary health care will determine if testing is required at their discretion. The point of care swab will be taken at the time they are seen in keeping with clinical care pathways. The swabs will be taken by the clinicians. The approximate time taken for completing testing will be 20-30minutes (including time for swab result). Point of care testing will be embedded into primary care service provision at the point of being seen by clinicians. This is different from current care which requires swabs to be sent away to laboratories for testing. A comprehensive set-up process is set up including installation, staff training, calibration of Point of Care testing machines, Standard Operating Manuals (SOP), Material Safety Data Sheets (MSDS), Maintenance records, Staff will attend the training course for each test as provided by the instrument vendor. This will be delivered on-line and will take a deeper dive into the theory behind these tests, specific sample processing requirements and PoCT platform maintenance. Adherence will be monitored via audit both pre and post intervention by reviewing medical records and pathology reports. For serious skin infections. Point of care testing swab in primary health setting for Staphylcoccal skin infections will be taken as part of the usual clinical care pathway. Clinicians involved in primary health care will determine if testing is required at their discretion. The point of care swab will be taken at the time they are seen in keeping with clinical care pathways. The swabs will be taken by the clinicians. The approximate time taken for completing testing will be 20-30minutes (including time for swab result). This is different from current care which requires swabs to be sent away to laboratories for testing. A comprehensive set-up process is set up including installation, staff training, calibration of Point of Care testing machines, Standard Operating Manuals (SOP), Material Safety Data Sheets (MSDS), Maintenance records, Staff will attend the training course for each test as provided by the instrument vendor. This will be delivered on-line and will take a deeper dive into the theory behind these tests, specific sample processing requirements and PoCT platform maintenance. Adherence will be monitored via audit both pre and post intervention by reviewing medical records and pathology reports.
Sponsors
Study design
Eligibility
Inclusion criteria
Whanau with tamariki who require investigation and testing for GAS, serious skin infection and impetigo are eligible to take part.
Exclusion criteria
Anyone who does not, or is unable to, give consent to take part is excluded.