Point-of-care testing for diagnosis of respiratory infections in the Emergency Department setting of Addenbrooke's Hospital. Infections and Infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female 2. Any age 3. Presenting to the CUH Emergency Department 4. Symptomatic of respiratory tract infection as evidenced clinically by the presence of any of the following indicators: 4.1. Acute onset of persistent cough (with or without sputum) 4.2. Hoarseness 4.3. Nasal discharge or congestion 4.4. Shortness of breath 4.5. Sore throat 4.6. Wheezing 4.7. Sneezing 4.8. Persistent Acute respiratory distress syndrome 4.9. Influenza-like illness 4.10. Fever = 37.8 degrees C 4.11. Any other symptom known to be indicative of acute respiratory episode such as palpitations, headache, anosmia (COVID) or gastrointestinal symptoms (diarrhoea) (influenza) 5. Signed consent form for participation 6. Requiring standard of care diagnostic testing as per CUH Trust IPC policy 7. Able to read and/or understand the age-appropriate participant information sheet in English
Exclusion criteria
Exclusion criteria: 1. Unwilling or unable to comply with study nasopharyngeal swabbing procedures 2. Those who are incapacitated or deemed to be lacking capacity to provide informed consent to participate 3. Prisoners or young offenders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The sensitivity and accuracy of the Logicore System POC diagnostic test compared to the gold standard POC multiplex test (Cepheid GeneXpert), including Positive Predictive Value (PPV), Negative Predictive Value (NPV) and specificity measured using data collected at the time of the test during a single visit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Determination of turnaround time for Logicore System, measured using time recorded by the Logicore System and documented in patients’ medical notes by research staff, and Cepheid tests measured using time documented in patients’ medical notes by research staff, at one timepoint 2. Evaluation of the acceptability of the Logicore System POCT to study participants and staff, measured using a simple Likert scale, at a single timepoint 3. Monetised savings from avoided testing and operational savings due to the reduction in time spent in ED or in isolation within the ED measured using data collected from patient medical records at one timepoint | — |
Countries
England, United Kingdom