Organisation and quality monitoring for point-of-care testing (POCT) in Belgium: proposal for an expansion of the legal framework for POCT into primary health care

Hoof, Viviane Van; Barglazan, Dragos; Blairon, Laurent; Braekevelt, Bob; Debois, Régis; Vos, Nathalie Véronique J De; Gruson, Damien; Jonckheere, Jef; Lanckmans, Katrien; Moens, Marc; Peeters, Bart; Penders, Joris; Roman, Alain; Hoovels, Lieve Van; Vanstapel, Florent; Verbakel, Jan Y; Verdonck, Ann; Verstraete, Alain G.

doi:10.1080/17843286.2020.1868906

Cited by 10 publications

(4 citation statements)

References 22 publications

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“…[ 34 , 35 ] Third, different rapid point-of-care tests with high sensitivity and specificity have been developed to distinguish between bacterial and viral aetiology for some specific conditions, and the number of users has increased by 5% yearly since 2014 in North America [ 36 ]. Still, there is no homogeneous access to and use of immunological and microbiological rapid point-of-care testing in the primary care settings among different countries [ 37 ], limiting the generalizability and the comparison of prescribing behaviour.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012–2018

et al. 2021

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Comprehensive data are needed to monitor antibiotic prescribing and inform stewardship. We aimed to evaluate the current antibiotic prescribing patterns, including treatment switching and prolongation, in the paediatric primary care setting in Italy. This database study assessed antibiotic prescriptions retrieved from Pedianet, a paediatric primary care database, from 1 January 2012 to 31 December 2018. Descriptive analyses were stratified by diagnosis class, calendar year, and children’s age. Generalized linear Poisson regression was used to assess variation in the prescriptions. In total, 505,927 antibiotic prescriptions were included. From 2012 to 2018, the number of antibiotics per child decreased significantly by 4% yearly from 0.79 in 2012 to 0.62 in 2018. Amoxicillin prescriptions decreased with increasing children’s age, while macrolides and third-generation cephalosporins had the opposite trend. Prescriptions were associated with a diagnosis of upper respiratory infection in 23% of cases, followed by pharyngitis (21%), bronchitis and bronchiolitis (12%), and acute otitis media (12%). Eight percent of treatment episodes were prolonged or switched class, mostly represented by co-amoxiclav, macrolides, and third-generation cephalosporins. Our findings report an overall decrease in antibiotic prescriptions, but pre-schoolers are still receiving more than one antibiotic yearly, and broad-spectrum antibiotics prescription rates remain the highest.

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Section: Discussionmentioning

confidence: 99%

Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012–2018

et al. 2021

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“…However, there is no legal framework regarding the use of POCT outside of a hospital, even though, when combined with a risk-assessment questionnaire, they may provide more accurate screening and referral. To overcome this lack of regulation, a proposal for POCT to be reimbursed was submitted under the condition that the tests would be carried out within an extended legal framework [ 44 ]. The elimination of regulatory barriers is an important step toward ensuring optimal patient care and the sustainability of pharmacist-led screening.…”

Section: Discussionmentioning

confidence: 99%

Diabetes and Cardiovascular Diseases Risk Assessment in Community Pharmacies: An Implementation Study

Rondeaux

Braeckman

Beckwé

et al. 2022

IJERPH

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The implementation of a new service is often challenging when translating research findings into routine clinical practices. This paper presents the results of the implementation study of a pilot project for a diabetes and cardiovascular diseases risk-assessment service in Belgian community pharmacies. To evaluate the implementation of the service, a mixed method was used that follows the RE-AIM framework. During the testing stage, 37 pharmacies participated, including five that dropped out due to a lack of time or COVID-19-related temporary obligations. Overall, 502 patients participated, of which 376 (74.9%) were eligible for according-to-protocol analysis. Of these, 80 patients (21.3%) were identified as being at high risk for the targeted diseases, and 100 (26.6%) were referred to general practice for further investigation. We presented the limited effectiveness and the key elements influencing optimal implementation. Additional strategies, such as interprofessional workshops, a data-sharing platform, and communication campaigns, should be considered to spread awareness of the new role of pharmacists. Such strategies could also promote collaboration with general practitioners to ensure the follow-up of patients at high risk. Overall, this service was considered easy to perform and feasible in practice but would require financial and external support to ensure its effectiveness, sustainability, and larger-scale implementation.

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“…Point-of-care testing (POCT) is now widely used in the healthcare, medical, and clinical professions for early illness monitoring and rapid commercial diagnostic instruments. [1][2][3] Illness screening and treatment options rely heavily on early detection of disease and tumour biomarkers and rapid diagnosis. 4 In many instances, patients need immediate results from diagnostic tests performed in medical laboratories, even though these tests oen take a long time, necessitate multiple stages of preparation for the sample, and call for sophisticated tools for infrastructural construction and staff with extensive training.…”

Section: Introductionmentioning

confidence: 99%

A novel test device and quantitative colorimetric method for the detection of human chorionic gonadotropin (hCG) based on Au@Zn–salen MOF for POCT applications

Mohamed¹,

El‐Sheikh

Kadi³

et al. 2023

RSC Adv.

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Organisation and quality monitoring for point-of-care testing (POCT) in Belgium: proposal for an expansion of the legal framework for POCT into primary health care

Cited by 10 publications

References 22 publications

Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012–2018

Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012–2018

Diabetes and Cardiovascular Diseases Risk Assessment in Community Pharmacies: An Implementation Study

A novel test device and quantitative colorimetric method for the detection of human chorionic gonadotropin (hCG) based on Au@Zn–salen MOF for POCT applications

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