The feasibility of novel point-of-care diagnostics for febrile illnesses at health centres in Southeast Asia : a mixed-methods study
© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene..
BACKGROUND: The decline of malaria in Southeast Asia means other causes of fever are increasingly relevant, but often undiagnosed. The objective of this study was to assess the feasibility of point-of-care tests to diagnose acute febrile illnesses in primary care settings.
METHODS: A mixed-methods study was conducted at nine rural health centres in western Cambodia. Workshops introduced health workers to the STANDARD(TM) Q Dengue Duo, STANDARD(TM) Q Malaria/CRP Duo and a multiplex biosensor detecting antibodies and/or antigens of eight pathogens. Sixteen structured observation checklists assessed users' performances and nine focus group discussions explored their opinions.
RESULTS: All three point-of-care tests were performed well under assessment, but sample collection was difficult for the dengue test. Respondents expressed that the diagnostics were useful and could be integrated into routine clinical care, but were not as convenient to perform as standard malaria rapid tests. Health workers recommended that the most valued point-of-care tests would directly inform clinical management (e.g. a decision to refer a patient or to provide/withhold antibiotics).
CONCLUSIONS: Deployment of new point-of-care tests to health centres could be feasible and acceptable if they are user-friendly, selected for locally circulating pathogens and are accompanied by disease-specific education and simple management algorithms.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:117 |
|---|---|
| Enthalten in: |
Transactions of the Royal Society of Tropical Medicine and Hygiene - 117(2023), 11 vom: 03. Nov., Seite 788-796 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Adella, Fidelis Jacklyn [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Feasibility |
|---|
| Anmerkungen: |
Date Completed 09.11.2023 Date Revised 29.02.2024 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1093/trstmh/trad036 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM358195500 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM358195500 | ||
| 003 | DE-627 | ||
| 005 | 20240229234209.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/trstmh/trad036 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1311.xml |
| 035 | |a (DE-627)NLM358195500 | ||
| 035 | |a (NLM)37317948 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Adella, Fidelis Jacklyn |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The feasibility of novel point-of-care diagnostics for febrile illnesses at health centres in Southeast Asia |b a mixed-methods study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 09.11.2023 | ||
| 500 | |a Date Revised 29.02.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. | ||
| 520 | |a BACKGROUND: The decline of malaria in Southeast Asia means other causes of fever are increasingly relevant, but often undiagnosed. The objective of this study was to assess the feasibility of point-of-care tests to diagnose acute febrile illnesses in primary care settings | ||
| 520 | |a METHODS: A mixed-methods study was conducted at nine rural health centres in western Cambodia. Workshops introduced health workers to the STANDARD(TM) Q Dengue Duo, STANDARD(TM) Q Malaria/CRP Duo and a multiplex biosensor detecting antibodies and/or antigens of eight pathogens. Sixteen structured observation checklists assessed users' performances and nine focus group discussions explored their opinions | ||
| 520 | |a RESULTS: All three point-of-care tests were performed well under assessment, but sample collection was difficult for the dengue test. Respondents expressed that the diagnostics were useful and could be integrated into routine clinical care, but were not as convenient to perform as standard malaria rapid tests. Health workers recommended that the most valued point-of-care tests would directly inform clinical management (e.g. a decision to refer a patient or to provide/withhold antibiotics) | ||
| 520 | |a CONCLUSIONS: Deployment of new point-of-care tests to health centres could be feasible and acceptable if they are user-friendly, selected for locally circulating pathogens and are accompanied by disease-specific education and simple management algorithms | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a feasibility | |
| 650 | 4 | |a febrile illnesses | |
| 650 | 4 | |a health centres | |
| 650 | 4 | |a point-of-care diagnostics | |
| 700 | 1 | |a Vanna, Moul |e verfasserin |4 aut | |
| 700 | 1 | |a Adhikari, Bipin |e verfasserin |4 aut | |
| 700 | 1 | |a Ol, Sam |e verfasserin |4 aut | |
| 700 | 1 | |a Tripura, Rupam |e verfasserin |4 aut | |
| 700 | 1 | |a Davoeung, Chan |e verfasserin |4 aut | |
| 700 | 1 | |a Callery, James J |e verfasserin |4 aut | |
| 700 | 1 | |a Sovann, Yok |e verfasserin |4 aut | |
| 700 | 1 | |a Chandna, Arjun |e verfasserin |4 aut | |
| 700 | 1 | |a Bunreth, Voeunrung |e verfasserin |4 aut | |
| 700 | 1 | |a Asnong, Carina |e verfasserin |4 aut | |
| 700 | 1 | |a von Seidlein, Lorenz |e verfasserin |4 aut | |
| 700 | 1 | |a Dondorp, Arjen M |e verfasserin |4 aut | |
| 700 | 1 | |a Maude, Richard J |e verfasserin |4 aut | |
| 700 | 1 | |a Lubell, Yoel |e verfasserin |4 aut | |
| 700 | 1 | |a Wills, Bridget |e verfasserin |4 aut | |
| 700 | 1 | |a Lek, Dysoley |e verfasserin |4 aut | |
| 700 | 1 | |a Peto, Thomas J |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Transactions of the Royal Society of Tropical Medicine and Hygiene |d 1945 |g 117(2023), 11 vom: 03. Nov., Seite 788-796 |w (DE-627)NLM000035653 |x 1878-3503 |7 nnns |
| 773 | 1 | 8 | |g volume:117 |g year:2023 |g number:11 |g day:03 |g month:11 |g pages:788-796 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/trstmh/trad036 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 117 |j 2023 |e 11 |b 03 |c 11 |h 788-796 | ||