Article

1 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    6 1 0 0


Archives de pédiatrie
Volume 26, n° 1
pages 6-11 (janvier 2019)
Doi : 10.1016/j.arcped.2018.10.004
Received : 5 December 2017 ;  accepted : 14 October 2018
Research papers

Impact of the Sofia® Influenza A+B FIA rapid diagnostic test in a pediatric emergency department
 

D. Diallo a, A. Hochart a, M. Lagree a, B. Dervaux b, c, A. Martinot a, b, F. Dubos a, b,
a Pediatric emergency unit & infectious diseases, hôpital R.-Salengro, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France 
b EA 2694–Santé publique: épidémiologie et qualité des soins, université de Lille, 59000 Lille, France 
c Health Economy Department, CHU de Lille, 59000 Lille, France 

Corresponding author at: Pediatric emergency unit & infectious diseases, hôpital R.-Salengro, CHU de Lille, 2, avenue Oscar-Lambret, 59000 Lille, France.Pediatric emergency unit & infectious diseases, hôpital R.-Salengro, CHU de Lille2, avenue Oscar-LambretLille59000France
Abstract
Objective

The objective of this study was to evaluate the impact of a rapid diagnostic test for influenza (the Sofia® Influenza A+B FIA rapid diagnostic test [RDT]) in a pediatric emergency department (PED).

Methods

A retrospective, observational, cross-sectional study was conducted in the PED of the Lille University Hospital between 2013 and 2015. All patients under 18 years of age for whom influenza RDT was administered were included. Clinical data, management, and related hospitalizations were compared between positive and negative RDT groups. The length of stay in the PED (main outcome) and the number of additional tests (biological and radiographic tests) between the two groups were compared.

Results

A total of 238 tests were reported: 119 positive, 110 negative, nine invalid. The mean length of stay in the PED was significantly lower in the positive RDT group: 4.0h vs. 7.4h (P <10−6). Patients with positive RDT had significantly fewer biological tests (20% vs. 56%; P <10−7) and radiographs (23% vs. 52%; P <10−5). The prevalence of hospitalizations in a short-stay unit was significantly lower in patients with positive RDT (0.8% vs. 9.1%; P =0.009).

Conclusions

This study showed a significant medical impact of the use of Sofia® Influenza RDT A+B FIA in a PED regarding the length of stay and the number of additional explorations.

The full text of this article is available in PDF format.

Keywords : Influenza, Rapid diagnostic test, Pediatric emergency department, Management, Tertiary-care center




© 2018  Elsevier Masson SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline