COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice?
COVID-19 has devastated care homes. Point-of-care tests (POCTs), mainly using lateral flow devices (LFDs), have been deployed hurriedly without much consideration of their usability or impact on care workflow. Even after the pandemic, POCTs, particularly multiplex tests, may be an important control...
| Publicado en: | Age & Ageing Vol. 50; no. 5; pp. 1442 - 1445 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=152460642&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 152460642 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2021 vid: 50 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 152460642 10.1093/ageing/afab101 ppf: 1442 ppct: 3 formats: tig: atl: COVID-19 point-of-care testing in care homes: what are the lessons for policy and practice? aug: au: Buckle, Peter Micocci, Massimo Tulloch, John Kierkegaard, Patrick Parvulescu, Paula Thompson, Carl Spilsbury, Karen Allen, A Joy Body, Richard Hayward, Gail Buchan, Iain Gordon, Adam L affil: NIHR London In-Vitro Diagnostics Cooperative, Imperial College London , London, UK Institute of Infection , Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK Department of Public Health , Liverpool City Council , Liverpool, UK School of Healthcare , Faculty of Medicine and Health, University of Leeds, Leeds, UK NIHR Applied Research Collaboration–Yorkshire and Humber (YHARC) , Leeds, UK NIHR Newcastle In Vitro Diagnostics Co-operative , Newcastle University, Newcastle upon Tyne, UK Division of Cardiovascular Science , The University of Manchester , Manchester, UK Emergency Department , Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust , Manchester, UK Nuffield Department of Primary Care Health Sciences , University of Oxford , Oxford, UK Institute of Population Health, University of Liverpool , Liverpool, UK School of Medicine, University of Nottingham , Nottingham, UK NIHR Applied Research Collaboration-East Midlands (ARC-EM) , Nottingham, UK su: Health policy Professions Prevention of communicable diseases Medical care costs Nursing care facilities Legal compliance Working hours Elder care Old age Reverse transcriptase polymerase chain reaction COVID-19 Point-of-care testing COVID-19 testing Polymerase chain reaction sug: subj: Health policy Professions Prevention of communicable diseases Medical care costs Nursing care facilities Legal compliance Working hours Elder care Old age Continuing Care Retirement Communities Administration of Public Health Programs Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Professional Organizations Reverse transcriptase polymerase chain reaction COVID-19 Point-of-care testing COVID-19 testing Polymerase chain reaction keyword: care homes nursing homes older people point-of-care testing care homes nursing homes older people point-of-care testing ab: COVID-19 has devastated care homes. Point-of-care tests (POCTs), mainly using lateral flow devices (LFDs), have been deployed hurriedly without much consideration of their usability or impact on care workflow. Even after the pandemic, POCTs, particularly multiplex tests, may be an important control against spread of SARS-CoV-2 and other respiratory infections in care homes by enabling identification of cases. They should not, however, replace other infection control measures such as barrier methods and quarantine. Adherence to LFDs as implemented among care home staff is suboptimal. Other tests—such as point-of-care polymerase chain reaction and automated antigen tests—would also need to be accommodated into care home workflows to improve adherence. The up-front costs of POCTs are straightforward but additional costs, including staffing preparation and reporting processes and the impacts of false positive and negative tests on absence rates and infection days, are more complex and as yet unquantified. A detailed appraisal is needed as the future of testing in care homes is considered. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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