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Updated: Aug 25, 2025

Rapid Molecular Detection and Differentiation of Influenza Viruses A and B
Published on: January 30, 2017
Practice patterns and perceptions of influenza testing amongst pediatric urgent care providers
Haroon Shaukat1, Sophia Wang2, Dana Kim2
1Division of Emergency Medicine, Children's National Health System, Wshington, DC, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Insights
Pediatric urgent care providers report increased confidence in diagnosing influenza and a higher likelihood of prescribing antiviral medications when using rapid influenza diagnostic tests (RIDTs). These tests aid clinical decisions despite moderate sensitivity.
Area of Science:
- Pediatric Medicine
- Infectious Diseases
- Diagnostic Testing
Background:
- Rapid influenza diagnostic tests (RIDTs) are utilized in clinical decision-making for influenza.
- RIDTs offer quick results, high specificity, ease of use, and low cost, despite a sensitivity range of 50%–70%.
Purpose of the Study:
- To assess the use of RIDTs for diagnosing and managing influenza in pediatric patients in outpatient settings.
- To evaluate provider confidence and treatment decisions influenced by RIDT results.
Main Methods:
- A quantitative study employing a web-based survey.
- The survey was distributed to 110 members of the Society of Pediatric Urgent Care.
- Data collected from 61 responding providers.
Main Results:
- 42% of respondents reported increased diagnostic confidence with a positive RIDT.
- 28% of respondents indicated a higher likelihood of prescribing antivirals to low-risk patients with a positive RIDT.
- Provider confidence and treatment decisions were influenced by RIDT results.
Conclusions:
- Positive RIDTs enhance diagnostic confidence among pediatric urgent care providers.
- RIDTs influence the likelihood of prescribing antiviral medications, even in low-risk patients.
- RIDTs play a significant role in the diagnosis and management of influenza in pediatric urgent care.
Introduction:
Despite a sensitivity of 50% to 70% the rapid influenza diagnostic test (RIDT) continues to play an important role in clinical decision-making due to its quick turn-around time, high specificity, relative simplicity of use, and low cost.
Methods:
A quantitative study using a web-based survey was distributed to 110 members of the Society of Pediatric Urgent Care aimed to assess RIDT use for diagnosis and management of influenza in outpatient pediatric patients.
Results:
Responses from 61 providers were received. Forty-two percent (95% CI 29.5-54.5%) of respondents report higher confidence in their diagnosis of influenza with the aid of a positive RIDT. 28% of respondents (95% CI 16.6-39.4%) report a higher likelihood of prescribing antiviral medications to low-risk patients if an RIDT is positive than without laboratory confirmation.
Conclusion:
Most pediatric urgent care respondents reported higher confidence in their diagnosis and higher likelihood of prescribing antivirals with a positive RIDT rather than by clinical symptoms alone.
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