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.
Abstract

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