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1565 What’s the point? (of Care?)

Griffin, Laura-Jane ; Ross, Phillip

Archives of disease in childhood, 2021-10, Vol.106 (Suppl 1), p.A416-A416 [Periódico revisado por pares]

London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health

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  • Título:
    1565 What’s the point? (of Care?)
  • Autor: Griffin, Laura-Jane ; Ross, Phillip
  • Assuntos: Abstracts ; COVID-19 ; Patients ; Pediatrics ; Point of care testing ; Severe acute respiratory syndrome coronavirus 2 ; Virology
  • É parte de: Archives of disease in childhood, 2021-10, Vol.106 (Suppl 1), p.A416-A416
  • Notas: Paediatric Critical Care Society
    Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021
  • Descrição: BackgroundPoint of Care testing for virology is readily available in PICU and results are available within 45 minutes. Laboratory virology PCR results can take up to 48 hours. This can have an impact on bed status, cohorting of patients and staff allocation in busy periods when side rooms are at a premium. Recently, Sars-Cov-2 has been added to the list of viruses detected by our machine.ObjectivesRecently, Sars-Cov-2 has been added to the list of viruses detected by our machine however the machine is not validated for this. We aim to validate it, making it easier to cohort patients and allow de-escalation of PPE and ‘red zones’ at the earliest opportunity.MethodsAll medical staff performing bronchioalveolar lavage on patients in PICU were requested to split the sample obtained; one to run one through the POC machine and the rest to be sent off to the lab. A folder was placed by the machine to insert an ID label in when a POC sample was run using a BAL sample. 19 samples were analysed over a four month period between October 2020 and January 2021. The results obtained by the point of care machine was compared to the lab results for both Sats-Cov-2 and for other virology PCR.ResultsIn total 89.4% of the samples showed correlation in the results obtained by the POC machine for both covid 19 and other virology. With regards to Sars-Cov-2 testing 15 of the 19 samples were both negative on point of care testing and on lab testing. The remaining four samples had not been tested by the lab for covid 19 PCR – it is assumed that no request form was completed by medical staff to request covid 19 PCR to be run on the sample. 5.2% of the samples analysed for virology PCR showed that the lab was more sensitive in detecting viral loads at lower levels. 5.2% of the results obtained for virology couldn’t be correlated as the POC machine didn’t test for the organism detected. We are unable to assess whether the point of care machine correlates with the lab Covid 19 PCR in those patients who are covid positive, as we didn’t have any covid positive patients in our cohortConclusionsThere is good correlation between the results obtained on the POC machine in patients who are Covid 19 negative. We are unable to assess whether the point of care machine correlates with the lab Covid 19 PCR in those patients who are covid positive. Ideally, we would have liked a larger cohort of patient results to analyse with some of those patients being positive for Sats-Cov-2.
  • Editor: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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