Exploring Primary Care Clinicians' Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa.
Exploring Primary Care Clinicians' Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa.
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DOI：
10.3390/diagnostics11112100
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发表时间：
2021-11-13
期刊：
影响因子：
--
通讯作者：
Van Hecke O
中科院分区：
文献类型：
--
作者：
Epps A;Albury C;Van Hecke O
优化抗生素处方对于对抗抗菌素耐药性至关重要。针对常见感染的即时检测（POCTs）可能是在初级保健中实现这一目标的宝贵工具。目前，研究主要集中在高收入国家。低收入和中等收入国家的试验面临着其环境所特有的挑战。本研究旨在探讨在南非开展poct治疗常见感染的未来试验的障碍和促进因素。采访了西开普大都会的23名初级保健临床医生。访谈记录采用专题分析进行分析。我们确定了三个关键主题。这些主题集中在临床医生对拟议的试验设计和新的poct的看法，临床医生对试验设置的看法，以及具体的试验程序。参与者对拟议的试验和POCTs总体上是积极的。潜在的问题集中在有限的可用空间和技术以及后续的参与者保留。此外，对诊所工作量的影响也是重要的考虑因素。这些见解将为在这种情况下设计poct可行性试验提供宝贵的信息。
Optimisation of antibiotic prescribing is critical to combat antimicrobial resistance. Point-of-care tests (POCTs) for common infections could be a valuable tool to achieve this in primary care. Currently, their use has primarily been studied in high-income countries. Trials in low-and-middle-income countries face challenges unique to their setting. This study aims to explore the barriers and facilitators for a future trial of POCTs for common infections in South Africa. Twenty-three primary care clinicians in the Western Cape Metropole were interviewed. Interview transcripts were analysed using thematic analysis. We identified three key themes. These themes focused on clinicians’ views about proposed trial design and novel POCTs, clinicians’ perspectives about trial set-up, and specific trial procedures. Participants were overall positive about the proposed trial and POCTs. Potential issues centred around the limited space and technology available and participant retention to follow-up. Additionally, impact on clinic workload was an important consideration. These insights will be invaluable in informing the design of a feasibility trial of POCTs in this setting.
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影响因子：
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作者：
Galárraga O;Harries J;Maughan-Brown B;Cooper D;Short SE;Lurie MN;Harrison A
通讯作者：
Harrison A
影响因子：
8.4
作者：
Brueton, Valerie C;Tierney, Jayne;Stenning, Sally;Harding, Seeromanie;Meredith, Sarah;Nazareth, Irwin;Rait, Greta
通讯作者：
Rait, Greta
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3.7
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120.7
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影响因子：
2.9
作者：
Brueton, V. C.;Stevenson, F.;Rait, G.
通讯作者：
Rait, G.