From the Journals

Rapid point-of-care test could help avoid inappropriate antibiotic prescribing


 

FROM JAMA NETWORK OPEN

Too early to say test will be useful in practice

The idea of a test to guide the prescribing of antibiotics isn’t new, according to an expert who was not involved in FebriDx research.

Noah Ivers, MD, PhD, a family physician and associate professor at the University of Toronto who studies strategies to optimize primary care delivery, said, “many such point-of-care tests have been tried” to detect biomarkers such as CRP or procalcitonin, which is associated with bacterial infections.

Noah Ivers, MD, PhD, University of Toronto

Dr. Noah Ivers

Such tests have looked good in initial studies, he said, but when trialed in urgent care clinics, primary care clinics, or emergency departments, “they tend run into implementation challenges or simply lack of effects, or both.

“So, while I am happy at the news of this result, it’s too early to say with any certainty that it will prove useful in practice,” he added.

Meanwhile, Dr. Ivers said it’s “crucial that people understand that most illnesses are likely to be viral” and therefore not helped by antibiotics. When antibiotics are needed for outpatients, he said, “5 days is usually ample.”

The study was funded by Lumos Diagnostics. Among the 15 study authors, 6 had conflicts of interest disclosures, reporting ties to Inflammatix, Medical College of Wisconsin, Siemens, Technomics Research, and Lumos Diagnostics. Dr. Ivers reported no relevant financial interests.

Pages

Recommended Reading

Evusheld PrEP may protect immunocompromised patients from severe COVID-19
MDedge Family Medicine
Antioxidant-rich diet may reduce Helicobacter pylori risk
MDedge Family Medicine
Vaccine update for the 2022-23 influenza season
MDedge Family Medicine
Children and COVID: Downward trend reverses with small increase in new cases
MDedge Family Medicine
Congenital syphilis: It’s still a significant public health problem
MDedge Family Medicine
COVID-19 vaccine insights: The news beyond the headlines
MDedge Family Medicine
For many, long COVID’s impacts go on and on, major study says
MDedge Family Medicine
The marked contrast in pandemic outcomes between Japan and the United States
MDedge Family Medicine
You and the skeptical patient: Who’s the doctor here?
MDedge Family Medicine
FMT in IBS: ‘We’ve been targeting the wrong part of the intestine’
MDedge Family Medicine