Dive into the world of respiratory viral panels with Dr. Olivia Ostrow and Dr. Kelly Levasseur as they discuss the importance, cost, and overuse of these tests. Learn about Choosing Wisely recommendations and strategies to reduce unnecessary testing in pediatric respiratory illnesses. Discover effective communication with families about viral testing and the impact on antibiotic prescribing and hospitalization rates.
Comprehensive viral panels for respiratory illnesses are costly and often unnecessary, conflicting with medical guidelines.
Emphasis on targeted viral testing like influenza, RSV, and COVID improves treatment precision at a lower cost.
Deep dives
Comprehensive Viral Panels for Respiratory Illnesses
Understanding the debate around obtaining comprehensive viral panels for patients with suspected respiratory viral illnesses, it is found that these panels can test for a large number of viruses, ranging from 8 to over 20, leading to significant costs of $600 to $1300. Despite the temptation to use these panels for multiple answers, their overuse has been studied in pediatric respiratory illnesses like bronchiolitis, with rates as high as 50% of children receiving unnecessary tests, conflicting with guidelines from medical societies.
Clinical Diagnoses vs. Viral Testing
Reflecting on the reliance on clinical evaluation versus viral testing, the history of making diagnoses without rapid tests is contrasted with the current trend of targeted testing, notably during the pandemic. Emphasis is placed on appropriate utilization of individual viral tests like influenza, RSV, and COVID, costing significantly less than comprehensive panels, improving treatment targeting, particularly for high-risk patients with complex conditions.
Strategies to Reduce Unnecessary Viral Panels
In discussing strategies to curb unnecessary viral panels, the importance of cultural change within healthcare settings is highlighted, stressing education for providers and families to reduce ordering rates. Implementing quality improvement projects, educating staff members, creating focused order sets, and promoting clinical dialogue with families are suggested as effective measures to limit unnecessary panel usage, fostering better patient care outcomes.
Just because you can test for dozens of viruses with a single swab should you? Is this actually measuring a current infection, or a recent virus from which the child has since recovered. And what about the cost? Are these tests expensive (spoiler alert: They are!). Learn about the situations when we should get these […]
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