PEM Currents: The Pediatric Emergency Medicine Podcast cover image

PEM Currents: The Pediatric Emergency Medicine Podcast

Respiratory viral panels

Sep 26, 2023
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.
22:25

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Quick takeaways

  • 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.

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