Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa

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...

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Autores principales: Alice Epps, Charlotte Albury, Oliver Van Hecke
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f1c1c8e56887423a89c31cc228b0ba34
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spelling oai:doaj.org-article:f1c1c8e56887423a89c31cc228b0ba342021-11-25T17:21:37ZExploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa10.3390/diagnostics111121002075-4418https://doaj.org/article/f1c1c8e56887423a89c31cc228b0ba342021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2100https://doaj.org/toc/2075-4418Optimisation 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.Alice EppsCharlotte AlburyOliver Van HeckeMDPI AGarticlePOCTsprimary carethematic analysisprescribingMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2100, p 2100 (2021)
institution DOAJ
collection DOAJ
language EN
topic POCTs
primary care
thematic analysis
prescribing
Medicine (General)
R5-920
spellingShingle POCTs
primary care
thematic analysis
prescribing
Medicine (General)
R5-920
Alice Epps
Charlotte Albury
Oliver Van Hecke
Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
description 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.
format article
author Alice Epps
Charlotte Albury
Oliver Van Hecke
author_facet Alice Epps
Charlotte Albury
Oliver Van Hecke
author_sort Alice Epps
title Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
title_short Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
title_full Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
title_fullStr Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
title_full_unstemmed Exploring Primary Care Clinicians’ Views about How Best to Implement a Potential Trial around Point-of-Care Tests for Common Infections in South Africa
title_sort exploring primary care clinicians’ views about how best to implement a potential trial around point-of-care tests for common infections in south africa
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f1c1c8e56887423a89c31cc228b0ba34
work_keys_str_mv AT aliceepps exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica
AT charlottealbury exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica
AT olivervanhecke exploringprimarycarecliniciansviewsabouthowbesttoimplementapotentialtrialaroundpointofcaretestsforcommoninfectionsinsouthafrica
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