{"id":3221,"date":"2021-08-19T08:59:58","date_gmt":"2021-08-19T08:59:58","guid":{"rendered":"https:\/\/www.value-dx.eu\/?p=3221"},"modified":"2021-11-30T10:44:15","modified_gmt":"2021-11-30T10:44:15","slug":"point-of-care-diagnostic-testing-poct-improves-the-quality-of-antibiotic-prescription","status":"publish","type":"post","link":"https:\/\/www.value-dx.eu\/index.php\/2021\/08\/19\/point-of-care-diagnostic-testing-poct-improves-the-quality-of-antibiotic-prescription\/","title":{"rendered":"Point-of-care diagnostic testing (POCT) improves the quality of antibiotic prescription"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jzkylawd-ba86e75d702405f62001a756eb35483d\">\n.avia-section.av-jzkylawd-ba86e75d702405f62001a756eb35483d{\nbackground-color:#08b4a0;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-jzkylawd-ba86e75d702405f62001a756eb35483d main_color avia-section-default 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modern-centered  avia-builder-el-1  el_before_av_codeblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Point-of-care diagnostic testing (POCT) improves the quality of antibiotic prescription<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1cjng-9db903d36b325f87b66fb9ba7e96614e\">\n.avia-section.av-1cjng-9db903d36b325f87b66fb9ba7e96614e{\nbackground-color:#1b7ca4;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_2'  class='avia-section av-1cjng-9db903d36b325f87b66fb9ba7e96614e main_color avia-section-default avia-no-border-styling  avia-builder-el-3  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-3221'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0\">\n.flex_column.av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0{\nborder-radius:0px 0px 0px 0px;\npadding:50px 5% 50px 5%;\n}\n<\/style>\n<div  class='flex_column av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0 av_one_full  avia-builder-el-4  el_before_av_one_fifth  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-yfjs-a24130328363a5d48e40d9c86a7bb2c6 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-3222 alignleft\" src=\"https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-300x222.png\" alt=\"\" width=\"300\" height=\"222\" srcset=\"https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-300x222.png 300w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-1030x763.png 1030w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-768x569.png 768w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-705x522.png 705w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29-450x333.png 450w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2021\/08\/Ontwerp-zonder-titel-29.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>In August 2021, the VALUE-Dx Consortium has published a <a href=\"https:\/\/healtheconomicsreview.biomedcentral.com\/articles\/10.1186\/s13561-021-00326-y\">new article<\/a> in the journal <em>Health Economics Review<\/em> on the use of point-of-care diagnostic testing for improved antibiotic prescription.<\/p>\n<p>Antimicrobial resistance (AMR) is one of the top 10 global public health threats facing humanity. Antibiotics have been over-prescribed to treat infectious diseases and have generated antimicrobial resistances that reduce their effectiveness. Point-of-care diagnostic testing (POCT) can improve the quality of antibiotic prescription with the aim of reducing AMR.<\/p>\n<p>In order to understand whether this recommendation is valid, the VALUE-Dx researchers created a theoretical economic model to determine under which conditions the expected benefits of using POCT to guide antibiotic prescription are greater than for empiric prescription. The researchers considered the interaction of a group of physicians who express differing levels of uncertainty when prescribing with a firm selling a diagnostic device, and analysed the firm\u2019s pricing policy and the physicians\u2019 prescribing decisions. The physicians were allowed to internalize the external costs of antimicrobial resistances.<\/p>\n<p>The results showed that the use of POCT reduces the number of antibiotic prescriptions. The reduction in antibiotic prescriptions is higher when physicians internalise the costs of antimicrobial resistances. Physicians with relatively high levels of uncertainty use POCT as they are uncertain about the right treatment for a large proportion of patients. Physicians with low levels of uncertainty prefer to prescribe empirically. The segmentation in the population of physicians regarding the uptake of POCT depends on the distribution of levels of uncertainty across physicians. For each test, the firm charges the marginal production costs of the inputs needed to administer the test, and makes its profit from the sales of the testing devices.<\/p>\n<p>From a theoretical perspective, these findings corroborate the fact that POCT improve the quality of antibiotic prescription and reduce the number of prescriptions. Nevertheless, their use is not always recommended as empiric therapy may be preferred when uncertainty is low.<\/p>\n<p><a href=\"https:\/\/healtheconomicsreview.biomedcentral.com\/articles\/10.1186\/s13561-021-00326-y\">Read the full article<\/a><\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3b8mw-b506a38e8d00a7f4906eea669cebc6be\">\n.flex_column.av-3b8mw-b506a38e8d00a7f4906eea669cebc6be{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-3b8mw-b506a38e8d00a7f4906eea669cebc6be av_one_fifth  avia-builder-el-6  el_after_av_one_full  el_before_av_one_fifth  first flex_column_div av-zero-column-padding  column-top-margin'     ><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2lzlw-3d25ff9ce16d4f57844d3b5b4e0627c5\">\n.flex_column.av-2lzlw-3d25ff9ce16d4f57844d3b5b4e0627c5{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 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