Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection
BackgroundThere are gaps in our understanding of the clinical characteristics and disease burden of the respiratory syncytial virus (RSV) among community-dwelling adults. This is in part due to a lack of routine testing at the point of care. More data would enhance our assess...
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JMIR Publications
2025-01-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e60669 |
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| author | Uy Hoang Utkarsh Agrawal José Manuel Ordóñez-Mena Zachary Marcum Jennifer Radin Andre Araujo Catherine A Panozzo Orsolya Balogh Mihir Desai Ahreej Eltayeb Tianyi Lu Catia Nicodemo Xinchun Gu Rosalind Goudie Xuejuan Fan Elizabeth Button Jessica Smylie Mark Joy Gavin Jamie William Elson Rachel Byford Joan Madia Sneha Anand Filipa Ferreira Stavros Petrou David Martin Simon de Lusignan |
| author_facet | Uy Hoang Utkarsh Agrawal José Manuel Ordóñez-Mena Zachary Marcum Jennifer Radin Andre Araujo Catherine A Panozzo Orsolya Balogh Mihir Desai Ahreej Eltayeb Tianyi Lu Catia Nicodemo Xinchun Gu Rosalind Goudie Xuejuan Fan Elizabeth Button Jessica Smylie Mark Joy Gavin Jamie William Elson Rachel Byford Joan Madia Sneha Anand Filipa Ferreira Stavros Petrou David Martin Simon de Lusignan |
| author_sort | Uy Hoang |
| collection | DOAJ |
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BackgroundThere are gaps in our understanding of the clinical characteristics and disease burden of the respiratory syncytial virus (RSV) among community-dwelling adults. This is in part due to a lack of routine testing at the point of care. More data would enhance our assessment of the need for an RSV vaccination program for adults in the United Kingdom.
ObjectiveThis study aimed to implement point-of-care-testing (POCT) in primary care to describe the incidence, clinical presentation, risk factors, and economic burden of RSV among adults presenting with acute respiratory infection.
MethodsWe are recruiting up to 3600 patients from at least 21 practices across England to participate in the Royal College of General Practitioners Research Surveillance Centre. Practices are selected if they undertake reference virology sampling for the Royal College of General Practitioners Research Surveillance Centre and had previous experience with respiratory illness studies. Any adult, ≥40 years old, presenting with acute respiratory infection with onset ≤10 days, but without RSV within the past 28 days, will be eligible to participate. We will estimate the incidence proportion of RSV, describe the clinical features, and risk factors of patients with RSV infection, and measure the economic burden of RSV infection.
ResultsA total of 25 practices across different English health administrative regions expressed interest and were recruited to participate. We have created and tested an educational program to deploy POCT for RSV in primary care. In addition to using the POCT device, we provide suggestions about how to integrate POCT into primary care workflow and templates for high-quality data recording of diagnosis, symptoms, and signs. In the 2023-2024 winter RSV detection in the sentinel network grew between October and late November. According to data from the UK Health Security Agency, the peak RSV swab positivity was in International Standards Organization week 48, 2023. Data collection remains ongoing, and results from the subset of practices participating in this study are not yet available.
ConclusionsThis study will provide data on the RSV incidence in the community as well as rapid information to inform sentinel surveillance and vaccination programs. This information could potentially improve clinical decision-making.
International Registered Report Identifier (IRRID)DERR1-10.2196/60669 |
| format | Article |
| id | doaj-art-c558301877c845baacf78c5c8df93d2c |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
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| series | JMIR Research Protocols |
| spelling | doaj-art-c558301877c845baacf78c5c8df93d2c2025-01-22T16:30:54ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e6066910.2196/60669Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory InfectionUy Hoanghttps://orcid.org/0000-0002-8428-5140Utkarsh Agrawalhttps://orcid.org/0000-0002-3889-544XJosé Manuel Ordóñez-Menahttps://orcid.org/0000-0002-8965-104XZachary Marcumhttps://orcid.org/0000-0002-4690-2304Jennifer Radinhttps://orcid.org/0000-0003-3843-0842Andre Araujohttps://orcid.org/0000-0002-5967-4806Catherine A Panozzohttps://orcid.org/0000-0002-4957-8204Orsolya Baloghhttps://orcid.org/0000-0003-1454-4861Mihir Desaihttps://orcid.org/0009-0003-2358-9532Ahreej Eltayebhttps://orcid.org/0009-0009-3624-9186Tianyi Luhttps://orcid.org/0009-0005-2755-3056Catia Nicodemohttps://orcid.org/0000-0001-5490-9576Xinchun Guhttps://orcid.org/0000-0002-2202-6792Rosalind Goudiehttps://orcid.org/0000-0002-4786-3394Xuejuan Fanhttps://orcid.org/0000-0002-0165-8344Elizabeth Buttonhttps://orcid.org/0000-0003-0777-2508Jessica Smyliehttps://orcid.org/0000-0001-5036-9197Mark Joyhttps://orcid.org/0000-0002-4974-3724Gavin Jamiehttps://orcid.org/0000-0001-9147-7784William Elsonhttps://orcid.org/0000-0002-8630-1378Rachel Byfordhttps://orcid.org/0000-0002-4792-8995Joan Madiahttps://orcid.org/0000-0001-8398-8859Sneha Anandhttps://orcid.org/0000-0002-0538-3974Filipa Ferreirahttps://orcid.org/0000-0002-7717-8486Stavros Petrouhttps://orcid.org/0000-0003-3121-6050David Martinhttps://orcid.org/0000-0003-4517-0380Simon de Lusignanhttps://orcid.org/0000-0002-8553-2641 BackgroundThere are gaps in our understanding of the clinical characteristics and disease burden of the respiratory syncytial virus (RSV) among community-dwelling adults. This is in part due to a lack of routine testing at the point of care. More data would enhance our assessment of the need for an RSV vaccination program for adults in the United Kingdom. ObjectiveThis study aimed to implement point-of-care-testing (POCT) in primary care to describe the incidence, clinical presentation, risk factors, and economic burden of RSV among adults presenting with acute respiratory infection. MethodsWe are recruiting up to 3600 patients from at least 21 practices across England to participate in the Royal College of General Practitioners Research Surveillance Centre. Practices are selected if they undertake reference virology sampling for the Royal College of General Practitioners Research Surveillance Centre and had previous experience with respiratory illness studies. Any adult, ≥40 years old, presenting with acute respiratory infection with onset ≤10 days, but without RSV within the past 28 days, will be eligible to participate. We will estimate the incidence proportion of RSV, describe the clinical features, and risk factors of patients with RSV infection, and measure the economic burden of RSV infection. ResultsA total of 25 practices across different English health administrative regions expressed interest and were recruited to participate. We have created and tested an educational program to deploy POCT for RSV in primary care. In addition to using the POCT device, we provide suggestions about how to integrate POCT into primary care workflow and templates for high-quality data recording of diagnosis, symptoms, and signs. In the 2023-2024 winter RSV detection in the sentinel network grew between October and late November. According to data from the UK Health Security Agency, the peak RSV swab positivity was in International Standards Organization week 48, 2023. Data collection remains ongoing, and results from the subset of practices participating in this study are not yet available. ConclusionsThis study will provide data on the RSV incidence in the community as well as rapid information to inform sentinel surveillance and vaccination programs. This information could potentially improve clinical decision-making. International Registered Report Identifier (IRRID)DERR1-10.2196/60669https://www.researchprotocols.org/2025/1/e60669 |
| spellingShingle | Uy Hoang Utkarsh Agrawal José Manuel Ordóñez-Mena Zachary Marcum Jennifer Radin Andre Araujo Catherine A Panozzo Orsolya Balogh Mihir Desai Ahreej Eltayeb Tianyi Lu Catia Nicodemo Xinchun Gu Rosalind Goudie Xuejuan Fan Elizabeth Button Jessica Smylie Mark Joy Gavin Jamie William Elson Rachel Byford Joan Madia Sneha Anand Filipa Ferreira Stavros Petrou David Martin Simon de Lusignan Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection JMIR Research Protocols |
| title | Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection |
| title_full | Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection |
| title_fullStr | Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection |
| title_full_unstemmed | Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection |
| title_short | Clinical Characteristics of Virologically Confirmed Respiratory Syncytial Virus in English Primary Care: Protocol for an Observational Study of Acute Respiratory Infection |
| title_sort | clinical characteristics of virologically confirmed respiratory syncytial virus in english primary care protocol for an observational study of acute respiratory infection |
| url | https://www.researchprotocols.org/2025/1/e60669 |
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