To evaluate the impact of extended respiratory viral PCR testing on hospital length of stay and antibiotic use among adult inpatients with various respiratory tract infections.
Key Findings:
Extended panel results did not significantly affect hospital length of stay or antibiotic duration.
Patients with positive influenza, RSV, or SARS-CoV-2 testing were less likely to receive oral antibiotics.
ExRV PCR testing was positive in 33% of cases, with rhinovirus and influenza A being the most detected pathogens.
Test results were often available after discharge, limiting clinical utility and timely management.
Interpretation:
The study found no objective benefit of extended viral testing in reducing antibiotic use or hospital stay length in adult inpatients with respiratory infections, highlighting the need for reconsideration of testing protocols.
Limitations:
Retrospective design and reliance on documentation may affect data reliability.
Results may not be generalizable beyond the single institution.
Estimated time in isolation may not reflect actual time spent.
Conclusion:
Extended viral PCR testing did not demonstrate a significant benefit in managing adult inpatients with respiratory infections regarding antibiotic usage or length of stay, suggesting a need for reevaluation of its clinical utility.
