What is the difference in real cost between Influenza swabs and the Respiratory Viral Multiplex swabs which look for approximately 20 different respiratory viruses including RSV , Parainfluenza strains, Corona virus strains , as well as Influenza , Rhinovirus, enterovirus and adenovirus among others. Frequently children with respiratory conditions that have got better and then " come back" when tested are found to be positive for 2 or even 3 respiratory viruses eg Influenza B and Enterovirus or Rhinovirus , Enterovirus and parainfluenza virus .
With increasing numbers of children at preschool facilities where any fever is immediately sent home and parents told to see the doctor (? immediately ) being able to educate the facilities and the community about what is out there and the likely time course could help reduce attendances at after hours and convenience clinics .
So assuming that the swab comes back with some sort of respiratory viral infection what difference is it actually going to make to the management - or more importantly, the cost of management? Does adding cost and complexity improve outcomes?
New Zealand Doctor