Welsh Government to roll out rapid diagnostic testing for bacterial infections in primary care

Rapid testing for bacterial infections is being rolled out in community pharmacies and GP surgeries across Wales.

(C) National Institute of Allergy and Infectious Diseases/Unsplash

(C) National Institute of Allergy and Infectious Diseases/Unsplash

The two-year pilot project will provide near-immediate test results without the need samples being sent to laboratories.

It is part of the Welsh Government's ongoing aim to make sure more people can access healthcare closer to home, in local communities and will help to target antibiotic prescribing, tackling the problem of resistance.

The project makes use of diagnostic equipment originally purchased during the pandemic, which has been upgraded and repurposed to test for multiple bacterial infections in community settings.

The project is being supported by £734,000 of Welsh Government funding and £500,000 from the INEOS Oxford Institute for Antimicrobial Research. 

The Point of Care Testing (POCT) in Primary Care pilot will focus initially on C-Reactive Protein (CRP) testing, which helps clinicians identify bacterial infections and make more informed decisions about antibiotic prescribing.

More than 300 community pharmacies and GP practices in all seven health board areas in Wales have expressed an interest in participating in the trial.

Oxford University will provide an independent evaluation of the trial's impact on antibiotic prescribing, patient outcomes, and cost-effectiveness. The research will also develop machine learning models to identify patients at risk of adverse outcomes.

Cabinet secretary for health and social care, Jeremy Miles, said: ‘This is a unique opportunity for Wales to lead the way in embedding high-quality diagnostic testing in primary and community care.

‘By bringing testing closer to where people live, we can improve health outcomes, reduce pressure on hospital services, and ensure more appropriate use of antibiotics.'

Professor John Geen, clinical lead for clinical biochemistry and point of care testing services at Cwm Taf Morgannwg University Health Board, added: ‘This project offers the opportunity to investigate clinical decision making on the prescribing of antibiotics in patients presenting with respiratory infections and the impact of behavioural interventions, supported by diagnostic testing, in general practice and community pharmacies.

‘The study also has the potential to help us understand and establish the logistics required for the provision of future diagnostic testing in the community.'

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