May 18, 2026 · JAMA internal medicine · DOI: 10.1001/jamainternmed.2026.1426

Rapid Respiratory Microbiological Point-of-Care Testing and Antibiotic Use in Primary Care: A Randomized Clinical Trial

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This randomized clinical trial aimed to determine whether rapid multiplex microbiological point-of-care testing (RM-POCT) could safely reduce same-day antibiotic prescribing for patients with respiratory infections in primary care settings. The results indicated that RM-POCT did not significantly decrease antibiotic prescriptions compared to usual care, nor did it negatively impact patient-reported symptom severity. However, the study found some evidence of reduced prescribing in specific subgroups, such as those with detected viral infections.

Alastair D Hay, Samantha Abbs, Matthew Ridd, Stephen Granier, J Athene Lane, Peter Muir, Jodi Taylor, Grace Young, Kathy Eastwood, Hayley Dash, Lynne Bradshaw, Rebecca Clarke, Mandy Lui, Emma Bridgeman, Rachel C M Brierley, Emily Brown, Hannah V Thornton, Paul M Mitchell, Liang Zhu, Lucy Yardley, Chris Metcalfe

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