The RAPID-TEST trial, led by Professor Alastair Hay at the Centre for Academic Primary Care, University of Bristol, originally aimed to complete recruitment of 514 patients by September 2024. With enormous interest in the trial from GP practices across the Bristol, Bath, Swindon, North/North East Somerset, South Gloucestershire, Gloucestershire and Wiltshire areas, the target was met five months early.
Every year, millions of people in the UK seek help for respiratory infections, such as coughs, colds, chest infections, sore throats and earaches. On average, GPs and nurses give antibiotics to half of these patients. This is more than is necessary because most respiratory infections are caused by viruses, including COVID-19, and antibiotics only work on bacteria. This is needlessly contributing to antimicrobial resistance (AMR), but since clinicians don’t always know who needs them, they are often given ‘just in case’.
The trial was launched in November 2022, thanks to an award of £1.6 million from the National Institute for Health and Care Excellence (NIHR). The tests (only available within the trial) are carried out in GP surgeries rather than sent to a laboratory and detect the presence of viruses and some bacteria, with results available on the same day.
Professor Hay, a GP and Professor of Primary Care, believes that recruitment has been successful due to a combination of factors, including:
- participation of research-interested and research-experienced GP practices
- a research question seen as relevant and important to clinicians and patients
- thorough preparation (a feasibility study) giving us confidence the trial would work
- an intervention popular with practice staff and patients (a rapid microbiological point-of-care test that detects the most common viruses causing respiratory infections from a nose/throat swab in 45 minutes)
- an excellent research team, consisting of patient and public members, and Bristol Trials Centre, Centre for Academic Primary Care, and North Bristol NHS Trust staff.
Professor Hay said: “I am delighted the trial has recruited so well and I am particularly grateful to the study team, GP practice staff and patients, without whom studies of this kind would not be possible. There is still much to be done, including an important patient and clinician survey, and we expect to have results available early in 2025.”
Dr Alison Humphrey, GP Partner at one of the GP practices taking part in the study, said: “The staff at Hope House Surgery have appreciated being part of this important and well-run study, delivering rapid test results within the surgery which enables us to provide the best possible patient care and antibiotic stewardship. We are very grateful to all our patients for being so willing to participate. We are looking forward to hearing the results and seeing how this will improve or change patient care in the future.”
Professor Rebecca Kearney, Director of Bristol Trials Centre, said: “Bristol Trials Centre is very pleased that the results from this important research question will be implemented ahead of schedule due to the successful collaboration of teams and partner organisations involved.”
For a full list of all the participating GP practices, see the RAPID-TEST website.