Hospitals in Scotland are rolling out new single tests to identify whether patients are infected with Covid-19, flu or RSV (respiratory syncytial virus).
The new three-in-one “multiplex tests” will be used when patients arrive showing respiratory symptoms at some emergency departments and assessment units.
They have been introduced with £5 million of Scottish Government investment.
They provide an advantage over “multi-target testing” which requires two or more tests to be carried out – one for Covid-19 and a second for other viruses such as flu A, flu B and RSV.
Health Secretary Humza Yousaf said: “The introduction of these new tests is an important step to help protect our NHS staff and patients, as services remobilise and we learn to live with the virus.
“The results will help hospital staff assess the treatment and placement of patients which should help accelerate patient flow through the system. It will also play a key role in avoiding healthcare associated infections and co-infection.
“It would be a mistake to think that the successful delivery of the vaccination programme means testing becomes less important.
“Testing will continue to play a vital role in our drive to bring down new cases of Covid-19 and break off future chains of transmission.”
The fastest multiplex tests will see results provided within two hours and will be prioritised for emergency admissions to assist with patient placement and treatment. Other laboratory-based tests may take between 90 minutes and eight hours for the results to come through.
All asymptomatic patients, staff and citizens will still be tested for SARS CoV-2 only and this will constitute the majority of testing in Scotland.
Respiratory syncytial virus (RSV) is a common virus that causes cold and flu symptoms in babies and children – and moderate levels have been detected in Scotland.
Most children will make a full recovery in 2 – 3 weeks if infected.
Respiratory infections in young children have begun to rise out of season, following low infection levels in response to COVID-19 restrictions and good infection control measures that have been in place.
Parents are being encouraged to look out for symptoms of severe infection in at-risk children, including a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).
The NHS is preparing for a rise in children needing treatment.
Through the Respiratory DataMart surveillance system, positivity of samples tested for RSV has increased over the last 5 consecutive weeks and now stands at 8.9%.
Health chiefs in England are encouraging parents to be aware of the signs of respiratory illnesses in young children, as data from Public Health England (PHE) shows cases are starting to rise in parts of the country.
Respiratory illnesses, including colds and respiratory syncytial virus (RSV) are very common in young children and we see them every year.
Last winter, due to the various restrictions in place to reduce the spread of coronavirus (COVID-19), there were far fewer infections in younger people. This means many will not have developed immunity and so we may see more cases this year than in a typical season. For the majority of children, these illnesses will not be serious and they will soon recover following rest and plenty of fluids.
RSV is a very common virus and almost all children are infected with it by the time they are 2 years old. In older children and adults, RSV may cause a cough or cold.
However, some children under 2, especially those born prematurely or with a heart condition, can suffer more serious consequences from these common infections such as bronchiolitis, an inflammatory infection of the lower airways – which can make it hard to breathe.
The early symptoms of bronchiolitis are similar to those of a common cold but can develop over a few days into a high temperature of 37.8°C or above (fever), a dry and persistent cough, difficulty feeding, rapid or noisy breathing (wheezing).
Most cases of bronchiolitis are not serious and clear up within 2 to 3 weeks, but you should contact your GP or call NHS 111 if:
you are worried about your child
your child has taken less than half their usual amount during the last 2 or 3 feeds, or they have had a dry nappy for 12 hours or more
your child has a persistent high temperature of 37.8C or above
While still at low numbers, respiratory infections in young children are expected to rise this summer and as we go into the winter months.
Health Minister Lord Bethell said: “I remember the long nights in hospital when my 8 week old daughter fought off RSV. The image of her tiny body plugged into those machines and gasping for air will not leave me. I would not wish those moments for anyone.
“I urge all parents and carers to be alert to the signs of RSV, particularly amongst young children. It’s a nasty bug, so watch out for it.”
Dr Yvonne Doyle, Medical Director at PHE, said: “This winter, we expect levels of common seasonal illnesses such as cold and flu to increase as people mix more and given that fewer people will have built up natural immunity during the pandemic.
“Children under 2 are at a particular risk of severe infections from common seasonal illnesses. If a child under 2 is suffering from a cold, keep a close eye on their symptoms and make sure to contact your doctor if they get a high temperature, become breathless or have difficulty feeding.
“It’s important that we carry on with good hygiene habits that we’ve become used to during the pandemic, in order to protect ourselves and those around us. This means washing your hands regularly, using a tissue to catch coughs or sneezes and washing your hands afterwards, and staying away from others if you feel unwell.”
Ruth May, Chief Nursing Officer for England, said: “For most children these illnesses won’t be serious and they will soon bounce back but if you do need medical help for your child, especially if they are under 2, please do come forward for the care you need.
“The NHS has detailed plans in place for a wide range of scenarios ahead of winter and will continue to adapt them as needed, in line with the guidance from PHE.”
NHS England began planning for the potential rise in paediatric respiratory infections in April 2021, with paediatric units bringing forward their usual winter planning, escalation and emergency processes which will support an increased capacity in terms of beds, workforce and ward supplies.
