POCT Rapid Diagnostic Devices: Point-of-Care Testing
Rapid Diagnostic Equipment (POCT): Point-of-Care Patient Testing
POCT rapid diagnostic tests deliver results in 5–30 minutes at the patient's side — troponin in emergency rooms, glucose in ICUs, INR for anticoagulation, influenza in clinics. Technical guide for Colombia 2026
POCT (Point-of-Care Testing — point-of-care diagnostics) has transformed emergency and critical care medicine in Colombia: tests that previously required sending the sample to the central laboratory and waiting 60–120 minutes now deliver results in 5–30 minutes at the patient's bedside. This speed can make the difference between detecting a heart attack in time or arriving too late.
1. What is POCT and why is it changing the clinical laboratory
POCT (Point-of-Care Testing) refers to any laboratory test performed outside the central laboratory — in emergency rooms, ICUs, operating rooms, clinics, ambulances, or even at the patient's home — that delivers the result in minutes at the patient's side. POCT technology is advancing toward the miniaturization of analyzers and the wireless integration of results into the electronic health record.
2. The 8 most used POCTs in Colombia
| POCT test | Result time | Clinical application | Reference equipment |
|---|---|---|---|
| Capillary glucose | 5 seconds | Glucose monitoring in diabetics, insulin adjustment in the ICU | Roche Accu-Chek · Abbott FreeStyle |
| High-sensitivity troponin | 8–15 min | Excluding AMI in emergency rooms — the POCT with the greatest clinical impact | Roche cobas h 232 · Abbott i-STAT |
| Arterial blood gas (ABG) | 2 min | pH, PO₂, PCO₂, HCO₃, lactate — ICU and emergency rooms | Abbott i-STAT · Radiometer ABL90 |
| INR (prothrombin time) | 5–10 min | Warfarin anticoagulation control in clinics or at home | Roche CoaguChek XS · Alere INRatio |
| Rapid PCR (C-reactive protein) | 10 min | Differentiate bacterial from viral infection in emergency clinics | Abbott i-STAT · Mindray POCT |
| Rapid influenza A/B | 15 min | Influenza diagnosis during epidemic season — oseltamivir initiation | Abbott BinaxNOW · Roche cobas Liat |
| Rapid COVID-19 antigen | 15 min | Rapid screening at entry points or emergency rooms — lower sensitivity than PCR | Abbott Panbio · Roche SARS-CoV-2 |
| HbA1c in clinic | 5 min | Glycemic control in diabetes clinics — eliminates the laboratory wait | Siemens DCA Vantage · i-CHROMA |
3. POCT regulation in Colombia — Resolution 3100/2019
Clinical laboratory cluster articles
Sources
- CLSI. POCT04-A3 — Point-of-Care Blood Glucose Testing. clsi.org. CLSI POCT04
- Colombia Ministry of Health. Resolution 3100/2019 — Licensing of healthcare services. minsalud.gov.co. Colombia
- Abbott. i-STAT Alinity System. corelaboratory.abbott. 2026. Abbott i-STAT
- Roche Diagnostics. cobas h 232 — Troponin T POCT. roche.com. 2026. Roche

