Expanding Antimicrobial Stewardship

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Jeffrey Caterino, The Ohio State University
ClinicalTrials.gov Identifier:
NCT01746888
First received: October 23, 2012
Last updated: November 6, 2013
Last verified: November 2013
  Purpose

Gold standard diagnostic criteria for diagnosing acute infection in older adult patients in the Emergency Department do not currently exist. These patients often have atypical presentations which can complicate diagnosis and treatment. The development of an antimicrobial stewardship program for Emergency Department older adult patients can ultimately improve the accuracy of diagnosis and correct antimicrobial prescribing. This research study involves data collection from enrolled subjects and treating physicians. The data will be collected using a patient interview which will be answered directly by the patient or caregiver. Additional surveys will be administered to the Emergency Department treating physician and subsequent physician. Additional data will be abstracted from the Emergency Department chart and from additional charts that often accompanies the patient to the Emergency Department. A physician adjudication process will occur if there is disagreement in diagnosis between the treating Emergency Department physician and succeeding physician.


Condition
Infection

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Expanding Antimicrobial Stewardship

Further study details as provided by Ohio State University:

Primary Outcome Measures:
  • Presence of infection while in the Emergency Department [ Time Frame: participants will be followed for the duration of hospital stay, an expected average of 4 days. ] [ Designated as safety issue: No ]

Enrollment: 437
Study Start Date: August 2011
Study Completion Date: August 2013
Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
Older Adults
Adults 65 years and older who present to the Emergency Department.

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population

Adults 65 years of age and older who present to the Emergency Department.

Criteria

Inclusion Criteria:

  • 65 years of age

Exclusion Criteria:

  • Patient incarcerated
  • Chief complaint of suicidal or homicidal ideation
  • Patient primarily evaluated by the trauma team
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01746888

Locations
United States, Ohio
Wexner Medical Center at The Ohio State University
Columbus, Ohio, United States, 43210
Sponsors and Collaborators
Jeffrey Caterino
Investigators
Principal Investigator: Jeffrey M Caterino, MD, MPH Ohio State University
  More Information

No publications provided

Responsible Party: Jeffrey Caterino, Associate Professor, The Ohio State University
ClinicalTrials.gov Identifier: NCT01746888     History of Changes
Other Study ID Numbers: 2011H0165
Study First Received: October 23, 2012
Last Updated: November 6, 2013
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 23, 2014