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Effect of Evidence-based Reminders on Use of Antibiotics

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ClinicalTrials.gov Identifier: NCT02927743
Recruitment Status : Completed
First Posted : October 7, 2016
Last Update Posted : October 7, 2016
Sponsor:
Collaborators:
Society of Family Medicin La Paz-Bolivia
University of Itapua, Paraguay
University of the Republic, Uruguay
Society of General and Family practice, Misiones- Argentina
Information provided by (Responsible Party):
Gloria Cristina Cordoba, University of Copenhagen

Brief Summary:
Inappropriate use of antibiotics in primary care is associated with Development of antibiotic resistant strains. As part of a quality improvement program carried out in primary care in Uruguay, Argentina, Paraguay and Bolivia, a cluster randomized control trial was performed. The aim of the study was to assess whether the use of continuous evidence-based feedback about management of respiratory tract infections could decrease use of antibiotics in Acute bronchitis, common cold and acute otitis media.

Condition or disease Intervention/treatment Phase
Respiratory Infections Antibiotics Behavioral: evidence-based online feedback Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 8053 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Effect of Continuous Evidence-based Feed Back to Increase Appropriate Use of Antibiotics
Study Start Date : June 2015
Actual Primary Completion Date : August 2015
Actual Study Completion Date : August 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Antibiotics
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: evidence-based online feedback
During three months GPs will receive weekly feedback about evidence-based management of respiratory tract infections. In order to control that they read the material, there is a questionnaire, they have to fill in every week
Behavioral: evidence-based online feedback
GPs received during three months weekly mails about evidence-based practice and a small questionnaire to reflect about their practice and the new knowledge
No Intervention: control
GPs will register data without receiving online feed-back



Primary Outcome Measures :
  1. 20% difference in use of antibiotics in patients with suspected Acute bronchitis [ Time Frame: 3 months ]

Secondary Outcome Measures :
  1. 20% difference in the use of antibiotics in suspected acute otitis media [ Time Frame: 3 months ]


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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • General practitioners working in primary care
  • Patients with suspected respiratory tract infection

Exclusion Criteria:

  • Patients that have already started an antibiotic

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02927743


Locations
Denmark
University of Copenhagen
Copenhagen, Denmark
Sponsors and Collaborators
Gloria Cristina Cordoba
Society of Family Medicin La Paz-Bolivia
University of Itapua, Paraguay
University of the Republic, Uruguay
Society of General and Family practice, Misiones- Argentina

Responsible Party: Gloria Cristina Cordoba, MD-MPH, University of Copenhagen
ClinicalTrials.gov Identifier: NCT02927743     History of Changes
Other Study ID Numbers: HAPPY-AUDIT II/cRCT
First Posted: October 7, 2016    Key Record Dates
Last Update Posted: October 7, 2016
Last Verified: October 2016

Additional relevant MeSH terms:
Respiratory Tract Infections
Infection
Respiratory Tract Diseases
Anti-Bacterial Agents
Anti-Infective Agents