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Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics

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ClinicalTrials.gov Identifier: NCT00989482
Recruitment Status : Completed
First Posted : October 5, 2009
Last Update Posted : May 16, 2011
Information provided by:
University of California, San Francisco

Brief Summary:

The purpose of this study is to improve antibiotic prescribing practices of Mexican primary care physicians for patients seeking care for acute respiratory tract infections (ARIs). The investigators will employ a combination of qualitative and quantitative methods to develop and evaluate a patient education and physician decision-support intervention.

Hypothesis 1: The investigators will identify barriers and facilitators of appropriate antibiotic use for ARIs that can be addressed through patient education and physician decision-support.

Hypothesis 2: The proportion of patients who report desire for antibiotics as a "very important" reason for seeking care will decrease from 50% to 30% following exposure to the educational intervention; and 90% (95% confidence interval: 80% to 100%) of patients will report that they trust the information provided by the computer.

Hypothesis 3: Antibiotic prescribing for adults with uncomplicated acute bronchitis will decrease from 80 percent to 40 percent following the introduction of a real-time clinical decision support tool.

Condition or disease Intervention/treatment
Acute Respiratory Tract Infections Behavioral: Computer kiosk Education

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 847 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Improving Antibiotic Prescribing Practices in Mexican Primary Care Clinics
Study Start Date : January 2010
Primary Completion Date : June 2010
Study Completion Date : September 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Antibiotics
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Computer Kiosk Eduction Behavioral: Computer kiosk Education
computerized patient education; guidelines for physicians

Primary Outcome Measures :
  1. antibiotic prescription rate [ Time Frame: 4 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • adults age 18 years or greater

Exclusion Criteria:

  • mental disability; severe illness

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): NCT00989482

IMSS Family Practice Clinic #1
Cuernavaca, Morelos, Mexico
Sponsors and Collaborators
University of California, San Francisco

Responsible Party: Ralph Gonzales, University of California, San Francisco
ClinicalTrials.gov Identifier: NCT00989482     History of Changes
Other Study ID Numbers: Fulbright-Gonzales
First Posted: October 5, 2009    Key Record Dates
Last Update Posted: May 16, 2011
Last Verified: May 2011

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