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IMPACT: Improving Rational Prescribing of Antibiotics in Long-term Care Facilities.


- candidate number10693
- NTR NumberNTR3206
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR14-dec-2011
- Secondary IDs205 100011 ZonMW
- Public TitleIMPACT: Improving Rational Prescribing of Antibiotics in Long-term Care Facilities.
- Scientific TitleImproving Rational Prescribing of Antibiotics in Long-term Care Facilities (IMPACT).
- ACRONYMIMPACT
- hypothesisThe prescribing of antibiotics in long-term care facilities can be optimized.
- Healt Condition(s) or Problem(s) studiedRespiratory tract infection, Urinary tract infections, Skin and soft tissue infections
- Inclusion criteriaResiding in a nursing home or residential care facility, and experiencing at least one episode of urinary tract infection, respiratory tract infection, or skin/soft tissue infection during the study period.
- Exclusion criteriaN/A
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- groupParallel
- TypeSingle arm
- Studytypeintervention
- planned startdate 1-jan-2012
- planned closingdate31-dec-2013
- Target number of participants1200
- InterventionsThe 'general intervention' comprises an approach whereby long-term care facilities are guided in the identification of local barriers, perceived by staff, with regard to optimal antibiotic prescribing. These barriers are addressed by selecting 'specific interventions' from an 'array of interventions' and by tailoring these intervention to the local needs. Although the 'general intervention' is the same for all participating long-term care facilities, selected 'specific interventions' may differ between those facilities.
- Primary outcome1. Antibiotic use;
2. Appropriateness of antibiotic use.
- Secondary outcomeKnowledge and beliefs with regard to antibiotic use.
- TimepointsPrimary outcomes data collection: Continuously over 20 months by using a form.
Secondary outcomes: After 8 months and 20 months by using interviews and focus groups.
- Trial web sitehttp://emgo.nl/research/quality-of-care/research-projects/1324/wc2010-072/background/
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES L.W. Buul, van
- CONTACT for SCIENTIFIC QUERIES L.W. Buul, van
- Sponsor/Initiator VU University Medical Center, EMGO Institute
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryIMPACT employs a controlled pre-post test mixed-methods design. The first phase (pre-test) comprises an observational study to examine appropriateness of antibiotic prescribing in nursing homes and residential care facilities. The second phase of the study comprises an intervention study. After the identification of barriers with regard to antibiotic prescribing using qualitative methods, long-term care facilities in the intervention group are provided the opportunity to select interventions that each facility perceives as most useful. The selected interventions are implemented and the effectiveness is measured. The long-term care facilities in the control group will treat infections as usual, and receive the interventions at the conclusion of the data collection.
- Main changes (audit trail)
- RECORD14-dec-2011 - 2-jan-2012


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