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van CCT (UK)

Verbeteren van het voorschrijven van antibitoica voor kinderen met een luchtweginfectie

- candidate number15496
- NTR NumberNTR4240
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR3-okt-2013
- Secondary IDsZonMW50-51700-98-162 
- Public TitleVerbeteren van het voorschrijven van antibitoica voor kinderen met een luchtweginfectie
- Scientific TitleImproving antibiotic use for children with acute respiratory tract infections
- hypothesisEducation on guidelines and on communication with parents will improve antibiotic prescribing quality for children with respiratory infections. Providing this education on-line will be a cost-effective approach.
- Healt Condition(s) or Problem(s) studiedAntibiotics, Children, Airway complaints, General practitioner
- Inclusion criteriageneral practitioners willing to participate in this intervention trial general practitioners will be included, not individual patients. 30 practices will participate in the trial.
- Exclusion criterianot relevant, as the intervention is targeted at general practitioners, not at patients
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlNot applicable
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jan-2013
- planned closingdate1-jan-2017
- Target number of participants30
- InterventionsThe intervention, targeted at general practitioners, will be an on-line training including:
- guidelines of the Dutch college of GPs with respect to antibiotic management of children with a respiratory tract infection
- training in communication skills for communication with parents - information booklet for parents with information on respiratory tract infection in children.
Duration of the intervention is 1 hour of training.
Practices in the other arm do not receive education and will perform care as usual.
- Primary outcomeAntibiotic prescribing rate for children with respiratory tract infection (number of consulations with a prescription/total number of consultations). All participating GPs will register in a period of 4-8 weeks all consulations they have with children with a respiratory infection, prior and after the intervention.
- Secondary outcomenumber of antibiotic prescriptions for children per 100 children in the practice per year. These data will be collected anonymously via pharmacies.
- TimepointsPrimary outcome: will be measured in the winter seasons prior and after the intervention.
Secondary outcome:
base-line: 12 months of prescribing data prior to the intervention
1: 12 months of prescribing data after the intervention
- Trial web siteN/A
- statusplanned
- CONTACT for SCIENTIFIC QUERIESDr. A.W. Velden, van der
- Sponsor/Initiator Julius Center for Health Sciences and Primary Care
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryAntibiotic overuse is a growing public health problem. The is substantial overprescribing for children with respiratory tract infection. In this trial we educate general practitioners using an on-line training on the guidelines with respect to antibiotic mangement of children with a respiratory tact infection. Concomitantly, we ask the general practitoners to inform parents with an information booklet providing information on the natural course of disease, treatment options and benefits and disadvantages of antibiotics.
This trial aims better adherence to the existing guidelines and thereby an improved antibiotic management of children with respiratory tract infection.
- Main changes (audit trail)
- RECORD3-okt-2013 - 19-nov-2013

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