Evaluation of an intervention to improve antibiotic prescribing for respiratory infections at rural health facilities in China

Not Applicable

Completed

• Conditions: Respiratory; Reduction of unnecessary antibiotic prescribing for adult patients with suspected respiratory tract infections

• Registration Number: ISRCTN30652037

Brief Summary

2022 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34980608/ (added 05/01/2022)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-12-01
• Study Completion: 2022-12-31
• Last Update Posted: 19 December 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1021

Inclusion Criteria

Current participant inclusion criteria as of 04/08/2021:
Practitioners:
All the practitioners working in the recruited township health centres will be invited to participate in the study

Patients:
1. Patients with RTIs who are present to seek consultation in the recruited township health centres
2. Aged =18 years old
3. Diagnosed with an RTI in the recruitment consultation: blocked/runny nose, coughing with or without sputum, dry/sore throat, breathing problems, fever, ear inflammation (blocked ear, tinnitus, ear discharges, earache).

Previous participant inclusion criteria as of 28/04/2021:
Village Practitioners:
1. All the practitioners working in the recruited village clinics will be invited to participate in the study

Patients:
1. Adult (aged =18 years old)
2. Diagnosed with RTIs in the recruitment consultation: blocked/runny nose, coughing with or without sputum, dry/sore throat, breathing problems, fever, ear inflammation (blocked ear, Tinnitus, ear discharges, earache)

Previous participant inclusion criteria:
Village Healthcare Professionals:
1. All the village healthcare professionals working in the village clinics with URTI patients

Patients:
2. All the patients with URTIs who are present to seek consultation in the recruited practices

Exclusion Criteria

Current participant exclusion criteria as of 04/08/2021:
Practitioners:
1. Do not have basic computer skills
2. Not involved in clinical diagnosis and medicine prescribing

Patients:
1. Have previously sought treatment for this illness from a normal clinic (not a specialist Covid clinic)
2. Unable to provide fully informed consent (e.g. due to dementia, psychosis, or severe depression)
3. Pregnancy

Previous participant exclusion criteria as of 28/04/2021:
Village Practitioners:
1. Have basic computer skills
2. Not involved in clinical diagnosis and medicine prescribing

Patients:
1. Previously sought treatment for this illness from a normal clinic (not a specialist Covid clinic)
2. Unable to provide fully informed consent (eg dementia, psychosis, or severe depression)
3. Pregnant
4. Immunological deficiencies
5. Non-infective conditions (e.g. pulmonary embolus, heart failure, oesophageal reflux, or serious allergy).

Previous participant exclusion criteria:
Village healthcare professionals:
1. Healthcare professionals who are not computer literate
2. Healthcare professionals who are not involved in the clinical diagnosis and medicine prescribing

Patients:
1. Patient has sought repeat consultation for this illness will be excluded.
2. Patients who is unable to provide consent form (eg, dementia, psychosis, or severe depression)
3. Patient who is pregnant
4. Patient with immunological deficiencies
5. Patient with non-infective disorder (eg, pulmonary embolus, heart failure, oesophageal reflux, or allergy)
6. Patient use of antibiotics in the previous month

Study & Design

• Study Type: Interventional
• Study Design: Not specified