Impact of improved diagnostic tools, practices, training and communication on acute fever case management and antibiotic prescriptions for children, adolescents and adults presenting at outpatient facilities at Jan Swasthya Sahyog, Ganiyari, Chhattisgarh, India.

Foundation for Innovative New Diagnostics0 个研究点目标入组 0 人开始时间: 待定最近更新: 2021年11月24日

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•A.Patients with fever with no focus / RTI:
•a.Children (6 months to <12years) and adolescents (12 years to <18 years old)
•b.Presenting with an acute febrile illness defined as temperature of >37.5Â°C or history of fever within the last 7 days with no focus or suspected RTI.
•c.Parent/guardian providing written informed consent for their children if <18 years
•d.Obtain assent for adolescents between 12 and < 18 years old
•e.Willing to provide blood samples and adhere to study procedures explained in the consent forms following the protocol.
•f.Available and willing to return for follow-up visit at the health facility.
•B.Training and communication (for those randomised to intervention arm):
•a.Parent/guardian providing informed consent to participate in the training and communication component of the study.
•b.Clinic staff who have provided written informed consent to participate in the training and communication as per randomisation protocol

•Participants are excluded using the following exclusion criteria:
•oChildren and adolescents from 6 months to <18 years old presenting with chronic febrile illness (fever lasting more than 7 days).
•oPatients with acute febrile illness outside the allowed age range.
•oSeverely ill patients requiring hospital admission or referral as assessed by the study clinicians.
•oAnyone refusing consent to the study or not available for follow-up (adults, the children of parents/guardians, or adolescents who refuse or are missed when asking for consent).

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