Phased In: delivering antimicrobial stewardship in primary care
- Conditions
- Common illnesses including respiratory infections (upper respiratory tract infections [URTIs] and lower respiratory tract infections [LRTIs]), urinary tract infections (UTIs), skin infections and insect bites.Infections and Infestations
- Registration Number
- ISRCTN67759129
- Lead Sponsor
- niversity of Southampton
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 7800
Patients presenting to ‘index’ general practices with the commonest acute uncomplicated infections including:
1. UTI (women (16-65 years)
2. URTI: (adults 18-79 years and children 1-17 years): sore throat/otitis-media/sinusitis/influenza
3. LRTI: (adults 18-79 years and children 3-17 years)
4. Skin infections (adults 18-79 years and children 1–17 years with impetigo and insect bites)
1. Infection not suspected
2. Pregnancy
3. Known immunological deficiencies
4. Symptoms of serious illness such as rapid deterioration in consciousness level; too unwell to walk
5. Aged under 1 year old or aged under 3 years with suspected UTI
6. Over age 75 years old with 2 or more major co-morbidities
7. Aged > 80 years old
8. Those who do not accept referrals to the partner pharmacies
9. Recurrent/chronic infection defined as:
9.1. LRTI: 2 or more infections in the last year
9.2. UTI: 2 or more episodes in the last 6 months or 3 or more in the last 12
9.3. Impetigo: 2 or more episodes in the last year
9.4. Chronic sinusitis (symptoms for >= 12 weeks)
9.5. Otitis: more than one infection in the last year in adults (aged > 16) and 3 or more/6 months or 4 or more in 12 months in children
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method