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Genomics to combat resistance against antibiotics for community-acquired lower respiratory tract infection (LRTI) in Europe (GRACE) work package 10: Antibiotic Trial One

Phase 3
Completed
Conditions
ower respiratory tract infection (LRTI)
Respiratory
Unspecified acute lower respiratory infection
Registration Number
ISRCTN52261229
Lead Sponsor
niversity of Southampton (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
3000
Inclusion Criteria

1. Aged 18 and over, either sex
2. Acute or worsened cough is the main presentation suggesting LRTI, less than 28 days duration
3. Not been included earlier in the current GRACE trial
4. Able to fill out study materials
5. Immunocompetent
6. Not been on antibiotic treatment in previous month
7. First consultation for this illness episode

Exclusion Criteria

1. Allergic to penicillin
2. History/physical examination suggestive of community acquired pneumonia (CAP)
3. Pregnant

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Deterioration of illness: return to doctor with worsening signs, or admission to hospital within 4 weeks of first consultation, measured at one year<br>2. Symptom severity and duration, duration of symptoms rated moderately bad until symptoms clear, measured by symptom diary (with construct validity), measured at one year
Secondary Outcome Measures
NameTimeMethod
1. Resource use data, assessed by a review of clinical notes measured at two years<br>2. Quality of life outcomes for use of economic evaluation (EQ5D), measured at two years<br><br>Added 25/11/2014:<br>3. Antibacterial resistance in oropharyngeal streptococci measured before, immediately after and four weeks after the interventions in five networks in the third inclusion period
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