Children With Fever and Respiratory Symptoms at Out-of-hours Services in Norway

NORCE Norwegian Research Centre AS0 sites401 target enrollmentJanuary 2013

ConditionsChildren

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Children
Sponsor: NORCE Norwegian Research Centre AS
Enrollment: 401
Primary Endpoint: Antibiotic prescription rate
Status: Terminated
Last Updated: 10 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

Viral self-limiting infections in respiratory organs among children are common in primary care. Serious infections have low prevalence and are challenging to distinguish from self-limiting infections.

Prescription of antibiotics in primary care is still high but stable since 2009 in Norway, and 90% of all antibiotics are prescribed in primary care.

C-reactive protein (CRP) has been especially popular in Norway for point-of-care testing in primary care, but its role in ruling-out serious infections and the cut-off value for prescribing antibiotics has been discussed a lot.

The aim of this study is to identify if pretesting with CRP of all children 0-6 year with fever or respiratory symptoms at Out-of-Hours Services will affect the prescription of antibiotics and the referral to hospital for children.

Detailed Description

Design: A randomized controlled observational study including children 0-6 year with fever and/or respiratory symptoms at 4 different Out-of-hour Services and at 1 Emergency Children Department Clinic at a hospital (open clinic). The data consist of clinical data and anamnestic information from a nurse at OOH-service collected before the consultation, the doctor's journal and a questionnaire to parents before the consultation and 1 week after the consultation.

Registry

clinicaltrials.gov

Start Date

January 2013

End Date

July 2015

Last Updated

10 years ago

Study Type

Interventional

Study Design

Parallel