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临床试验/NCT07632651
NCT07632651已完成不适用

Impact of C-reactive Protein Micromethod Testing in Primary Care on Antibiotics Delivery in Patients With Upper or Lower Respiratory Tract Infections: a Randomized Pragmatic Intervention Trial

MSPU des 3 Provinces1 个研究点 分布在 1 个国家目标入组 140 人开始时间: 2023年3月14日最近更新:

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
140
试验地点
1

研究概览

简要总结

The project is a pragmatic approach to primary care. The main objective is to evaluate the impact of making a CRP measurement device available in primary care general practices on antibiotic prescribing for upper respiratory tract (URT) or lower respiratory tract (LRT) infections.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Patients who have received information and given written consent
  • Patients of any age consulting a general practice with one or more of the following symptoms: fever, cough, arthralgias, myalgias, rhinorrhea;
  • Symptomatology evolving for more than 24 hours;
  • Symptoms associated with an upper respiratory tract infection such as otitis, angina, laryngitis, rhinopharyngitis, sinusitis; and/or a lower respiratory tract infection such as acute bronchitis, pneumonia, exacerbation of COPD (chronic obstructive pulmonary disease).

排除标准

  • These criteria correspond to factors making interpretation of the CRP value difficult:
  • Antibiotics taken in the 15 days prior to inclusion
  • Presence of one of the following signs of severity requiring immediate hospitalization:
  • Impairment of higher functions (altered consciousness) Sign of severity (Pas<90mmHg; HR>120/min; FR>30 cycles/min) Temperature <35 or >40°c Inhalation pneumonitis
  • Sepsis: organ dysfunction, FR>22cycles/min, PAS≤100 mmHg and Galsgow score ≤ 13(34)
  • Immediate hospitalization
  • Pregnancy
  • Heat stroke
  • Presenting with an associated serious pathology:
  • Associated neoplastic disease in progress
  • Severe liver failure
  • Ischemic or thromboembolic pathology
  • Traumatic pathology
  • Inflammatory rheumatism
  • Autoimmune disease

研究者

发起方
MSPU des 3 Provinces
申办方类型
Other
责任方
Sponsor

研究点 (1)

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