No registrations found.
ID
Source
Brief title
Health condition
antibiotic antibiotica
child kind
respiratory infection luchtweginfectie
education scholing
general practitioner huisarts
Sponsors and support
Intervention
Outcome measures
Primary outcome
Antibiotic prescribing rate for children with respiratory tract infection (number of consulations with a prescription/total number of consultations). All participating GPs will register in a period of 4-8 weeks all consulations they have with children with a respiratory infection, prior and after the intervention.
Secondary outcome
number of antibiotic prescriptions for children per 100 children in the practice per year. These data will be collected anonymously via pharmacies.
Background summary
Antibiotic overuse is a growing public health problem. The is substantial overprescribing for children with respiratory tract infection. In this trial we educate general practitioners using an on-line training on the guidelines with respect to antibiotic mangement of children with a respiratory tact infection. Concomitantly, we ask the general practitoners to inform parents with an information booklet providing information on the natural course of disease, treatment options and benefits and disadvantages of antibiotics.
This trial aims better adherence to the existing guidelines and thereby an improved antibiotic management of children with respiratory tract infection.
Study objective
Education on guidelines and on communication with parents will improve antibiotic prescribing quality for children with respiratory infections. Providing this education on-line will be a cost-effective approach.
Study design
Primary outcome: will be measured in the winter seasons prior and after the intervention.
Secondary outcome:
base-line: 12 months of prescribing data prior to the intervention
1: 12 months of prescribing data after the intervention
Intervention
The intervention, targeted at general practitioners, will be an on-line training including:
- guidelines of the Dutch college of GPs with respect to antibiotic management of children with a respiratory tract infection
- training in communication skills for communication with parents
- information booklet for parents with information on respiratory tract infection in children.
Duration of the intervention is 1 hour of training.
Practices in the other arm do not receive education and will perform care as usual.
University Medical Center Utrecht
A.W. Velden, van der
Utrecht
The Netherlands
088-756 85 11
a.w.vandervelden@umcutrecht.nl
University Medical Center Utrecht
A.W. Velden, van der
Utrecht
The Netherlands
088-756 85 11
a.w.vandervelden@umcutrecht.nl
Inclusion criteria
general practitioners willing to participate
in this intervention trial general practitioners will be included, not individual patients. 30 practices will participate in the trial.
Exclusion criteria
not relevant, as the intervention is targeted at general practitioners, not at patients
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4096 |
| NTR-old | NTR4240 |
| Other | : ZonMW50-51700-98-162 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |