Antimicrobial Stewardship for Primary Care Pediatricians

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-12-31

Brief Summary

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The purpose of the study is to determine if physician education coupled with audit and feedback of antibiotic prescribing can improve antibiotic prescribing by primary care clinicians.

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Detailed Description

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Using a large, diverse pediatric primary care network sharing a comprehensive electronic health record (EHR), a cluster-randomized trial will be performed to determine the effectiveness of an outpatient antimicrobial stewardship bundle, including treatment guidelines coupled with audit and feedback of physician prescribing, to curb inappropriate antibiotic prescribing for respiratory tract infections.

Aim 1: To determine the impact of an outpatient antimicrobial stewardship bundle within a pediatric primary care network on antibiotic prescribing for conditions for which antibiotics are not indicated.

Hypothesis: Antimicrobial stewardship will decrease rates of antibiotic prescribing for conditions for which antibiotics are not indicated.

Aim 2: To determine the impact of an outpatient antimicrobial stewardship bundle within a pediatric primary care network on broad-spectrum antibiotic prescribing for conditions for which narrow-spectrum antibiotics are indicated.

Hypothesis: Antimicrobial stewardship will decrease the rate of broad-spectrum antibiotic prescribing for conditions for which narrow-spectrum antibiotics are indicated.

Conditions

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Acute Sinusitis Streptococcal Pharyngitis Pneumonia Viral Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Antimicrobial Stewardship Bundle

An intervention "bundle" to reduce outpatient antibiotic use in children will include education, creation of and access to guidelines, and audit of and feedback on individual prescribing within the context of achievable benchmarks.

Group Type EXPERIMENTAL

Antimicrobial Stewardship Bundle

Intervention Type BEHAVIORAL

Guidelines, Education, Audit and Feedback

Control

Control sites will be within strata to maintain balance of treatment arm within strata

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Antimicrobial Stewardship Bundle

Guidelines, Education, Audit and Feedback

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Primary care pediatric practices within the CHOP Care Network

Exclusion Criteria

* Academic primary care pediatric practices within the CHOP Care Network
* Providers entering a practice after the start of the intervention
* Providers with less than 25 antibiotic prescriptions in the 6 months prior to the start of the intervention

Eligible Sex

ALL

Accepts Healthy Volunteers

No