Impact of a Communication Toolkit on Antibiotic Prescribed by General Practitioners: a Randomised Trial

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

349 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2019-09-30

Brief Summary

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This study is a pragmatic, randomised, controlled, before-after interventional study conducted in one region in France in primary care. The GPs in the intervention group will receive a public commitment charter, a non prescription pad and a patient information leaflet to be used when antibiotics are prescribed, while the control group will be not aware of the intervention.

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Detailed Description

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Antimicrobial resistance is a major public health threat and the overuse of antibiotics contributes to its development.

In France, outpatient antibiotic use remains above the European average. Ninety percent of antibiotics are prescribed to outpatients and 70% of these are prescribed by general practitioners.

Conditions

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Antibiotic Prescription

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Charter & patient information leaflets

A public commitment charter promoting antibiotic stewardship, signed by the general practitioner (GP) and displayed in the practice waiting room; a non-prescription pad, to be distributed to patients when an antibiotic is not needed; and a patient information leaflet to be used when antibiotics were prescribed

Group Type EXPERIMENTAL

Charter & patient information leaflets

Intervention Type OTHER

Public commitment charter, non-prescription pad, information leaflet in case of antibiotic prescription

Control

No intervention, eligible general practitioners randomised in the control group not informed of the intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Charter & patient information leaflets

Public commitment charter, non-prescription pad, information leaflet in case of antibiotic prescription

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* working in the Lorraine region in France
* prescribing more than 25 antibiotic items per 100 patients without a chronic illness, aged 16 to 65 years
* proportion of patients treated with critical antibiotics exceeding 27% (among patients treated with antibiotics)

Exclusion Criteria

* practicing exclusively alternative medicine, such as homeopathy or acupuncture
* GPs reaching the retirement age in the two years following the beginning of the intervention or who were not working two years before
* GPs who had already displayed a commitment charter promoting antibiotic stewardship in their practice

Eligible Sex

ALL

Accepts Healthy Volunteers

No