Effect of CRP and SAA Point-of-care Testing on Antibiotic Prescribing for Acute Respiratory-tract Infections

NCT ID: NCT06568432

Last Updated: 2025-03-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

19424 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-15

Study Completion Date

2025-08-15

Brief Summary

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The study was a practical, cluster-randomized controlled trial to evaluate the impact of CRP and SAA point-of-care testing (CRP\&SAA POCT) on antibiotic prescribing in patients with acute respiratory-tract infections (ARI) at primary care facilities in rural China.

Detailed Description

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The study was a practical, cluster-randomized controlled trial to evaluate the impact of CRP and SAA point-of-care testing (CRP\&SAA POCT) on antibiotic prescribing in patients with acute respiratory-tract infections (ARI) at primary care facilities in rural China. The study includes two arms, in which CRP\&SAA POCT will be provided in 20 village clinics in the intervention arm. Additional physician training on the use of CRP\&SAA POCT (including centralized training, distribution of physician training manuals, and desk reminders) and patient education sheets (to help patients understand the help of CRP\&SAA POCT in guiding their care) will also be provided;The control arm will not receive any intervention and will serve as the control (usual care). The primary outcome is the proportion of patients who are diagnosed with ARIs and prescribed antibiotics during their initial visit (defined as no prescription record at the current institution within the preceding 14 days) in both study arms.

Conditions

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Antibiotic Prescribing for Acute Respiratory-tract Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In parallel arm design, subjects are randomized to one or more study arms and each study arm will be allocated a different intervention. After randomization each subject stays in their assigned treatment arm for the duration of the study.

Subjects receive the same treatment throughout the trial. The results are then compared.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control group

The control group will not have any intervention, as the control (usual care)

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention group

CRP\&SAA POCT will be provided in 20 village clinics in the intervention group and additional physician training on the use of CRP\&SAA POCT will be provided (including centralized and unified training, distribution of physician training manuals and desk reminders)

Group Type EXPERIMENTAL

CRP+SAA POCT

Intervention Type DEVICE

CRP+SAA POCT will be provided in 20 village clinics in the intervention group

Interventions

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CRP+SAA POCT

CRP+SAA POCT will be provided in 20 village clinics in the intervention group

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Eligibility criteria for participants The target population of this study included (1) patients of all ages diagnosed by a village doctor with ARIs (including upper and lower respiratory infections); and (2) patients who present with ≥1 acute respiratory symptoms (including cough, rhinitis (sneezing, nasal congestion or runny nose), sore throat, shortness of breath, wheezing or abnormal auscultation). Patients with non-respiratory diseases or those with severe clinical symptoms requiring referral to a higher-level institution are excluded from the target population.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Toronto

OTHER

Sponsor Role collaborator

Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Xiaoxv Yin, PhD

Professor and Head of Social Medicne and Health Management Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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40 Village Clinics

Xiantao, Hubei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaoxv Yin, PhD

Role: CONTACT

+86 13871187781

Minzhi Xu, PhD

Role: CONTACT

+86 18737357795

References

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Xu M, Zhang Z, Ge E, Xie CX, Bai X, Zhu Y, Kuang G, Li J, Wang J, Wei X, Yin X. Effect of C-reactive protein and serum amyloid A point-of-care testing on antibiotic prescribing for acute respiratory-tract infections at village clinics in China: A study protocol for a cluster randomised controlled trial. PLoS One. 2025 Sep 8;20(9):e0331646. doi: 10.1371/journal.pone.0331646. eCollection 2025.

Reference Type DERIVED
PMID: 40920832 (View on PubMed)

Other Identifiers

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HuazhongU20240822

Identifier Type: -

Identifier Source: org_study_id

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