Respiratory tract infections in primary care

Conditions

Respiratory tract infection (RTI) Respiratory Respiratory tract infection (RTI)

Regina Poß-Doering, Lukas Kuehn, Martina Kamradt, Katharina Glassen, Th. Fleischhauer et al. (10 authors)

BMC Family Practice2020-12-017 citations

Applying Digital Information Delivery to Convert Habits of Antibiotic Use in Primary Care in Germany: Mixed-Methods Study

Regina Poß-Doering, Lukas Kuehn, Martina Kamradt, Katharina Glassen, Michel Wensing

Journal of Medical Internet Research2020-08-1113 citations

10.2196/18200

Converting habits of antibiotic use for respiratory tract infections in German primary care – study protocol of the cluster-randomized controlled CHANGE-3 trial

Anja Wollny, Attila Altiner, Tonia Brand, Katharina Garbe, Martina Kamradt et al. (14 authors)

Trials2019-02-0611 citations

10.1186/s13063-019-3209-7

Interventions

Current interventions as of 13/07/2018: Public campaign: Spread of information for and against antibiotic prescribing via media, like posters, special website or handouts. The campaign starts in Septe

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Current participant inclusion criteria as of 13/07/2018: Public campaign: not applicable given the design of the study. Nested cRCT: 1. Patients of >17 years 2. Consult their GP for an acute respiratory tract infection Process evaluation: 1. Participants >18 years 2. Full command of German language Previous participant inclusion criteria: Public campaign: not applicable given the design of the study. Nested cRCT: 1. Patients of >17 years 2. Consult their GP for an acute respiratory tract infection

Exclusion criteria

Exclusion criteria: Current participant exclusion criteria as of 13/07/2018: Public campaign: not applicable given the design of the study. Nested cRCT: 1. Deficient knowledge of the German language 2. Any form of dementia Process evaluation: 1. Deficient knowledge of German language 2. Mentally incapacitated 3. Less than 18 years old Previous participant exclusion criteria: Public campaign: not applicable given the design of the study. Nested cRCT: 1. Deficient knowledge of the German language 2. Any form of dementia

Design outcomes

Primary

Measure	Time frame
Public campaign: Prescription rate of antibiotics for acute respiratory tract infections is assessed using data from the AOK health insurance company for all GPs in both German regions, before and after the intervention. Nested cRCT: GPs prescription rate of antibiotics for acute respiratory infections is assessed from the data of the AOK health insurance company before and after the intervention.	—

Measure

Time frame

Public campaign: Prescription rate of antibiotics for acute respiratory tract infections is assessed using data from the AOK health insurance company for all GPs in both German regions, before and after the intervention. Nested cRCT: GPs prescription rate of antibiotics for acute respiratory infections is assessed from the data of the AOK health insurance company before and after the intervention.

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Secondary

Measure	Time frame
Public campaign and Nested cRCT: 1. Antibiotics usage per 1000 citizens and day is measured from the data of the AOK health insurance company before and after the intervention. 2. Choice of active ingredient (broad- vs. narrow-spectrum antibiotics) is measured from the data of the AOK health insurance company before and after the intervention. 3. Number of patients with ARTI without antibiotic prescription is measured from the data of the AOK health insurance company before and after the intervention. 4. Number of patients with ARTI with recommended antibiotic prescription is measured from the data of the AOK health insurance company before and after the intervention.	—

Measure

Time frame

Public campaign and Nested cRCT: 1. Antibiotics usage per 1000 citizens and day is measured from the data of the AOK health insurance company before and after the intervention. 2. Choice of active ingredient (broad- vs. narrow-spectrum antibiotics) is measured from the data of the AOK health insurance company before and after the intervention. 3. Number of patients with ARTI without antibiotic prescription is measured from the data of the AOK health insurance company before and after the intervention. 4. Number of patients with ARTI with recommended antibiotic prescription is measured from the data of the AOK health insurance company before and after the intervention.

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Countries

Germany

Outcome results

None listed