Respiratory Tract Infection
Conditions
Keywords
primary care, procalcitonin, antibiotic prescription
Brief summary
Antibiotics in patients with acute respiratory tract infections in primary care in consideration of procalcitonin as additive parameter. The purpose of this study is to compare the ordinary manner of antibiotic- prescription with the prescription in consideration of procalcitonin-value in patients with acute respiratory tract infections.
Interventions
A. attending physician includes patient with acute respiratory infection in study, indicates antibiotic prescription and collects procalcitonin-value. Waits for decision from laboratory either change of decision or retention of decision. In case of change decision: antibiotic is not recommended, patient shall not take antibiotic. In case of retention of decision: patient may take the antibiotic. B. attending physician includes patient with acute respiratory infection in study, indicates NO antibiotic and collects procalcitonin-value. Waits for decision from laboratory either change of decision or retention of decision. In case of change decision: antibiotic is recommended, patient has to be informed about. In case of retention of decision: no change.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older * Informed consent * Respiratory tract infection based on the clinical judgement of the primary care physician
Exclusion criteria
* Antibiotic pretreatment in previous 14 days * Portal hypertension * Major surgeries or multiple trauma which require hospitalization, in previous 4 weeks * Autoimmune disease and systemic diseases (lupus erythematodes, wegener´s disease) * Peritoneal dialysis * Acute treated or recently operated medullary c-cell-carcinoma, SCLC, carcinoid * Other inflammatory diseases (e.g. urinary tract infection, pyelonephritis, pancreatitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| days with significant impairment due to acute respiratory tract infection | 14 to 28 days after infection |
Secondary
| Measure | Time frame |
|---|---|
| number of antibiotic prescriptions | 28 days |
Countries
Germany