Lower respiratory tract infection
Conditions
Interventions
A cluster randomized controlled trial (cRCT) will be conducted in NH organizations. Participating NHs will be randomized to the intervention or control group. ln the control group, care as usual is pr
Sponsors
VU University medical center
Eligibility
Inclusion criteria
Inclusion criteria: - Residence at a nursing home; - Residence at a psychogeriatric, somatic, or geriatric rehabilitation department - A new diagnosis 'suspected lower respiratory tract infection'
Exclusion criteria
Exclusion criteria: - The patient no longer wishes to be treated with antibiotics in case of a lower respiratory tract infection; - Recent use of antibiotics (oral, intravenous, or intramuscular) in the week preceding the current respiratory tract infection; - Recent infection, other than a respiratory tract infection, in the week preceding the current respiratory tract infection; - The patient receives palliative or terminal care.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The central research question is whether the use of CRP POCT results in a reduction in antibiotic prescribing for NH residents with suspected LRTl, without any negative consequences for patient recovery The primary outcome is antibiotic prescribing for suspected LRTl at index consultation (yes/no). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary research questions: 1) Associations between CRP POCT values and: a. signs and symptoms in NH patients with suspected LRTI b. antibiotic treatment (yes/no) 2) Cost-effectiveness and cost-benefit of the use of CRP POCT compared to usual care for NH patients with suspected LRTI. | — |
Contacts
Public ContactTjarda M. Boere
Medical Faculty building, room B353
Outcome results
None listed