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Reducing antibiotic usage for acute respiratory infections by increasing guideline adherence including a wait-and-see prescription.

Reduce antibiotics use by wait-and-see prescription.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON27789
Enrollment
1600
Registered
2011-02-14
Start date
2011-03-01
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

upper respiratory tract infections bovenste luchtwegklachten

Interventions

Guideline adherence including prescribing wait-and-see prescriptions (WASP) will be subject of a training in 10 pharmacotherapy audit meetings (PTAMs). These 10 PTAMs (and consequently their participa

Sponsors

IVM (subsidized by ZonMw)
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. All patients who consult their GP with URTI are in principal eligible to receive a wait-and-see prescription. Since, preferably, GPs should not prescribe antibiotics to patients with URTI, in practice only those patients for whom the GP thinks a WASP is an option will receive a WASP and only after discussing it with the patient (note: if the GP thinks the patient needs an antibiotic s/he will prescribe that antibiotic without discussing the principle of WASP). It is up to the GP to discuss a WASP with the patient and to decide whether or not to prescribe a WASP; 2. Patients of all ages will be included.

Exclusion criteria

Exclusion criteria: N/A

Design outcomes

Primary

MeasureTime frame
The primary outcome measure is the number of patients with URTI who filled their antibiotic prescription at the pharmacy in the 12 months before the first PTAM-meeting (pretest) and 12 months hereafter (posttest).

Secondary

MeasureTime frame
1. Cccurence of complications (e.g. bronchitis and pneumonia); 2. Patients' judgement on the quality of care received for URTI.

Contacts

Public ContactMarianne Meulepas

IVM, Dutch Institute for Rational Use of Medicine P.O. Box 3089

m.meulepas@medicijngebruik.nl+31 (0)888 800400

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)