acute bronchitus cough Lower Respiratory Tract Infections (LRTI)
Conditions
Interventions
GP practices are randomised to usual care, or usual care plus POC CRP. 22
practices from three different regions in the Netherlands will be involved
(Utrecht, Rotterdam and Maastricht). Children can
Sponsors
Universitair Medisch Centrum Utrecht
Eligibility
Age
2 Years to 11 Years
Inclusion criteria
Inclusion criteria: - Children aged between 3 months and 12 years presenting to the GP with a non-severe LRTI. - LRTI will be defined as acute cough (shorter than 21 days) with (reported) fever (>38 °C). - The parent of the patient should be able to provide written informed consent and be willing to (help to) complete the patient diary.
Exclusion criteria
Exclusion criteria: - immunodeficiency - recent (previous four weeks) use of systemic antibiotics and/or corticosteroids - being severely ill as judged by the GP based on symptoms and signs - highly suspected of having pneumonia;Being severely ill or highly suspected of pneumonia includes: signs of dehydration, cyanosis, tachypnoe, lower level of consciousness or fever during > 5 days, no food or fluid intake, or otherwise judged as being severely ill by the GP.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the % antibiotic prescriptions during 28 days after first consultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include health care use, costs, adverse events, quality of life (QOL), symptoms, and cost-effectiveness. | — |
Countries
Netherlands
Outcome results
None listed