We hypothesize that our intervention leads to an increase in appropriate AB use for UTI and so to a reduction in total AB use, without negative consequences for patients. wellbeing/recovery
Bron
Verkorte titel
Aandoening
Suspected UTI
Ondersteuning
Onderzoeksproduct en/of interventie
Geen registraties gevonden.
Uitkomstmaten
Primaire uitkomstmaten
Appropriate AB prescribing for suspected UTI at index consultation (yes/no)
Achtergrond van het onderzoek
BACKGROUND:
Urinary tract infections (UTI) are common among nursing home (NH) residents, and account for the largest share of total antibiotic (AB) use in this setting. In previous research, it was found that one third of these AB prescriptions for UTI are not (yet) required. Inappropriate AB use is an important problem both on the patient level (i.e. it causes side-effects and drug interactions) and the societal level (i.e. AB resistance). Therefore, a UTI treatment algorithm for frail elderly has recently been developed by an international expert panel. This algorithm has been incorporated in the revised guideline on UTI of the Dutch Association of Elderly Care Physicians and Social Geriatricians (Verenso), which was published in October 2018. In order to reduce inappropriate AB use, it is important that this guideline will be used in practice. However, it is widely known that guideline implementation is challenging and takes time.
OBJECTIVE:
To evaluate whether actively drawing physicians attention to the revised UTI guideline results in more appropriate AB prescribing for NH residents with suspected UTI. This will be achieved in two ways: 1) by providing the UTI guideline treatment advice automatically in the electronic patient file when a clinician considers a UTI, and 2) by educating physicians and nursing staff on the content of the guideline.
STUDY DESIGN:
A cluster randomized controlled trial (cRCT) with NHs as the unit of randomization.
Doel van het onderzoek
We hypothesize that our intervention leads to an increase in appropriate AB use for UTI and so to a reduction in total AB use, without negative consequences for patients. wellbeing/recovery
Onderzoeksopzet
March 2019 - March 2020: Data collection
April 2020 - March 2021: Data analysis
March 2021 - March 2022: Preparing paper on results / Other data dissemination activities / Development implementation package
Onderzoeksproduct en/of interventie
Actively drawing physicians attention to the revised UTI guideline results by: 1) providing the UTI guideline treatment advice automatically in the electronic patient file when a clinician considers a UTI, and 2) educating physicians and nursing staff on the content of the guideline
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
NH residents with a new diagnosis ‘suspected UTI’
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Recent AB use (past 7 days) for a different type of infection
- A treatment policy indicating that the resident wishes not to be treated with AB in case of a UTI
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
Register | ID |
---|---|
NTR-new | NL7555 |
Ander register | METC Amsterdam UMC, location VUmc : 2018.442 |