Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: A Randomized-controlled Study to Assess the Impact of Dermatology Consultations on Reducing Admissions for Patients Presenting to Internal Medicine Clinics for Possible Cellulitis
Brief Summary: This is a randomized, controlled study to compare patients evaluated by primary care physicians alone versus patients who are additionally evaluated by a dermatologist at the primary care physician"s office, aiming to demonstrate that visits to the primary care physician"s (PCP) office that involve both the PCP and an on-site dermatology consultation will reduce hospital admission rates. The hypothesis of this study is that obtaining outpatient dermatology consultations during a patient"s initial presentation to a primary care office will reduce admissions for cellulitis with accuracy. The primary objective will be to measure the difference in the proportion of patients requiring hospital admission utilizing a dermatology consultation at the PCP"s office (active arm) versus primary care evaluation alone (control arm) by calculating risk ratios and risk differences. The risk of admission for each arm will be assessed once the study has been completed. The secondary endpoint will be admission versus discharge home at a dermatology follow-up visit to assess accuracy of initial assessment. An additional endpoint will be to determine if any differences in frequencies of cellulitis and admission exist based on age and immunosuppression. Exploratory analyses will assess the percentage of patients with a concomitant known predisposing factor for recurrent cellulitis such as lymphedema, leg ulceration, tinea pedis, or onychomycosis, as well as the association of fever \>100.5 F and a history of a prior episode of cellulitis.


Options:
A: Arm Label: 1; Type: N/A; Interventions: N/A
B: Arm Label: 1: Hygiene Education; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Intensive education on personal hygiene | Arm Label: 2: Hygiene education + mupirocin; Type: ACTIVE_COMPARATOR; Interventions: Drug: Mupirocin ointment, Behavioral: Intensive education on personal hygiene | Arm Label: Education + mupirocin + chlorhexidine; Type: ACTIVE_COMPARATOR; Interventions: Drug: Mupirocin ointment, Genetic: Chlorhexidine showers, Behavioral: Intensive education on personal hygiene | Arm Label: 4: Education + mupirocin + bleach baths; Type: ACTIVE_COMPARATOR; Interventions: Drug: Mupirocin ointment, Procedure: Bleach baths (dilute), Behavioral: Intensive education on personal hygiene | Intervention Type: DRUG; Name: Mupirocin ointment; Assigned to Arm(s): 2: Hygiene education + mupirocin, 4: Education + mupirocin + bleach baths, Education + mupirocin + chlorhexidine | Intervention Type: GENETIC; Name: Chlorhexidine showers; Assigned to Arm(s): Education + mupirocin + chlorhexidine | Intervention Type: PROCEDURE; Name: Bleach baths (dilute); Assigned to Arm(s): 4: Education + mupirocin + bleach baths | Intervention Type: BEHAVIORAL; Name: Intensive education on personal hygiene; Assigned to Arm(s): 1: Hygiene Education, 2: Hygiene education + mupirocin, 4: Education + mupirocin + bleach baths, Education + mupirocin + chlorhexidine
C: Intervention Type: DRUG; Name: antimicrobial agent in soap; Assigned to Arm(s): N/A
D: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Dermatology consultation; Type: EXPERIMENTAL; Interventions: Other: Dermatology Consultation | Intervention Type: OTHER; Name: Dermatology Consultation; Assigned to Arm(s): Dermatology consultation

Answer: D