Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Validation of a Vital Signs and Symptoms Decision Tree and the Effect of a Point-of- Care CRP Test, Oxygen Saturation, a Brief Intervention and a Parent Leaflet on Diagnosing, Antibiotic Prescribing Rate and Parental Satisfaction in Acutely Ill Children in Primary Care."
Brief Summary: Acute illness is the most common presentation of children attending ambulatory care settings. Serious infections (e.g. meningitis, sepsis, pyelonephritis, pneumonia) are rare, but their impact is quite large (increased morbidity, mortality, induced fear in parents and defensive behaviour in clinicians). Early recognition and adequate referral of serious infections are essential to avoid complications (e.g. hearing loss after bacterial meningitis) and their accompanied mortality. Secondly, we aim to reduce the number of investigations, referrals, treatments and hospitalisations in children who are diagnosed with a non-serious infection. Apart from the cost-effectiveness, this could lead to less traumatic experiences for the child and less fear induction for the concerned parent. Finally, we aim to support the clinicians to rationalise their antibiotic prescribing behaviour, resulting in a reduction of antibiotic resistance in the long run.


Options:
A: Arm Label: CRP-Control; Type: OTHER; Interventions: Other: No CRP will be measured onsite | Arm Label: CRP-A; Type: OTHER; Interventions: Other: CRP cut-off of 20mg/L. | Arm Label: CRP-B; Type: OTHER; Interventions: Other: CRP cut-off of 40mg/L. | Intervention Type: OTHER; Name: No CRP will be measured onsite; Assigned to Arm(s): CRP-Control | Intervention Type: OTHER; Name: CRP cut-off of 20mg/L.; Assigned to Arm(s): CRP-A | Intervention Type: OTHER; Name: CRP cut-off of 40mg/L.; Assigned to Arm(s): CRP-B
B: Arm Label: C-reactive protein test; Type: EXPERIMENTAL; Interventions: Device: C-reactive protein test | Intervention Type: DEVICE; Name: C-reactive protein test; Assigned to Arm(s): C-reactive protein test
C: Arm Label: e-POCT; Type: EXPERIMENTAL; Interventions: Other: Management of febrile children using e-POCT | Arm Label: ALMANACH; Type: ACTIVE_COMPARATOR; Interventions: Other: Management of febrile children using ALMANACH | Arm Label: Routine practice; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Management of febrile children using e-POCT; Assigned to Arm(s): e-POCT | Intervention Type: OTHER; Name: Management of febrile children using ALMANACH; Assigned to Arm(s): ALMANACH
D: Arm Label: usual care; Type: OTHER; Interventions: Device: Finger Pulse Oximeter | Arm Label: Use of C-reactive protein point of care (CRP POC) test; Type: ACTIVE_COMPARATOR; Interventions: Device: Use of C-reactive protein (CRP) point of care test, Device: Finger Pulse Oximeter | Arm Label: Brief intervention and parent leaflet; Type: ACTIVE_COMPARATOR; Interventions: Other: Brief intervention and parent leaflet, Device: Finger Pulse Oximeter | Arm Label: CRP POC test and brief intervention & parent leaflet; Type: ACTIVE_COMPARATOR; Interventions: Device: Use of C-reactive protein (CRP) point of care test, Device: Finger Pulse Oximeter | Intervention Type: DEVICE; Name: Use of C-reactive protein (CRP) point of care test; Assigned to Arm(s): CRP POC test and brief intervention & parent leaflet, Use of C-reactive protein point of care (CRP POC) test | Intervention Type: OTHER; Name: Brief intervention and parent leaflet; Assigned to Arm(s): Brief intervention and parent leaflet | Intervention Type: DEVICE; Name: Finger Pulse Oximeter; Assigned to Arm(s): Brief intervention and parent leaflet, CRP POC test and brief intervention & parent leaflet, Use of C-reactive protein point of care (CRP POC) test, usual care

Answer: D