Clinical trial NCT00948779: Antibiotic Education for Children in an Emergency Care Unit
Official title: Therapeutic Education About Intake of Oral Solutions of Antibiotics in Children Under 6 Year-old at the Emergency Department in Robert Debré Hospital
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Otorhinolaryngologic Diseases
Respiratory Tract Infections
Pyelonephritis
Urinary Tract Infections
Keywords: Patient education
Antibiotic
Child
Respiratory tract infection
Patient satisfaction
Parental knowledge
Adherence
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
First posted: 2009-07-29
Enrollment: 300
Sex: ALL
Minimum age (years): 1
Maximum age (years): 6
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to determine if a patient education in acute condition about the intake of oral solution antibiotic in children under 6 year-old are effective to improve the satisfaction about the therapeutic education, the knowledge about antibiotics among the patients' families and thereby decrease the misuses of antibiotics.

Detailed description: Adherence to antibiotic regimen for common childhood illnesses, such as otitis media and streptococcal pharyngitis, is related to a variety of outcomes such as illness' remission, prevention of recurrent infections, maintaining of cost-effectiveness, and prevention of the growth of antibiotic-resistance. A patient and family 's therapeutic education about the intake of an oral solution of antibiotic should decrease the misuses of antibiotic, improve the family 's knowledge and the satisfaction of the patient and his family. Those factors are related to the understanding and adherence to the antibiotic prescription.

Eligibility criteria: Inclusion Criteria:

* French-speaking patients seen at the emergency department and discharged with a diagnosis of bacterial infections (urinary and respiratory tract infections, streptococcal pharyngitis, acute otitis media) requiring 5 to 10 days of an oral solution of antibiotic.
* Under 6 year-old.
* No opposition of the parents to be included in the study.
* Personal health insurance.

Exclusion Criteria:

* Chronic pathology such as: Sickle cell disease, AIDS.
* Parents with insufficient knowledge of French.
* Family not reachable by phone.
* Antibiotic's suspected allergy.

Primary outcomes:
measure: satisfaction (likert scale)
timeFrame: 15 days
Secondary outcomes:
measure: Parent's knowledge
timeFrame: 15 days and 6 months
Other outcomes:
Locations:
city: Paris
country: France
facility: Hôpital Robert Debré
Study officials:
affiliation: Assistance Publique - Hôpitaux de Paris
name: François Angoulvant, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Angoulvant F, Rouault A, Prot-Labarthe S, Boizeau P, Skurnik D, Morin L, Mercier JC, Alberti C, Bourdon O. Randomized controlled trial of parent therapeutic education on antibiotics to improve parent satisfaction and attitudes in a pediatric emergency department. PLoS One. 2013 Sep 26;8(9):e75590. doi: 10.1371/journal.pone.0075590. eCollection 2013.