Clinical trial NCT05090475: Implementation of Academic Detailing Interventions on Prescribing of Antimicrobial Drugs in Primary Health Care
Official title: Evaluating Hospital Educator-led Academic Detailing on Improving Antibiotic Prescribing in Primary Healthcare: a Feasibility Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Upper Respiratory Tract Infections
Acute Respiratory Tract Infection
Viral Infection
Keywords: Antimicrobial resistance
Hospital A-team
Academic detailing intervention
Antimicrobial prescribing
Primary care
Lead sponsor: General Hospital Koprivnica
Sponsor class: OTHER
Collaborators: name: Koprivnica Križevci County
name: Interdisciplinary section for the control of antibiotic resistance (ISKRA)
First posted: 2021-10-22
Enrollment: 16
Sex: ALL
Minimum age (years): 25
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: World increase in mortality from consequences of antimicrobial resistance (AMR) represents a significant public health problem. Irrational prescribing of antimicrobial drugs (AMD) in general population is one of the main causes of development AMR. This is also contributed by fact that up to 90% of total antimicrobial consumption in Europe is related to the general population. Problem of AMR has been recognized by World Health Organization and Council of European Union, which support the establishment of the antimicrobial stewardship team (A-team). A-team provides co-ordinated interventions that promote rational use of AMD. To date, no study has been carried out in which A-team from hospital environment goes to primary health care for the purpose of rationalization prescribing of AMD by primary health care practitioners. Project for implementation of hospital A-team in primary health care in Koprivnica-Križevci County was initiated using academic detailing method aimed at rationalization of the consumption of AMD.


Eligibility criteria: Inclusion Criteria:

* All primary care physicians in Koprivnica Križevci County that agree to participate in the study

Exclusion Criteria:

* Primary care physicians outside Koprivnica Križevci County

Primary outcomes:
measure: Proportion of antimicrobials expressed as DDD per day for ATC group J01 associated with acute respiratory tract infections
timeFrame: 1 year
Secondary outcomes:
measure: Change in Clostridiodes dificile infection for patients on antimicrobial therapy
timeFrame: 1 year
Other outcomes:
Locations:
city: Koprivnica
country: Croatia
facility: Koprivnica križevci county
state: Koprivnicko-krizevacka
Study officials:
affiliation: General Hospital Koprivnica
name: Darija Kuruc Poje
role: PRINCIPAL_INVESTIGATOR
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