Demonstration of Near Zero Antibiotic Prescribing for Acute Bronchitis

Completed · Not applicable

Conditions studied: Bronchitis, Cough

In brief

Studies show, guidelines state, and performance measures assert that antibiotic prescribing for uncomplicated acute bronchitis is inappropriate. However, clinicians prescribe antimicrobials in over 60% of the 22.5 million acute bronchitis visits in the United States each year. Previous successful interventions have only reduced the antimicrobial prescribing rate to 40% or 50%. It is unknown if the antimicrobial prescribing rate for acute bronchitis can be brought to near zero percent in actual practice while maintaining patient safety and satisfaction. The goal of this study is to develop an Electronic Health Record (EHR)-integrated algorithm for the diagnosis and treatment of adults with acute bronchitis with a goal of reducing the antibiotic prescribing rate to near zero percent.

Key facts

Study ID

NCT01240174

Run by

Brigham and Women's Hospital

People needed

400

Starts

2011-03-01

Expected to finish

2014-07-01

Last updated by the study team

2017-02-01

Who can join

Age: 18 and older, up to 64. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• first visit in 30 days, age 18-64, has a cough of less than 3 weeks duration

You may not qualify if…

• infiltrate on chest x-ray, has chronic lung disease

Where it is running

• Brigham and Women's Hospital Jen Center for Primary Care — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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