Point-of-Care Ultrasound Educational Initiative for Insect Bites

Stopped early · Not applicable

Conditions studied: Cellulitis, Insect Bites, Insect Stings

In brief

This pre-post study, designed to decrease unnecessary antibiotic prescribing, will use a prospective cohort of patients presenting to the Pediatric Emergency Department (PED). Patients with local skin findings that the clinician believes are primarily due to an insect bite or sting will be approached for the study. The intervention will occur at the physician level. Midway through the study, physicians will receive an educational intervention describing how to differentiate cellulitis from allergic reaction using point-of-care bedside ultrasound. The main outcome observed will be whether or not the patient receives a prescription for antibiotics at the index visit.

Key facts

Study ID

NCT03619746

Run by

New York City Health and Hospitals Corporation

People needed

71

Starts

2018-08-10

Expected to finish

2020-06-30

Last updated by the study team

2020-10-28

Who can join

Age: 0 and older, up to 20. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Erythema or swelling surrounding an insect bite or sting for greater than 12 hours

You may not qualify if…

• Patients with skin findings consistent with an abscess (ie. active drainage, fluctuance)
• Patients who are relatively immunocompromised (e.g., patients with AIDS, diabetes mellitus, cancer)
• Recent use of antibiotics within 1 week prior to symptoms
• Pregnant
• Altered mental status
• Unable to provide a phone number for follow-up

Where it is running

• Jacobi Medical Center — The Bronx, New York, United States

Full record on ClinicalTrials.gov

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