Broad Implementation of Outpatient Stewardship
Completed · Not applicable
Conditions studied: Acute Respiratory Tract Infection, Otitis Media, Pharyngitis, Acute Sinusitis
In brief
Reducing inappropriate antibiotic use is a key strategy to mitigate antibiotic resistance and adverse health effects associated with antibiotic exposure. The Broad Implementation of Outpatient Stewardship (BIOS) project focuses on broadly implementing an evidence-based intervention to improve antibiotic prescribing for acute respiratory tract infections in pediatric outpatient settings. Primary aims include: (1) examining the acceptability, feasibility and utility of a focused implementation strategy on improving intervention adoption and impact and (2) measuring the effectiveness of the intervention to reduce unnecessary broad-spectrum antibiotic prescription.
Key facts
- Study ID
- NCT05127161
- Run by
- Children's Hospital of Philadelphia
- People needed
- 1032
- Starts
- 2022-10-31
- Expected to finish
- 2025-12-31
- Last updated by the study team
- 2026-02-09
Who can join
Age: 1 and older, up to 12. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Clinician inclusion criteria: Any non-trainee clinician who prescribes and provides care for children aged 6 months to 12 years with ARTIs and who is practicing at an included site. Clinicians will further be selected based on employment status at time of randomization and volume of prescribing over the past 12 months.
- Visit inclusion criteria: visits made by patients of all participating practices aged 6 months through 12 years of age will be considered part of the project population.
You may not qualify if…
- Clinician exclusion criteria: clinicians who are trainees, who do not prescribe (or prescribe very infrequently) to the patient population of interest, or who do not provide care for (or provide care very infrequently for) children aged 6 months to 12 years with ARTIs will be excluded
- Visit exclusion criteria: visit by children with complex chronic conditions, as well as those treated with an antibiotic in the past 30 days, will have their data extracted but will be excluded from analyses
Where it is running
- Pediatric Associates — Plantation, Florida, United States
- Nationwide Children's Hospital — Cleveland, Ohio, United States
- MetroHealth — Cleveland, Ohio, United States
- Penn State Health — Hershey, Pennsylvania, United States
- Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.