Antibiotic Stewardship in Infectious Disease Departement

Infectious Disease Clinical Trial

Official title:

Adherence to Anti-infectious Treatment Protocols in Emergencies and Short-term Hospitalization at the Infectious Disease Department"

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03636711
• Other study ID #: 2018-24
• Status: Not yet recruiting
• Start date: September 2018
• Est. completion date: January 2022

Study information

• Verified date: August 2018
• Source: Assistance Publique Hopitaux De Marseille
• Contact: PHILIPPE PAROLA, MD
• Phone: +33 491387235
• Email: Philippe.PAROLA[@]ap-hm.fr
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as /

• Pneumoniae

• Urinary tract infection

• Cellulitis

• Meningitis

• Malaria

• Febrile neutropenia

• Febrile acute diarrhea

• Fever back to the tropics

• Angina

• sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..

Description:

Consensual antibiotic protocols have been developed and validated locally by infectious disease specialists, internists and emergency physicians, in order to encourage their compliance. A preliminary study was conducted from June 2015 (setting up protocols) to February 2016, including 622 patients admitted to the emergency department for infectious syndrome such as /

• Pneumoniae

• Urinary tract infection

• Cellulitis

• Meningitis

• Malaria

• Febrile neutropenia

• Febrile acute diarrhea

• Fever back to the tropics

• Angina

• sexually transmitted infection This prospective study will observe and analyze the adherence of prescribers to these protocols. With description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols. In order to limit the length of stay and reduce the cost of hospitalization..

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 2000
• Est. completion date: January 2022
• Est. primary completion date: July 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patient admitted to emergency for infectious syndrome

• Patient > 18 years old.

• Patient who accept to have his medical records reviewed for research.

Exclusion Criteria:

• Patient < 18 years old.

Related Conditions & MeSH terms

• Communicable Diseases
• Infection
• Infectious Disease

Intervention

Other:
• antibiotic protocol, according to a syndromic approach
Description of patients who benefited or not the antibiotic protocol, according to a syndromic approach and analysis of the causes of non-adherence to the protocols

Locations

Country	Name	City	State
France	Assistance Publique Des Hopitaux de Marseille	Marseille	Paca

Sponsors (1)

Lead Sponsor	Collaborator
Assistance Publique Hopitaux De Marseille

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	List of Antibiotic treatment	Description of the prescribed antibiotic treatment depending of infectious syndrome: name, duration for each treatment during hospitalization; Data will be collected in the medical files: date of introduction of antibiotic treatment; withdrawal dates; stop dates; antibiotic classes	up to 12 weeks
Primary	Adverse events	Description of the cause of non adherence to antibiotic treatment initiates at hospital admission of antibiotherapy: Data will be collected in the medical files of patients: events leading to withdrawal or stop treatment (insufficiency renal, allergic reaction ... etc) date of events aggravation or recovery	up to 12 weeks