Antibiotic Utilization Clinical Trial
Official title:
Feasibility of Using the Chemical Classification System/Defined Daily Doses Tool to Monitor Antibiotic Use at Primary Healthcare Facilities in Southwestern Uganda
This is a non blinded two arm cluster randomized control trial, aimed at assessing the feasibility of using the Anatomical Therapeutic Chemical Classification/define Daily Doses system tool to monitor antibiotic use at lower primary levels of care in Uganda.
Status | Not yet recruiting |
Enrollment | 1406 |
Est. completion date | November 2021 |
Est. primary completion date | October 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 12 Years and older |
Eligibility | Inclusion Criteria: 1. Health facility: The facility will be government owned that receives antibiotics from National Medical Stores using the current schedule and has no ongoing antibiotic use related intervention study. 2. Prescribers: Male and female prescribers at primary care facilities in the selected districts of Mbarara, Bushenyi and Kasese will be recruited. Prescribers with an experience of at least 3 months in antibiotic prescribing and inventory at these facilities will be included in the study. These shall be identified through the in-charges of the respective facilities. 3. Patients: New male and female adult patients (18 years and above) receiving antibiotic medication will be enrolled. 4. Antibiotic utilization records: Antibiotic prescriptions and administration charts for new patients at selected health facilities. Exclusion Criteria: 1. Patients: Those who are too sick to cooperate 2. Prescriptions: Ineligible prescriptions and the prescriber cannot be reached for clarifications. |
Country | Name | City | State |
---|---|---|---|
Uganda | Hanifah Nantongo | Mbarara |
Lead Sponsor | Collaborator |
---|---|
Makerere University | Mbarara University of Science and Technology, Swedish International Development Cooperation Agency (SIDA) |
Uganda,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Trends in antibiotic utilization for both the intervention and non intervention arms | Computation of antibiotic utilization parameters across the different facility levels will be done using the latest version of the ATC/DDD tool. Antibiotic use by clinical condition data will be analyzed using working diagnoses that will be classified into diagnostic groups using the latest version of the International Classification of Diseases, Clinical Modification (ICD-10-CM) diagnosis codes as a guide. Findings of both arms will be compared. | 3 months |