Cellulitis Clinical Trial
— USED4BUGBITEOfficial title:
The Utility of a Point-of-Care Ultrasound Educational Initiative in Decreasing Unnecessary Antibiotic Use in Children With Local Reactions From Insect Bites
Verified date | October 2020 |
Source | New York City Health and Hospitals Corporation |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
Status | Terminated |
Enrollment | 71 |
Est. completion date | June 30, 2020 |
Est. primary completion date | June 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Months to 20 Years |
Eligibility | Inclusion Criteria: - Erythema or swelling surrounding an insect bite or sting for greater than 12 hours Exclusion Criteria: - 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 |
Country | Name | City | State |
---|---|---|---|
United States | Jacobi Medical Center | Bronx | New York |
Lead Sponsor | Collaborator |
---|---|
New York City Health and Hospitals Corporation |
United States,
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May L, Harter K, Yadav K, Strauss R, Abualenain J, Keim A, Schmitz G. Practice patterns and management strategies for purulent skin and soft-tissue infections in an urban academic ED. Am J Emerg Med. 2012 Feb;30(2):302-10. doi: 10.1016/j.ajem.2010.11.033. Epub 2011 Jan 28. — View Citation
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Tayal VS, Hasan N, Norton HJ, Tomaszewski CA. The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department. Acad Emerg Med. 2006 Apr;13(4):384-8. Epub 2006 Mar 10. — View Citation
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* Note: There are 20 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Antibiotic Prescription | - whether or not the patient received a prescription for antibiotics prior to leaving the emergency department. This will be determined by review of the data collection instrument filled out by clinician at initial visit as well as review of the electronic medical record for that visit. | index visit to the emergency department |
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