Pharyngitis Clinical Trial
Official title:
A Comparison of Available Rapid Streptococcus A Tests in Community Clinics in Israel: Accuracy, Ease of Use and Acceptability.
There is a large over-use of antibiotics in family medicine, especially in upper respiratory
tract infections.
This study is designed to determine if the use of rapid Streptococcal tests in primary care
clinics can lower the rate of antibiotic use while not missing bacterial infections.
Status | Completed |
Enrollment | 7000 |
Est. completion date | July 2009 |
Est. primary completion date | July 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 3 Years and older |
Eligibility |
Inclusion Criteria: - sore throat - at least two Centor criteria: - fever > 38 deg C or history of fever - enlarged cervical lymph nodes - tonsillar exudate - lack of cough - age 3-14 years Exclusion Criteria: - antibiotic treatment in preceding 7 days - no informed consent |
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Country | Name | City | State |
---|---|---|---|
Israel | Clalit Health Services | Jerusalem |
Lead Sponsor | Collaborator |
---|---|
Meir Medical Center | Dept of Family Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel |
Israel,
Bisno AL, Gerber MA, Gwaltney JM Jr, Kaplan EL, Schwartz RH; Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis. Infectious Diseases Society of America. Clin Infect Dis. 2002 Jul 15;35(2):113-25. — View Citation
Ebell MH, Smith MA, Barry HC, Ives K, Carey M. The rational clinical examination. Does this patient have strep throat? JAMA. 2000 Dec 13;284(22):2912-8. — View Citation
Gieseker KE, Mackenzie T, Roe MH, Todd JK. Comparison of two rapid Streptococcus pyogenes diagnostic tests with a rigorous culture standard. Pediatr Infect Dis J. 2002 Oct;21(10):922-7. — View Citation
Humair JP, Revaz SA, Bovier P, Stalder H. Management of acute pharyngitis in adults: reliability of rapid streptococcal tests and clinical findings. Arch Intern Med. 2006 Mar 27;166(6):640-4. — View Citation
Linder JA, Bates DW, Lee GM, Finkelstein JA. Antibiotic treatment of children with sore throat. JAMA. 2005 Nov 9;294(18):2315-22. — View Citation
Linder JA, Chan JC, Bates DW. Evaluation and treatment of pharyngitis in primary care practice: the difference between guidelines is largely academic. Arch Intern Med. 2006 Jul 10;166(13):1374-9. — View Citation
McIsaac WJ, Kellner JD, Aufricht P, Vanjaka A, Low DE. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA. 2004 Apr 7;291(13):1587-95. Erratum in: JAMA. 2005 Dec 7;294(21):2700. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | sensitivity of RST specificity of RST | 3-4 months | No | |
Secondary | ease of use effect on antibacterial prescribing | 3-4 months | No |
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