|
ISRCTN
|
ISRCTN18154381
|
|
ClinicalTrials.gov identifier
|
|
|
Public title
|
A collaborative primary care-based approach to managing upper respiratory tract infections as a strategy to reduce antibiotic prescribing
|
|
Scientific title
|
|
|
Acronym
|
N/A
|
|
Serial number at source
|
COM/2732/04
|
|
Study hypothesis
|
Can a collaborative primary care-based approach betwen community pharmacists and general practitioners decrease antibiotic prescribing for Upper Respiratory Tract Infections (URTIs).
|
|
Ethics approval
|
Ethical approval was granted 20th July 2005 by the Office for Research Ethics Committee Northern Ireland No 3. REC (reference number: 05/NIR03/154).
|
|
Study design
|
Phase 1 is a cluster randomised control trial. Phase 2 is a qualitative approach including focus groups and semi-structured interviews.
|
|
Countries of recruitment
|
United Kingdom
|
|
Disease/condition/study domain
|
Upper Respiratory Tract Infections
|
|
Participants - inclusion criteria
|
1. General practices with between 3,000 to 8,000 and over 8,000 patients and complete computerised prescribing
2. Community pharmacists who dispense 80% of issued prescriptions
3. Patients:
a. aged over five years
b. who request an appointment or prescription for an URTI
c. who use one of the participating pharmacies
d. who do not have a history of chronic respiratory or cardiac disease
e. who have not previously consulted with a pharmacist about their current symptoms
|
|
Participants - exclusion criteria
|
1. General Practices with less than 2,500 patients and incomplete computerised prescribing
2. Community pharmacists who dispense less than 80% of issued prescriptions
3. Patients:
a. aged under 5 years
b. who do not use one of the participating pharmacies
c. who have a history of chronic respiratory or cardiac disease
d. who have previously consulted with a pharmacist about their current symptoms
|
|
Anticipated start date
|
01/03/2005
|
|
Anticipated end date
|
28/02/2007
|
|
Status of trial
|
Completed
|
|
Patient information material
|
|
|
Target number of participants
|
General Practices: 30; Pharmacies: 90; Patients: 7,500
|
|
Interventions
|
Intervention community pharmacists will assess patients referred from General Practitioner (GP) practices using the Network Organisation Technology Research Center (CENTOR) algorithm to assist them in making an appropriate treatment choice with a non-prescriptive medicine.
Control pharmacists will provide usual care.
|
|
Primary outcome measure(s)
|
The rate of antibiotic prescribing for URTIs.
|
|
Secondary outcome measure(s)
|
1. Comparison of treatment success rates of URTIs between Intervention and Control groups
2. Patient satisfaction with URTI management
3. Economic analysis of the cost of the new pharmacy service
|
|
Sources of funding
|
Research and Development Office, National Institutes of Health Stroke Scale (NIHSS) Central Services Agency (ref: COM/2732/04)
|
|
Trial website
|
|
|
Publications
|
|
|
Contact name
|
Prof
James
McElnay
|
|
Address
|
Queen's University Belfast
Medical Biology Centre
97 Lisburn Road
|
|
City/town
|
Belfast
|
|
Zip/Postcode
|
BT9 7BL
|
|
Country
|
United Kingdom
|
|
Sponsor
|
Queen's University Belfast (UK)
|
|
Address
|
Lanyon Building
University Road
|
|
City/town
|
Belfast
|
|
Zip/Postcode
|
BT9 7BL
|
|
Country
|
United Kingdom
|
|
Tel
|
+44 (0)28 9097 5800
|
|
Fax
|
+44 (0)28 9024 7794
|
|
Email
|
g.mcaleavey@qub.ac.uk
|
|
Date applied
|
20/06/2006
|
|
Last edited
|
10/03/2008
|
|
Date ISRCTN assigned
|
21/09/2006
|
