Antibiotics in Patients With Acute Respiratory Tract Infection With Procalcitonin as Parameter
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Purpose
Antibiotics in patients with acute respiratory tract infections in primary care in consideration of procalcitonin as additive parameter.
The purpose of this study is to compare the ordinary manner of antibiotic- prescription with the prescription in consideration of procalcitonin-value in patients with acute respiratory tract infections.
| Condition | Intervention | Phase |
|---|---|---|
|
Respiratory Tract Infection |
Other: laboratory value procalcitonin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Antibiotics in Patients With Acute Respiratory Tract Infections in Primary Care in Consideration of Procalcitonin as Additive Parameter |
- days with significant impairment due to acute respiratory tract infection [ Time Frame: 14 to 28 days after infection ] [ Designated as safety issue: Yes ]
- number of antibiotic prescriptions [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]
| Enrollment: | 571 |
| Study Start Date: | November 2007 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
-
Other: laboratory value procalcitonin
A. attending physician includes patient with acute respiratory infection in study, indicates antibiotic prescription and collects procalcitonin-value. Waits for decision from laboratory either "change of decision" or "retention of decision". In case of "change decision": antibiotic is not recommended, patient shall not take antibiotic. In case of "retention of decision": patient may take the antibiotic.
B. attending physician includes patient with acute respiratory infection in study, indicates NO antibiotic and collects procalcitonin-value. Waits for decision from laboratory either "change of decision" or "retention of decision". In case of "change decision": antibiotic is recommended, patient has to be informed about. In case of "retention of decision": no change.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 years or older
- Informed consent
- Respiratory tract infection based on the clinical judgement of the primary care physician
Exclusion Criteria:
- Antibiotic pretreatment in previous 14 days
- Portal hypertension
- Major surgeries or multiple trauma which require hospitalization, in previous 4 weeks
- Autoimmune disease and systemic diseases (lupus erythematodes, wegener´s disease)
- Peritoneal dialysis
- Acute treated or recently operated medullary c-cell-carcinoma, SCLC, carcinoid
- Other inflammatory diseases (e.g. urinary tract infection, pyelonephritis, pancreatitis
Contacts and Locations
More Information
No publications provided by Hannover Medical School
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Prof. Dr. med. Tobias Welte |
| ClinicalTrials.gov Identifier: | NCT00688610 History of Changes |
| Other Study ID Numbers: | HannoverPro II |
| Study First Received: | May 15, 2008 |
| Last Updated: | January 27, 2009 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Hannover Medical School:
|
primary care procalcitonin antibiotic prescription |
Additional relevant MeSH terms:
|
Respiratory Tract Infections Infection Respiratory Tract Diseases Anti-Bacterial Agents |
Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013