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Cluster randomised controlled trial of an educational intervention to optimise antibiotic prescribing for acute cough
ISRCTN ISRCTN09811591
ClinicalTrials.gov identifier
Public title Cluster randomised controlled trial of an educational intervention to optimise antibiotic prescribing for acute cough
Scientific title
Acronym N/A
Serial number at source N/A
Study hypothesis This study aims to establish a valid estimate of the effect of perceived patient demand on General Practitioners (GPs) antibiotic prescribing, specifically for patients consulting with acute cough as one of the most prominent complaints, and to contribute to the necessary understanding of this complex prescription decision.
Ethics approval This study was approved by the medical ethics committee of the University of Antwerp (A99-088).
Study design Randomised controlled trial
Countries of recruitment Belgium
Disease/condition/study domain Acute cough
Participants - inclusion criteria Flemish GPs randomised participants into an intervention and a control group including:
1. Immunocompetent patients
2. Aged 18 - 65 years old
3. With a new or worsening cough present for less than 30 days as (one of the) most prominent complaint(s) and as the reason for a first encounter at the GPs practice
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/01/2000
Anticipated end date 01/01/2002
Status of trial Completed
Patient information material
Target number of participants 85 Flemish GPs
Interventions Only the GPs in the intervention group received our guideline for the management of acute cough, followed by an educational outreach visit to discuss the implementation of the guideline and a postal reminder with the key message of the guideline.
Primary outcome measure(s) The antibiotic prescribing rate by GPs for adult patients with acute cough.
Secondary outcome measure(s) 1. Type of antibiotics prescribed, if any
2. Change in antibiotic prescribing affecting symptom resolution
Sources of funding 1. Fund for Scientific Research, Flanders (Belgium) - Samuel Coenen was research assistant
2. The Scientific Society of Flemish General Practitioners (Belgium) - funded the development of the guideline for the management of acute cough
Trial website
Publications Results in http://www.ncbi.nlm.nih.gov/sites/entrez?db=PubMed&cmd=Retrieve&list_uids=16536958
Contact name Mr  Samuel  Coenen
  Address Centre for General Practice
University of Antwerp
Universiteitsplein 1
  City/town Antwerp
  Zip/Postcode B-2610
  Country Belgium
  Tel +32 (0)3 820 25 25
  Fax +32 (0)3 820 25 26
  Email samuel.coenen@ua.ac.be
Sponsor University of Antwerp (Belgium)
  Address Centre for General Practice
Universiteitsplein 1
  City/town Antwerp
  Zip/Postcode B-2610
  Country Belgium
  Sponsor website: http://www.ua.ac.be/
Date applied 15/10/2002
Last edited 09/10/2007
Date ISRCTN assigned 15/10/2002
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