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The project is a pragmatic approach to primary care. The main objective is to evaluate the impact of making a CRP measurement device available in primary care general practices on antibiotic prescribing for upper respiratory tract (URT) or lower respiratory tract (LRT) infections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TROD | Experimental | The study involves equipping 70 physicians assigned to the experimental group with a TROD (a bedside rapid test) |
|
| Control | No Intervention | The intervention group consists of 70 physicians equipped with a TROD (a bedside rapid test), while the control group comprises 70 physicians without access to a TROD |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quick test | Diagnostic Test | The 70 GPs in the intervention arm will be able to measure CRP levels by using the Quick read GO in patients with upper or lower respiratory tract infections |
| Measure | Description | Time Frame |
|---|---|---|
| Antibiotic dispensing rate | This calculated index is defined by the French health insurance scheme as the "number of antibiotic treatments per 100 patients aged 16 to 65 / attending physician". It is expressed as a percentage. | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| antibiotics prescriptions in other unit of measure | defined daily doses delivered per 1000 patients in both groups (doctors with or whitout TROD) | through study completion, an average of 1 year |
| Factors influencing the modulation of antibiotic dispensing |
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Inclusion Criteria:
Exclusion Criteria:
These criteria correspond to factors making interpretation of the CRP value difficult:
Impairment of higher functions (altered consciousness) Sign of severity (Pas<90mmHg; HR>120/min; FR>30 cycles/min) Temperature <35 or >40°c Inhalation pneumonitis
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MSPU des 3 provinces | Champlitte | Franche-Comté | 70600 | France |
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| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D011517 | Prothrombin Time |
| ID | Term |
|---|---|
| D001780 | Blood Coagulation Tests |
| D006403 | Hematologic Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
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factors may be influence the modulation of antibiotic dispensing:
|
| baseline and one year |
| Evolution of antibiotic dispensing in the daily delivered dose in both GP's groups (doctors with and without TROD) | temporal variability in the daily delivered dose of antibiotics prescriptions in both GP's groups (doctors with and without TROD) | baseline and 3 months, baseline and 6 months, baseline and 1 year, between winter and summer period |
| Complementary radiological and biological examinations |
| one year |
| D003933 | Diagnosis |
| D008919 | Investigative Techniques |
| D001790 | Blood Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |