Impact of a Multimodal Intervention on Antibiotic Prescribing for Respiratory Infections in Primary Care: A Cluster-Randomized Trial

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Antimicrobial resistance (AMR), considered one of the greatest global threats by the WHO, justifies the development of initiatives to promote appropriate antibiotic use-especially in primary care, where most antibiotics in France are prescribed and where misuse remains common. We are proposing a cluster-randomized controlled trial to evaluate the effectiveness of a bimodal intervention combining: (1) improved communication about the circulation of respiratory viruses, and (2) strengthened collaborative practices between general practitioners and pharmacists through a multidisciplinary protocol aimed at verifying that prescribed treatment durations comply with guidelines. The study will include six primary care practices (24 physicians), with three practices in each study arm. The aim of this project is to assess whether the bimodal intervention can reduce the duration of antibiotic treatments for upper and lower respiratory tract infections. The first component (a viral infection prescription tool) focuses on reducing unnecessary treatment initiation, while the second (pharmacist-led review) aims to shorten excessive prescription durations.

Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: f
View:

• \- Patient seen in consultation for an upper or lower respiratory tract infection (Angina, Acute bronchiolitis, Acute bronchitis, COPD exacerbation (AECOPD), Laryngitis, Acute otitis media (AOM), Serous or congestive otitis, Viral respiratory infection (e.g., influenza), Community-acquired pneumonia (CAP), Rhinitis / Nasopharyngitis, Acute sinusitis)

Locations
Other Locations
France
CHU CAEN Normandie
RECRUITING
Caen
Contact Information
Primary
Renaud Verdon, PU-PH
verdon-r@chu-caen.fr
+33231064709
Backup
Pascal Thibon, PH
thibon-p@chu-caen.fr
+33231065150
Time Frame
Start Date: 2025-12-01
Estimated Completion Date: 2026-09-01
Participants
Target number of participants: 4500
Treatments
No_intervention: Control group
The primary care practices in the control group do not receive any intervention and continue patient management according to their usual practices.
Experimental: Intervention group
For the intervention group, two planned interventions will be planed and applied to the primary care practices:~1. Use of the OPIV (Viral Infection Prescription Tool).~2. A multidisciplinary collaboration protocol between general practitioners and pharmacists to evaluate antibiotic treatment durations. This intervention aims to strengthen collaborative practices. If a prescribed duration does not comply with recommendations, the pharmacist will discuss it with the prescriber, and the duration will be adjusted accordingly.
Sponsors
Leads: University Hospital, Caen

This content was sourced from clinicaltrials.gov