Best Assessment of Sore Throat and Antibiotic Prescribing
ConditionPharyngitis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6+
SponsorVastra Gotaland Region
About this trial
This project aims to investigate if an organisational change of patient flow away from medical practitioners can reduce unnecessary antibiotic prescribing in patients attending with a sore throat as the main complaint.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The patient is contacting/attending PHC centre or Pharmacy presenting with a sore throat as the main complaint.
Male or female, aged ≥6 years.
Fluent in Swedish (reading, writing, conversational) (applicable to caregivers/parents/guardians in case of children).
Mental state such that he or she can understand and give informed consent to participation in the study by signing the Information and Consent Form.
Disqualifiers
The illness episode is classified as potentially complicated or potentially critically ill
Presence of SARS-CoV-2 virus in a patient first appearing at the PHC in a cluster where the assessment is supposed to be done by the pharmacists. The patient will not be sent to the pharmacist in case of presence of SARS-CoV-2-virus.
Patient request to be withdrawn from the study.
Trial design
Design model
Parallel
Treatments tested in this trial
Physicians assess patients
BehavioralPhysicians are asked to assess patients following the current Swedish guideline
Nurses assess patients
BehavioralNurses are asked to assess patients following the current Swedish guideline
Pharmacists assess patients
BehavioralPharmacists are asked to assess patients following the current Swedish guideline
Treatment groups
450 Participants
are divided into 3 treatment groupsGroup A: Initial assessement by physiciansActive comparator 1 intervention
Group B: Initial assessement by nursesActive comparator 1 intervention
Group C: Initial assessement by pharmacistsExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Guideline adherence
Will the proportion of patients attending for an uncomplicated acute sore throat being managed according to prevailing guidelines differ if the initial assessment is made by a medical practitioner, a trained nurse or a trained pharmacist
Time frame
Immediately after the consultationSecondary outcomes
1
Illness severity
What proportion of patients attending PHC centres or pharmacies are classified as apparently uncomplicated, potentially complicated or potentially critically ill
Time frame
Immediately after the consultation2
Type of patients seeking care
Will patient characteristics differ if the patient first appears to the medical practitioner, a trained nurse or a trained pharmacist?
Time frame
Immediately after the consultation3
Presence of SARS-CoV-2 virus
To what extent do patients attending Primary Health Care/Pharmacies due to an acute sore throat harbour the SARS-CoV-2 virus?
Time frame
Immediately after the consultationSponsors and contacts
Click on the lead sponsor to view all of their trials.
Vastra Gotaland Region
Lead sponsor
Göteborg University
Collaborator
Source ClinicalTrials.gov