A Multimodal Intervention to Optimise Antimicrobial Use in Residential Aged Care Facilities (ENGAGEMENT Study)
NCT04705259 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2021-10-14
Summary
The antimicrobial stewardship ENGAGEMENT study aims to deliver a bundle of interventions, including education of GPs and nursing staff, guideline implementation and telehealth support for 18 residential aged care facilities (RACFs) in Queensland Australia to help optimise antibiotic prescribing and reduce inappropriate use. The trial will involve 18 licenced RACFs with 50 or more residents and is set to commence in June 2021.
Conditions
- Antimicrobial Stewardship
- Antibiotics Causing Adverse Effects in Therapeutic Use
Interventions
- BEHAVIORAL
-
Antimicrobial Stewardship ENGAGEMENT bundle
Given that a single intervention is unlikely to be effective in stewardship programs, nor in care improvement processes at RACFs \[7\], this trial will deliver a set of multimodal, multidisciplinary interventions to optimise antibiotic use in RACFs. This RACF AMS ENGAGEMENT bundle will comprise the following key interventions: * Education and engagement of prescribers, nurses, pharmacists and residents and family members * Nursing initiatives to improve UTI diagnosis and reduce inappropriate urine testing * Guideline development specific to antibiotic use in RACF residents * Antimicrobial stewardship team creation in RACF with GP involvement * EMergency department liaison and use of clinical pathways to ensure consistency of practice across the care continuum * ElectroNic decision support to guide RACF urine testing and GP antibiotic prescribing * Telehealth support for key intervention components
Sponsors & Collaborators
-
National Health and Medical Research Council, Australia
collaborator OTHER -
The University of Queensland
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-10-01
- Primary Completion
- 2022-05-30
- Completion
- 2022-12-24
Countries
- Australia
Study Locations
More Related Trials
-
Antibiotic Stewardship in Small Hospitals
NCT03245879 ·Status: COMPLETED ·Phase: NA
-
Antimicrobial Stewardship for Enterobacterales Bacteremia Management
NCT06257147 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Adherence to Guidelines for Antibiotic Use in Respiratory Infections at Hospitals
NCT00129883 ·Status: COMPLETED ·Phase: NA
-
Nudging Guideline-concordant Antibiotic Prescribing Using Public Commitments
NCT01767064 ·Status: COMPLETED ·Phase: NA
-
Using Behavioral Science to Reduce Inappropriate Antibiotic Use in Acute Care Settings
NCT03711292 ·Status: COMPLETED ·Phase: NA
-
Antimicrobials Stewardship by Pharmacist
NCT02768454 ·Status: UNKNOWN
-
Pathway From Functional Disability to Antimicrobial Resistance in Nursing Home Residents
NCT02909946 ·Status: COMPLETED ·Phase: NA
-
Tap to "Tap", Pathobiome Associates Health Care
NCT02751658 ·Status: COMPLETED ·Phase: NA
-
Facilitated Implementation of Antibiotic Stewardship in Wisconsin Nursing Homes
NCT03520010 ·Status: COMPLETED ·Phase: NA
-
Antimicrobial Stewardship Interventions in a Hospital Setting
NCT04001309 ·Status: COMPLETED ·Phase: NA
-
Antibiotic Use in French Nursing Home
NCT03180983 ·Status: UNKNOWN ·Phase: NA
-
Preauthorization Versus Prospective Audit in Antimicrobial Stewardship Program
NCT02837081 ·Status: UNKNOWN ·Phase: NA
-
Hospital Wide Roll-Out of Antimicrobial Stewardship
NCT01587937 ·Status: COMPLETED ·Phase: NA
-
Improving Antibiotic Use in Urgent Care Facilities
NCT03932708 ·Status: UNKNOWN ·Phase: NA
-
Antimicrobial Stewardship in Community Hospitals
NCT02212808 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Cost-effectiveness of Hospital Antimicrobial Stewardship Programs
NCT02814877 ·Status: COMPLETED
-
Efficacy and Safety of Antimicrobial Stewardship Intervention in Hospitalized COVID-19 Patients (COVASP)
NCT04896866 ·Status: COMPLETED ·Phase: NA
-
A Trial to Reduce Pneumonia in Nursing Home Residents
NCT00975780 ·Status: COMPLETED ·Phase: PHASE3
-
Targeted Infection Control in Long-term Care
NCT01062841 ·Status: COMPLETED ·Phase: NA
-
Preventing the Spread of Infection in Nursing Homes
NCT03319368 ·Status: COMPLETED ·Phase: NA
-
Benefits of Universal Glove and Gowning
NCT01318213 ·Status: COMPLETED
-
A Multifaceted Intervention to Improve Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings
NCT03022929 ·Status: COMPLETED ·Phase: NA
-
Discharge Stewardship in Children's Hospitals
NCT05826873 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effect of Antibiotic Rotation in the ICU on the Prevalence of Antibiotic Resistant Gram-negative Colonisation
NCT01293071 ·Status: COMPLETED ·Phase: PHASE4
-
Shifts in the Respiratory Microbiome and Clinical Outcomes of SARS-CoV-2
NCT04815018 ·Status: TERMINATED