Wait and See Antibiotic Prescription for Acute Otitis Media: A Randomized Controlled Trial
3 other identifiers
interventional
240
1 country
1
Brief Summary
To determine if a wait and see prescription for ear infections in childhood reduces use of antibiotics compared to an immediate prescription
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2004
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2005
CompletedFirst Submitted
Initial submission to the registry
November 7, 2005
CompletedFirst Posted
Study publicly available on registry
November 8, 2005
CompletedNovember 30, 2006
November 1, 2005
November 7, 2005
November 29, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of each group that filled the antibiotic prescription
Secondary Outcomes (1)
Clinical course of the illness; side effects of medications; days of school/work missed; unscheduled medical visits
Interventions
Eligibility Criteria
You may qualify if:
- Children between the ages of 6 months - 12 years who were diagnosed with Acute Otitis Media
You may not qualify if:
- clinician suspicion or diagnosis of a concurrent bacterial infection
- patient appeared "toxic" as determined by the PEM clinician
- patient was hospitalized
- history of compromised immunity
- patient was treated with antimicrobials in the preceding seven days
- either tympanic membrane was perforated
- myringotomy tubes were present
- uncertain access to medical care
- primary language of the parent or guardian was neither English nor Spanish
- prior enrollment in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yale Universitylead
- National Center for Research Resources (NCRR)collaborator
Study Sites (1)
Yale University
New Haven, Connecticut, 06504, United States
Related Publications (1)
Spiro DM, Tay KY, Arnold DH, Dziura JD, Baker MD, Shapiro ED. Wait-and-see prescription for the treatment of acute otitis media: a randomized controlled trial. JAMA. 2006 Sep 13;296(10):1235-41. doi: 10.1001/jama.296.10.1235.
PMID: 16968847RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David M Spiro, MD, MPH
Yale University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 7, 2005
First Posted
November 8, 2005
Study Start
July 1, 2004
Study Completion
August 1, 2005
Last Updated
November 30, 2006
Record last verified: 2005-11