Expanding Antimicrobial Stewardship

NCT01746888 | Completed

• 1 other identifier: 2011H0165
• Study Type: observational
• Target: 437
• Locations: 1 country
• Sites: 1

Brief Summary

Gold standard diagnostic criteria for diagnosing acute infection in older adult patients in the Emergency Department do not currently exist. These patients often have atypical presentations which can complicate diagnosis and treatment. The development of an antimicrobial stewardship program for Emergency Department older adult patients can ultimately improve the accuracy of diagnosis and correct antimicrobial prescribing. This research study involves data collection from enrolled subjects and treating physicians. The data will be collected using a patient interview which will be answered directly by the patient or caregiver. Additional surveys will be administered to the Emergency Department treating physician and subsequent physician. Additional data will be abstracted from the Emergency Department chart and from additional charts that often accompanies the patient to the Emergency Department. A physician adjudication process will occur if there is disagreement in diagnosis between the treating Emergency Department physician and succeeding physician.

Conditions

Infection

Outcome Measures

Primary Outcomes (1)

• Presence of infection while in the Emergency Department

  participants will be followed for the duration of hospital stay, an expected average of 4 days.

Study Arms (1)

Older Adults

Adults 65 years and older who present to the Emergency Department.

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adults 65 years of age and older who present to the Emergency Department.

You may qualify if:

• years of age

You may not qualify if:

• Patient incarcerated
• Chief complaint of suicidal or homicidal ideation
• Patient primarily evaluated by the trauma team

Sponsors & Collaborators

• Jeffrey Caterino: lead

Study Sites (1)

Wexner Medical Center at The Ohio State University

Columbus, Ohio, 43210, United States

Location

MeSH Terms

Conditions

Infections

Study Officials

• Jeffrey M Caterino, MD, MPH

  Ohio State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: October 23, 2012
• First Posted: December 11, 2012
• Study Start: August 1, 2011
• Primary Completion: August 1, 2013
• Study Completion: August 1, 2013
• Last Updated: November 8, 2013

Record last verified: 2013-11

Locations

US (1)