Intermountain Stewardship in Community Outpatient Settings-Resources & Engagement-Pediatrics (SCORE-Peds)

Intermountain Health Care, Inc.

Status: Not yet enrolling

Conditions: Antibiotic Prescribing for Acute Respiratory-tract Infections; Antibiotic; Respiratory Infection (for Example, Pneumonia, Bronchitis); Antibiotic Duration

Treatments: Other: Implementation strategies including training & education, EMR tools, audit & feedback reports, and facilitation

Study type: Observational

Funder types: Other

Identifiers

NCT07334795

HSII_IHC_IMP-PS2

Details and patient eligibility

About

The goal of this implementation project is to detail the process of implementing the best practice of antibiotic stewardship in the pediatric population across the Intermountain Health medical system. The main questions it aims to answer are:

• How can a large healthcare system drive high adherence to antibiotic stewardship across a large and diverse number of sites?
• How do determinants of implementation and needed strategies vary by context?
• What is the utility of a higher-resource implementation effort (named "Boost) focusing on outlier sites?

Data will be collected on number of children reached, adherence changes over time, types of implementation strategies employed, and characteristics of sites, prescribers, and patients.

Enrollment: 259,000 estimated patients

Sex: All

Ages: 6 months to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 6 months through 17 years
• ARTI diagnosis (acute otitis media (AOM), Group A Streptococcal (GAS) pharyngitis, acute sinusitis, and community-acquired pneumonia (CAP))

Exclusion criteria

• Age <6months or >18 years
• No ARTI diagnosis

Trial design

259,000 participants in 2 patient groups

Children with ARTIs, Wave 1

Description:

Children under 18 treated in Wave 1 of antibiotic stewardship for the following conditions: acute otitis media (AOM), Group A Streptococcal (GAS) pharyngitis, acute sinusitis, and community-acquired pneumonia (CAP)

Treatment:

Other: Implementation strategies including training & education, EMR tools, audit & feedback reports, and facilitation

Children with ARTIs, Wave 2

Description:

Children under 18 treated in Wave 2 of antibiotic stewardship for the following conditions: acute otitis media (AOM), Group A Streptococcal (GAS) pharyngitis, acute sinusitis, and community-acquired pneumonia (CAP)

Treatment:

Other: Implementation strategies including training & education, EMR tools, audit & feedback reports, and facilitation