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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: Netherlands Trial Register
Last refreshed on: 28 April 2013
Main ID:  NTR1742
Date of registration: 27/03/2009
Primary sponsor: Academic Medical Center (AMC)
Public title: (Cost)-Effectiveness of two different strategies to improve the QUality of ANtibiotic use in patients with urinary Tract Infections (UTIs) in the hospital.
Scientific title: (Cost)-Effectiveness of two different strategies to improve the QUality of ANtibiotic use in patients with urinary Tract Infections (UTIs) in the hospital. A cluster-randomized controlled trial in 19 Dutch hospitals. - QUANTI
Date of first enrolment: 1/12/2008
Target sample size: 19
Recruitment status: recruiting
URL:  http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1742
Study type:  intervention
Study design:  Randomised: Yes; Masking: None; Control: Not applicable; Group: Parallel; Type: 2 or more arms, randomized  
Countries of recruitment
The Netherlands
Contacts
Name: V.  Spoorenberg
Address:  , Meibergdreef 9 1105 AZ Amsterdam The Netherlands
Telephone: +31 (0)20 5666807
Email: v.spoorenberg@amc.uva.nl
Affiliation: 
Name: V.  Spoorenberg
Address:  , Meibergdreef 9 1105 AZ Amsterdam The Netherlands
Telephone: +31 (0)20 5666807
Email: v.spoorenberg@amc.uva.nl
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: Hospitals will be randomized.

For baseline- and postintervention measurement data will be extracted from medical charts of patients.

Inclusion criteria for these patients are:

1. In- and outpatients from the departments Urology or Internal Medicine;

2. > 16 years;

3. Diagnosed and treated for a complicated UTI in 2008 (2007).

Exclusion criteria: 1. No (treated) UTI;

2. Uncomplicated UTI;

3. Nephro drain;

4. JJ catheter;

5. < 16 years;

6. Diagnosed and treated for a complicated UTI before 2007.


Age minimum:
Age maximum:
Gender:
Health Condition(s) or Problem(s) studied
Urinary tract infections

Intervention(s)
After a baseline measurement, hospitals will be randomized between two implementation strategies: a theory-based and effective, but labour-intensive strategy (the 'state-of-the-art' strategy) versus a currently popular strategy of providing public comparative information on quality of antibiotic care (the 'public reporting' strategy). In a post-intervention measurement, quality of antibiotic use will be assessed again for these departments.
Primary Outcome(s)
Quality of antibiotic use (measured by clinically validated indicators).
Secondary Outcome(s)
1. Cost-effectiveness;

2. Successful elements of the implementation strategy.
Secondary ID(s)
80-82315-98-09004
Source(s) of Monetary Support
ZON-MW, The Netherlands Organization for Health Research and Development
Secondary Sponsor(s)
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