Point-of-Care Ultrasound Educational Initiative for Insect Bites
Stopped: Lack of accrual. We were unable to enroll enough participants to have meaningful results.
United States71 participantsStarted 2018-08-10
Plain-language summary
This pre-post study, designed to decrease unnecessary antibiotic prescribing, will use a prospective cohort of patients presenting to the Pediatric Emergency Department (PED). Patients with local skin findings that the clinician believes are primarily due to an insect bite or sting will be approached for the study.
The intervention will occur at the physician level. Midway through the study, physicians will receive an educational intervention describing how to differentiate cellulitis from allergic reaction using point-of-care bedside ultrasound.
The main outcome observed will be whether or not the patient receives a prescription for antibiotics at the index visit.
Who can participate
Age range
3 Months – 20 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
\- Erythema or swelling surrounding an insect bite or sting for greater than 12 hours
Exclusion Criteria:
* Patients with skin findings consistent with an abscess (ie. active drainage, fluctuance)
* Patients who are relatively immunocompromised (e.g., patients with AIDS, diabetes mellitus, cancer)
* Recent use of antibiotics within 1 week prior to symptoms
* Pregnant
* Altered mental status
* Unable to provide a phone number for follow-up
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Antibiotic Prescription
Timeframe: index visit to the emergency department
Trial details
NCT IDNCT03619746
SponsorNew York City Health and Hospitals Corporation