TerminatedNot Applicable

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 range3 Months – 20 Years

SexALL

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

What they're measuring

Antibiotic Prescription

Timeframe: index visit to the emergency department

Trial details

NCT IDNCT03619746

SponsorNew York City Health and Hospitals Corporation

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2020-06-30

View on ClinicalTrials.gov More Cellulitis trials