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A Digital Antimicrobial Stewardship Smartphone Application to Combat AMR: the AB-assistant

Canada, Netherlands, Sweden1,080 participantsStarted 2020-09

Plain-language summary

Optimal prescribing of antimicrobials is becoming increasingly challenging because of the growing complexity of guidelines and constantly changing distribution of infectious pathogens. Prescribing antimicrobials appropriately according to local guidelines optimizes therapy for the individual patient and reduces the emergence of resistance. By adapting and evaluating a smartphone based app containing local guidelines we aim to study appropriate prescribing of antimicrobials by physicians in three hospitals (Netherlands, Sweden and Switzerland).

Who can participate

Age range

18 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: Cluster level (wards): • Medical and surgical wards. Physician level: • All physicians involved in antibiotic prescribing decisions in the participating wards. Patient level: • All patients hospitalized in the participating wards \>= 18 years of age to whom systemic antimicrobials are prescribed. Exclusion Criteria: Cluster level (wards): * Outpatient clinics * Psychiatry wards * ICU Physician level: • None Patient level: • None Treatment level: • Surgical and medical prophylaxis.

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

Appropriate empirical antimicrobial therapy

Timeframe: 12 months

Trial details

NCT IDNCT03793946

SponsorAnnelies Verbon

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2021-09

Contact for this trial

R I Helou, MD

+31107033510 r.helou@erasmusmc.nl

View on ClinicalTrials.gov More Anti-Infective Agents trials