Antibiotic Use Reports for Infections
(VAST Trial)
Recruiting in Palo Alto (17 mi)
+1 other location
Age: Any Age
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Waitlist Available
Sponsor: VA Office of Research and Development
No Placebo Group
Trial Summary
What is the purpose of this trial?Antimicrobial-resistant and healthcare-associated pathogens are a global health threat. The goals of antimicrobial stewardship are to minimize unnecessary and inappropriate antimicrobial use as a means to combat antimicrobial resistance. Previously, the investigators implemented a Videoconference Antimicrobial Stewardship Team (VAST) at 2 VA Medical Centers (VAMCs), using telehealth to connect clinicians at a rural VAMC to a geographically distant infectious disease expert Both VASTs successfully decreased overall antibiotic use in acute and long-term care units. This project will expand the VAST approach to other VAMCs and test the hypothesis that quarterly reports that quantify facility-level antibiotic use will enhance the efficacy of VASTs to support antimicrobial stewardship. This work will directly increase access to antimicrobial stewardship consultation at rural VA facilities, which are often underserved by infectious disease expertise.
Eligibility Criteria
This trial is for VA medical centers lacking local infectious disease (ID) expertise. These centers will partner with an ID expert from another VA facility to implement the program.Inclusion Criteria
VA medical centers without their own infectious disease (ID) specialist can partner with another VA medical center that has an ID specialist.
Participant Groups
The study tests if quarterly reports on antibiotic use can improve a telehealth program called VAST, which aims to reduce unnecessary antibiotic prescriptions at rural VA medical centers by connecting them with distant ID experts.
2Treatment groups
Experimental Treatment
Active Control
Group I: VAST+Experimental Treatment1 Intervention
Sites that implement the VAST augmented by quarterly facility-level Antibiotic Use Reports (VAST+).
Group II: VAST -Active Control1 Intervention
to sites that implement the VAST and do NOT receive a quarterly facility-level Antibiotic Use Reports (VAST-).
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PAPittsburgh, PA
Louis Stokes VA Medical Center, Cleveland, OHCleveland, OH
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Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor