The FARINGOCAT study: rapid antigen detection testing in acute pharyngitis

ISRCTN ISRCTN23587778
DOI https://doi.org/10.1186/ISRCTN23587778
Secondary identifying numbers PI061782
Submission date
29/01/2008
Registration date
20/03/2008
Last edited
21/09/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Montse Balagué Corbella
Scientific

Portaferrissa 8, ppal
Barcelona
08002
Spain

Study information

Study designMulticentric randomised clinical assay
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRapid antigen detection testing impact on antibiotic use in acute pharyngitis: FARINGOCAT
Study acronymFARINGOCAT
Study objectivesRapid antigen detection testing would allow a more rational use of antibiotics and would prevent adverse effects of antibiotics on the patient, antibiotic resistance emergence and the growth of inefficient health expense.
Ethics approval(s)Study approved by the Research Ethics Committee of the Jordi Gol i Gurina Primary Care Research Insitute (IDIAP), Barcelona on the 4th July 2006.
Health condition(s) or problem(s) studiedAcute pharyngitis
Intervention1. Rapid antigen detection (case group)
2. Usual antigen detection (control group)

Treatment will be decided in both groups by the general practitioner. This treatment could be 'nothing', an anti-thermic drug, anti-inflammatory drug and/or an antibiotic.
Intervention typeOther
Primary outcome measure1. Proportion of inadequate antibiotic prescription in each group
2. Use of antibiotic treatment
3. Use of rapid antigen detection testing
4. Rapid antigen detection testing result
5. Culture result

Outcomes will be measured at baseline and three weeks in all patients. If there is a problem, i.e., a secondary effect, then this may take longer.
Secondary outcome measures1. Clinical symptoms of acute pharyngotonsillitis: fever, tonsillar exudate, cervical adenopathies, absence of cough, measured at baseline and at dates below
2. Age, measured at baseline
3. Antibiotic treatment, measured at baseline and at dates below
4. Specific antibiotic treatment, measured at baseline and at dates below
5. Treatment secondary effects, measured at baseline and at dates below
6. Days without working, measured at baseline and at dates below
7. Medical visits during the first month, measured at week three in all patients, at week four if necessary
8. Patient satisfaction, measured between 3 - 4 weeks after the second visit in one group of patients, between 5 - 7 months in another group of patients

Outcomes will be measured at three weeks in all patients. If there is a problem, i.e., a secondary effect, then this may take longer.
Overall study start date01/01/2008
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants276 patients per group
Key inclusion criteria1. Men and women 14 to 60 years old
2. More than one acute pharyngitis symptom, i.e., fever, sore throat, tonsillar exudate, cervical adenopathy and absence of cough, which leads to a visit to the family practice
Key exclusion criteria1. Does not consent to participate
2. Patient is younger than 14 or older than 60 years old
3. Pharyngitis more than five times in year
4. Immunodepression: quimiotherapy, radiotherapy, active neoplasia, acquired immune deficiency syndrome (AIDS), corticoids, immunosuppressor treatment
5. Valve heart disease
6. Rheumatoid fever
7. Pharyngitis with previous treatment during 15 days or recurrence of symptoms during 4 weeks after 7 days of complete antibiotic treatment
8. Pharyngitis of diphtheria or gonococcica cause
9. Tonsillectomy
Date of first enrolment01/01/2008
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • Spain

Study participating centre

Portaferrissa 8, ppal
Barcelona
08002
Spain

Sponsor information

Jordi Gol i Gurina Primary Care Research Institute (Institut D'Investigació en Atenció Primària) (IDIAP) (Spain)
Research organisation

Gran Via de les Corts Catalanes, 587 àtic
Barcelona
08007
Spain

Website http://www.idiapjgol.org/
ROR logo "ROR" https://ror.org/0370bpp07

Funders

Funder type

Research organisation

Health Research Fund - Carlos III Health Institute of the Spanish Ministry of Health and Consumption (Fondo de Investigaciones Sanitarias - Instituto de Salud Carlos III-Ministerio de Sanidad y Consumo) (Spain)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 23/03/2010 Yes No
Results article results 01/05/2011 Yes No