Lao Anti-Microbial Prescribing Guidelines Mobile Phone Application (LAMPA) (LAMPA)
Infectious Disease
About this trial
This is an interventional health services research trial for Infectious Disease focused on measuring Laos, antimicrobial Prescription, Antimicrobial used Guideline, Hospital, MicroGuide Mobile phone application
Eligibility Criteria
Inclusion Criteria:
- Six hospitals have been purposively selected based on their capacity, location, previous participation in our PPS program with available hospital antimicrobial use and antimicrobial susceptibility data
Exclusion Criteria:
- Other hospitals in Laos which are in indicated in the inclusion criteria
Sites / Locations
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU)
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Reference phase
Intervention phase
At the start (month 0), a point prevalence surveys (PPS) on hospital antimicrobial use are performed (more details on conduct of PPS are given in following section) to collect baseline data before introducing paper-based guidelines. All medical doctors of each participating hospital are asked to complete an AMS knowledge survey and pre-prescribing guidelines survey after PPS is conducted. Then, paper-based prescribing guidelines in both adult and paediatric versions (one adult guideline and one paediatric guideline) are distributed to all doctors at participating hospitals, followed by guideline introductory session of the guidelines. After introduction of the paper-based guidelines, all six hospitals are formally included in the reference period.
Antimicrobial Prescribing guidelines mobile phone application (MicroGuide) Both paediatric and adult antimicrobial prescribing guidelines are transferred to MicroGuide; which is a medical guideline application. MicroGuide is an offline application, free-of-charge for the individual users. The app can monitor the number of users and which guidelines are being accessed. The app is installed to the personal smart phones of local physicians by the PI. Both mobile app and paper guidelines will be available in Lao languages. Antimicrobial stewardship (AMS) training AMS training sessions are given to prescribers in participating hospitals when they firstly enter to the intervention phase. This session is given alongside an introduction of mobile phone app prescribing guideline. The training focus on good practices of antimicrobial prescription. Providing training after introducing treatment guidelines is not routine practice in many hospitals in Laos.