Electronic decision support and diarrhoeal disease guideline adherence (mHDM): a cluster randomised controlled trial.

ABSTRACT:

Background

Acute diarrhoeal disease management often requires rehydration alone without antibiotics. However, non-indicated antibiotics are frequently ordered and this is an important driver of antimicrobial resistance. The mHealth Diarrhoea Management (mHDM) trial aimed to establish whether electronic decision support improves rehydration and antibiotic guideline adherence in resource-limited settings.

Methods

A cluster randomised controlled trial was done at ten district hospitals in Bangladesh. Inclusion criteria were patients aged 2 months or older with uncomplicated acute diarrhoea. Admission orders were observed without intervention in the pre-intervention period, followed by randomisation to electronic (rehydration calculator) or paper formatted WHO guidelines for the

SUBMITTER: Khan AI 

PROVIDER: S-EPMC8045011 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature