Managing Infections in Dementia Patients in Nursing Homes

Trial to Reduce Antimicrobial Use in Nursing Home Residents With Alzheimer's Disease and Other Dementias 2.0

Recruiting N/A Interventional Study
Dementia Alzheimer Disease Infections
No Placebo Group Every participant receives an active treatment — no one gets a placebo.
Ready to participate?

Review the details below, then apply to join this clinical trial.

At a Glance
Age
60 – 106
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
750 (estimated)
Sponsor
Hebrew SeniorLife · Other
Who this trial is looking for

This trial is looking for nursing home residents aged 60 and older who have a diagnosis of dementia. Participants will help researchers understand if a new approach to managing infections can lead to less use of antibiotics and fewer uncomfortable procedures.

Are You a Good Fit for This Trial?

You may be able to join if

  • I am over 60 years old.
  • I have been diagnosed with dementia.
  • I have a Cognitive Functional Scale score greater than 1.
  • I have been living in a nursing home for more than 90 days.

You may not be able to join if

  • I am under 60 years old.
  • I have lived in the nursing home for less than 90 days.
  • I do not have a diagnosis of dementia.
  • I have a Cognitive Functional Scale score of 1 or lower.

Summarized in plain language from this trial's official eligibility criteria. The full criteria are further down this page — only the research team can confirm whether you qualify.

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Check Your Eligibility
About This Trial
The goal of this pragmatic cluster randomized clinical trial is to compare management of suspected infection in nursing home residents with dementia The main questions it aims to answer whether residents with dementia in nursing homes randomized to use a multicomponent intervention to optimize suspected infection management ( versus usual care) use less antibiotics and fewer burdensome interventio…
Trial Locations
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Eligibility Criteria
Inclusion Criteria: 1. Age \> 60 2. A diagnosis of dementia (any type) 3. Cognitive Functional Scale (CFS) \> 1 4. NH length of stay \>90 days The CFS score categorizes cognitive impairment status based on data in the electronic health record into: 1. None, 2. Mild, 3. Moderate, and 4. Severe (adv…
Contacts

Susan Mitchell, MD, MPH

16172813669

smitchell@hsl.harvard.edu

CONTACT