Can a digital assistant and quick tests stop unnecessary antibiotics for kids?
NCT ID NCT05050825
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers in Senegal are testing a new way to care for children under 15 who come to primary health clinics with fever or diarrhea. The strategy combines rapid tests for malaria, dengue, and strep A with a digital tool that suggests treatment based on symptoms and test results. The trial compares this approach to usual care to see if it safely reduces antibiotic prescriptions while children still recover by day 7.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A clinical decision support algorithm combined with rapid diagnostic tests for malaria, dengue, and strep A
- What this could lead to
- If it works, this strategy could help doctors prescribe antibiotics more wisely for children in places where many fevers have viral or parasitic causes.
- What could go wrong
- The digital tool may not fit busy clinics, rapid tests can miss infections, and the trial may not show that the strategy is as safe as usual care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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470 people
The number who actually took part.
- Started
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May 2021
- Finished
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Dec 2021
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 months to 15 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ongoing fever or diarrhea * ongoing fever will be defined objectively or as a reported fever, defined as : axillary temperature ≥37.5°C or tympanic, oral or rectal temperature ≥38.0°C; and fever duration ≤ 10 days * ongoing diarrhea will be defined as at least 3 abnormal stools during the last 24hrs * First consultation for the current illness * Feasibility of contact between the patient (or his/her designated relative) and the study team at day 3 and day 7 * Written informed consent by the caretaker/legally acceptable representative Exclusion Criteria: * Infants less than 6 months of age * Age ≥ 15 years * Clinical status requiring immediate transfer to an appropriate care facility/ severe illness
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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PS Kedougou-Dalaba
Kedougou, Senegal
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PS Mbour-Toucouleur
Mbour, Senegal
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PS Ndiaye-Fatick
Fatick, Senegal
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PS Pont-Tambacounda
Tambacounda, Senegal
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