Status:

COMPLETED

De-escalation - Antifungal Treatment Immunocompromised Patients

Lead Sponsor:

University Hospital, Lille

Conditions:

Invasive Fungal Disease

Critical Illness

Eligibility:

All Genders

18+ years

Brief Summary

A small proportion of intensive care unit patients receiving antifungals have a proven invasive fungal infection. However, antifungal treatment has side effects such as toxicity, emergence of resistan...

Detailed Description

This is a retrospective and prospective observational multicenter study, aiming to determine the incidence, and safety of antifungal de-escalation in immunocompromised patients, and also factors assoc...

Eligibility Criteria

Inclusion

  • Adults immunocompromised patients hospitalized in intensive care units
  • Predictable invasive mechanical ventilation duration \> 96h
  • Signed consent (by patient or its representative)
  • First antifungal treatment initiation in ICU for proven or suspected candida infection

Exclusion

  • Pregnant or breast-feeding women.
  • Fungal infection other than invasive candida
  • Prophylactic antifungal treatment.
  • Lack of informed consent
  • Predictable mechanical ventilation duration less than 48 hours
  • Patients discharged from ICU before the 5th day after initiation of TAF

Key Trial Info

Start Date :

January 28 2019

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

November 7 2023

Estimated Enrollment :

275 Patients enrolled

Trial Details

Trial ID

NCT03774316

Start Date

January 28 2019

End Date

November 7 2023

Last Update

December 23 2025

Active Locations (1)

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1

CHU Lille

Lille, France, 59000