Status:

COMPLETED

Trial of Antimicrobial Restraint in Presumed Pneumonia

Lead Sponsor:

University of Kansas Medical Center

Collaborating Sponsors:

Western Michigan University

Conditions:

Healthcare-Associated Pneumonia

Sepsis

Eligibility:

All Genders

18-99 years

Phase:

NA

Brief Summary

The objective of this cluster-randomized crossover study is to determine the effect of delaying antimicrobial initiation until objective microbiologic data is obtained in patients with presumed ICU-ac...

Detailed Description

This study will involve 8 centers is to determine the effect of delaying antimicrobial initiation until objective microbiologic data is obtained in patients with presumed ICU-acquired pneumonia withou...

Eligibility Criteria

Inclusion

  • Intubated patients admitted to a surgical or trauma intensive care unit that have had an appropriate quantitative or semi-quantitative endobronchial sputum culture sent ≥48 hours into their ICU admission
  • Primary pathology managed by surgical specialty
  • Age ≥18 years.

Exclusion

  • Non-intubated patients.
  • Intubated patients with concern for active infection that is not suspected to be pneumonia (i.e. intra-abdominal infection, skin and soft tissue infection, urinary tract infection, etc.)
  • Primary disease not surgical or traumatic in nature
  • Primary diagnosis of burns
  • Incarcerated status
  • Pregnant status or delivery during this hospitalization.
  • On active immunosuppressive medications (or taking as a home medication prior to arrival)

Key Trial Info

Start Date :

February 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2022

Estimated Enrollment :

186 Patients enrolled

Trial Details

Trial ID

NCT04438187

Start Date

February 1 2021

End Date

June 30 2022

Last Update

August 19 2024

Active Locations (1)

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1

KU Medical Center

Kansas City, Kansas, United States, 66160