Actively Recruiting

Phase Not Applicable
All Genders
NCT06576258

The Clinical Impact of Cobas® Eplex Blood Culture Panels for the Diagnosis of Bacteremia and Fungemia

Led by University Hospital, Antwerp · Updated on 2025-04-02

200

Participants Needed

1

Research Sites

53 weeks

Total Duration

On this page

Sponsors

U

University Hospital, Antwerp

Lead Sponsor

R

Roche Diagnostics GmbH

Collaborating Sponsor

AI-Summary

What this Trial Is About

A quality improvement study on the diagnostics and clinical management of bloodstream infection episodes. Patients of all ages and genders with positive blood cultures collected for standard patient care are included in the study. In the intervention group of patients, positive blood cultures will be analysed with the cobas® eplex (Roche) blood culture panels in addition to conventional, standard-of-care (SOC) culture methods. The control group will include patients with positive blood cultures analysed using conventional, standard-of-care (SOC) culture methods. The study aims to determine the effect of rapid molecular testing using the cobas® eplex blood culture panels (Roche) in the clinical management of bloodstream infections and more specifically the effect of the eplex result on the time to most effective/targeted antibiotic treatment. The primary objective is to investigate the difference in time to most effective antibiotic treatment between the control and intervention group. The secondary aims are to analyze the concordance of results and compare the user-friendliness, hands-on time and turnaround times of the eplex to the SOC culture methods as well as to compare the difference in the length of stay, antibiotic intensity score at 96h after Gram staining and patient outcome (30-day, all cause mortality and 30-day readmission) in the control and intervention group.

CONDITIONS

Official Title

The Clinical Impact of Cobas® Eplex Blood Culture Panels for the Diagnosis of Bacteremia and Fungemia

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with onset of bloodstream infection at the emergency department or general wards
  • Patients hospitalized from blood draw for at least 24 hours
  • For pediatric patients, only bloodstream infection episodes caused by gram-negative organisms
Not Eligible

You will not qualify if you...

  • Patients deceased at the time of the positive blood culture
  • Patients in comfort care or with an estimated survival less than one month before sepsis
  • Patients with positive blood culture bottles within the past 14 days
  • Patients with blood cultures suspected to be contaminated by skin or environmental bacteria without other infection sites

AI-Screening

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Trial Site Locations

Total: 1 location

1

University Hospital Antwerp

Edegem, Antwerp, Belgium, 2650

Actively Recruiting

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Research Team

S

Sien De Koster, PhD

CONTACT

T

Thomas Demuyser, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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