Multi-center Clinical Study of Early Antibios of Severe Acute Pancreatitis
NCT01992198 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2013-11-25
Summary
Strategy of antibiotic therapy in SAP,De-escalate (cefoperazone+metronidazole) or Escalate (meropenem) therapy,which one is better.
Conditions
- Pancreatitis,Acute Necrotizing
Interventions
- DRUG
-
cefoperazone + metronidazole
1.Clinical parameters (2 of 3): 1)temperature\<37.8℃ or 2)HR \<100bpm or 3)SpO2 \>95% 2.Laboratory parameters (3 of 3): 1)CRP or 2)PCT reduction 70% compared to zenith for 2 consecutive samples 3)WBC \<12×10E9/L for 2 consecutive samples 3.Image parameter (1 of 1): liquid collection developed \<30% compared to that of 72h
- PROCEDURE
-
oral care by chlorhexidine gluconate
oral care by 0.2% chlorhexidine gluconate twice daily
- PROCEDURE
-
enteral nutrition
- DRUG
-
Somatostatin
- DRUG
-
All patients in cefo-group do not meet 1 of 3 laboratory parameter or image parameter or 2 of 3 clinical parameters. 1.Clinical parameters (2 of 3): 1)temperature\<37.8℃ or 2)HR \<100bpm or 3)SpO2 \>95% 2.Laboratory parameters (3 of 3): 1)CRP or 2)PCT reduction 70% compared to zenith for 2 consecutive samples 3)WBC \<12×10E9/L for 2 consecutive samples 3.Image parameter (1 of 1): liquid collection developed \<30% compared to that of 72h
Sponsors & Collaborators
-
RenJi Hospital
collaborator OTHER -
Erzhen Chen
lead OTHER
Principal Investigators
-
Er-Zhen Chen, M.D. & Ph.D. · Ruijin Hospital
-
En-Qiang Mao, M.D. & Ph.D. · Ruijin Hospital
-
Zhi-Tao Yang, M.D. & Ph.D. · Ruijin Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-07-31
- Primary Completion
- 2015-12-31
- Completion
- 2016-12-31
Countries
- China
Study Locations
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