Clinical Pathway Based on Procalcitonin Levels for the Management of Community-acquired Pneumonia in Outpatients
NCT02600806 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 500
Last updated 2015-11-09
Summary
A clinical protocol was developed for the management of adult outpatients with community-acquired pneumonia (CAP) and Pneumonia Severity Index risk classes I-II. Patients are assigned to oral azithromycin or levofloxacin according to procalcitonin (PCT) levels measured with a rapid point-of-care method. When PCT levels are \<0.5 ng/ml, azithromycin, 500 mg/day is given orally for 5 days; if PCT is ≥0.5 ng/ml, levofloxacin, 500 mg/day is given orally for 7 days
Conditions
- Community-acquired Pneumonia
Interventions
- DRUG
-
Patients are given oral azithromycin when procalcitonin levels are \< 0.5 ng/ml
- DRUG
-
Levofloxacin
Patients are given oral levofloxacin when procalcitonin levels are \>= 0.5 ng/ml.
Sponsors & Collaborators
-
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
lead OTHER
Principal Investigators
-
Mar Masiá, MD · Unidad Enfermedades Infecciosas, Hospital General Univeristario de Elche
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2005-05-31
- Primary Completion
- 2016-03-31
- Completion
- 2016-06-30
Countries
- Spain
Study Locations
More Related Trials
-
Reducing Antimicrobial Overuse Through Targeted Therapy for Patients With Community-Acquired Pneumonia
NCT05568654 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
A Study of the Safety and Effectiveness of Levofloxacin Compared With Imipenem/Cilastatin in Patients With Pneumonia Acquired During Hospitalization
NCT00236834 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Demonstrate the Clinical Efficacy of Levofloxacin in the Treatment of Pneumonia
NCT00253955 ·Status: COMPLETED ·Phase: PHASE3
-
Adequate Duration of Antibiotic Treatment in Community-acquired Pneumonia With High Risk Class and Adequate Initial Clinical Response
NCT03609099 ·Status: UNKNOWN ·Phase: PHASE4
-
An Algorithm to Decide on Antibiotic Prescription in Lower Respiratory Tract Infection in Primary Care
NCT03191071 ·Status: COMPLETED ·Phase: NA
-
Azithromycin as a Quorum-Sensing Inhibitor for the Prevention of Pseudomonas Aeruginosa Ventilator-Associated Pneumonia
NCT00610623 ·Status: TERMINATED ·Phase: PHASE2
-
Improved Use of Antibiotic Guidelines in Hospital Environment
NCT00512772 ·Status: COMPLETED
-
Reason Evaluation of Initial Treatment Failure in Patients With CAP
NCT03280004 ·Status: UNKNOWN
-
Study on Costs and Safety of Early Conversion From Intravenous to Oral Antibiotic Treatment in Patients With Severe Community-Acquired Pneumonia
NCT00273676 ·Status: COMPLETED ·Phase: PHASE4
-
Community-Acquired Pneumonia - Study on the Initial Treatment With Antibiotics of Lower Respiratory Tract Infections
NCT01660204 ·Status: COMPLETED ·Phase: NA
-
Procalcitonin to Reduce Antibiotic Use in Pediatric Pneumonia
NCT04963764 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Usefulness of Microbiological Tests in Community-Acquired Pneumonia
NCT00312741 ·Status: UNKNOWN
-
Azithromycin Versus Doxycycline in Hospitalized Adult Patients With Community Acquired Pneumonia Treated With Beta-lactams
NCT07164131 ·Status: RECRUITING ·Phase: PHASE4
-
Prophylactic Antibiotic Treatment of Patients With Chronic Obstructive Lung Disease (COLD)
NCT00132860 ·Status: UNKNOWN ·Phase: PHASE4
-
The Study Of Azithromycin Switch Therapy For Treatment Of Community Acquired Pneumonia (CAP)
NCT00809328 ·Status: COMPLETED ·Phase: PHASE3
-
Clinical Reassessment Versus Procalcitonin in Order to Shorten Antibiotic Duration in Community-acquired Pneumonia
NCT01723644 ·Status: COMPLETED ·Phase: NA
-
Azithromycin Microspheres in Patients With Low Risk Community Acquired Pneumonia
NCT00140023 ·Status: COMPLETED ·Phase: PHASE3
-
Impact on the Use of Antibiotics of a Multimodal Algorithm for the Diagnosis and Management of Acute Community-acquired Pneumonia in the Emergency Room
NCT05657275 ·Status: COMPLETED ·Phase: NA
-
Clinical Trial Assessing the Value of an Antibiotic Protocol Guided by Serum Procalcitonin in Acute Exacerbations of Chronic Obstructive Pulmonary Disease in Intensive Care
NCT02521636 ·Status: UNKNOWN ·Phase: NA
-
Ceftidoren Versus Levofloxacin in the Treatment of Patients With Acute Exacerbations of Chronic Bronchitis (AECB)
NCT01467297 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison Between Levofloxacin and Prulifloxacin, in Internal Medicine Patients With Acute Exacerbation of COPD
NCT01710488 ·Status: COMPLETED ·Phase: PHASE4
-
Procalcitonin Versus C-reactive Protein to Guide Therapy in Community Acquired Pneumonia
NCT01018199 ·Status: WITHDRAWN ·Phase: NA
-
Antibiotic Therapy In Respiratory Tract Infections
NCT04166110 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Pharmacokinetics, Safety and Efficacy of POL7080 in Patients With Ventilator Associated Pseudomonas Aeruginosa Pneumonia
NCT02096328 ·Status: COMPLETED ·Phase: PHASE2
-
Supportive Treatment and Antibiotics for Mild Pediatric Pneumonia
NCT05726253 ·Status: COMPLETED ·Phase: EARLY_PHASE1