Effect of Aerosolised Colistin in Ventilator Associated Pneumonia
NCT02683603 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 133
Last updated 2016-02-17
Summary
the management of Ventilator-associated pneumonia (VAP) caused by multidrug-resistant (MDR) gram-negative bacilli (GNB) represent a real therapeutic dilemma in intensive care unit (ICU). Colistin remains an effective agent against MDR GNB. However, because of its side effects, mainly nephrotoxicity, other modalities than the intra venous (IV) route should be tried. Several recent data emphasize the interest of inhaled route. The investigators purpose was to evaluate the effectiveness and systemic toxicity of aerosolized colistin in ventilator associated pneumonia.
Conditions
- Pneumonia, Ventilator-Associated
Interventions
- DRUG
-
AS colistin and "imipenem"
colimycin (colistin) powder (1 million units (MU) by flakon) by AS route in addition to imipenem
- DRUG
-
IV colistin " and "imipenem" .
colimycin (colistin) powder (1 MU by flakon) by intravenous route in addition to imipenem
- DRUG
-
AS colimycin (colistin)
nebulisation of colimycin (colistin) for 30 minutes 3 times per day during at least 14 days. Nebulisation was made via an ultrasonic vibrating plates nebulizer (Aeroneb Pro® Aerogen Nektar Corporation, Galway, Ireland).
- DRUG
-
IV colimycin (colistin)
intravenous colimycin (colistin) : 9 MU during 60 minutes followed by 4.5 million units 2 times per day
- DRUG
-
AS colistin and imipenem
IV imipenem 1 g three times per day.
- DRUG
-
IV colistin and imipenem
IV imipenem 1 g three times per day
Sponsors & Collaborators
-
Tunis University
lead OTHER
Principal Investigators
-
Ahlem Trifi · Tunis University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2015-04-30
- Completion
- 2015-04-30
Countries
- Tunisia
Study Locations
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