PCT Guided Stopping of Antibiotic Therapy in Children With Sepsis
NCT03388944 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 561
Last updated 2025-03-03
Summary
The investigators' objective is to compare the risk of treatment failure\* in children admitted to the pediatric intensive care unit (PICU) with sepsis and managed by procalcitonin guided therapy for stopping of antibiotics ('PCT- guided therapy' group) with those managed with standard practices based on the evidence based guidelines ('control' group).
Children with suspected or proven sepsis will be randomized to the PCT guided group or the standard practices group and will be followed up for the outcome measures that include treatment failure and mortality. The investigators plan to enroll 560 patients over a period of 3 years. The investigators believe that the proposed study will provide the answer to reducing unnecessary antibiotic usage in the PICU without causing any harm to the patient in the form of treatment failure and/or mortality.
Conditions
- Sepsis
- Septic Shock
- Antibiotic Use
- Procalcitonin
- PCT
- Antimicrobial Resistance
- AMR
Interventions
- BEHAVIORAL
-
PCT group
In this group antibiotic therapy will be stopped based on serial PCT measurements starting from admission.
Sponsors & Collaborators
-
Post Graduate Institute of Medical Education and Research, Chandigarh
collaborator OTHER -
St Johns Medical College Hospital, Bangalore, India
collaborator OTHER -
All India Institute of Medical Sciences, Bhubaneswar
collaborator OTHER -
All India Institute of Medical Sciences
lead OTHER
Principal Investigators
-
S K Kabra, MD · All India Institute of Medical Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 2 Months
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-10-21
- Primary Completion
- 2023-02-28
- Completion
- 2023-02-28
Countries
- India
Study Locations
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