Impact of Procalcitonin-guided Algorithm on Early Discontinuation of Antibiotic Therapy
NCT05350813 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 296
Last updated 2024-09-25
Summary
In this randomized controlled open-label trial, conducted in 7 French Pediatric and Neonatal Intensive Care Units (ICUs), investigator team hypothesize that the use of a procalcitonin (PCT)-guided algorithm to discontinue antibiotic treatment will decrease antibiotic duration in critically ill children treated for a suspected or proven bacterial infection. Two hundred and ninety-six eligible patients will be randomly assigned in two groups: either PCT-guided or standard-of-care antibiotic discontinuation, and monitored over 28 days, until the end of their hospitalization, or up to the end of antibiotic treatment for bacterial infection recurrence occurring up to 28 days after the day of randomization.
Conditions
Interventions
- PROCEDURE
-
Measurement of the PCT plasma levels
antibiotic treatment duration will be based on PCT plasma levels
- PROCEDURE
-
Usual practice based on guidelines
antibiotic therapy duration will be determined by the type of infection, microbiological results and clinical, biological and/or radiological evolution, according to the usual practice based on guidelines.
Sponsors & Collaborators
-
University Hospital, Toulouse
lead OTHER
Principal Investigators
-
Romain AMADIEU, MD · University Hospital of Toulouse
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 3 Days
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-02
- Primary Completion
- 2027-02-02
- Completion
- 2027-02-02
Countries
- France
Study Locations
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