PROcalcitonin and Presepsin-guided Decision for Antibiotic Prophylaxis of EOS
NCT05796115 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 266
Last updated 2023-04-03
Summary
The goal of this randomized controlled study is to compare the outcome of preterm infants who will receive the standard antibiotic prophylaxis for EOS or Procalcitonin/Presepsin-guided antibiotic prophylaxis of early onset sepsis (EOS).
The main question it aims to answer is:
• Does Procalcitonin/Presepsin-guided antibiotic prophylaxis of (EOS) increase survival without major morbidities, including IVH \>3 grade, PVL, ROP \>3 grade in either eye, NEC \>2 grade, BPD, or LOS.
Infants with gestational age between 25+0 and 31+6 weeks of gestation or a birth weight \<1500 g will be eligible for enrollment in the study.
Participants will be randomized to receive standard antibiotic prophylaxis for EOS (standard group) or to receive antibiotic prophylaxis for EOS on the basis of PCT/P-SEP measured within 3 h of life (intervention group).
Conditions
- Early-Onset Neonatal Sepsis
Interventions
- PROCEDURE
-
Procalcitonin/Presepsin guided antibiotic prophylaxis for EOS
Infants will receive antibiotic prophylaxis for EOS on the basis of Procalcitonin and Presepsin values measured within the first 3 hours of life.
- PROCEDURE
-
Antibiotic prophylaxis for EOS
Infants will receive antibiotic prophylaxis for EOS.
Sponsors & Collaborators
-
University of Florence
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 0 Hours
- Max Age
- 3 Hours
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-01
- Primary Completion
- 2025-03-31
- Completion
- 2025-09-30
More Related Trials
-
Early-Onset Sepsis an NICHD/CDC Surveillance Study
NCT02410486 ·Status: COMPLETED
-
Procalcitonin and Duration of AntiBiotherapy In Late Onset Sepsis of Neonate
NCT03730636 ·Status: COMPLETED ·Phase: NA
-
A Clinical Trial of Procalcitonin-guided Antimicrobial Therapy in Sepsis
NCT03333304 ·Status: COMPLETED ·Phase: NA
-
Prevailing Microorganisms Causing Neonatal Sepsis in Neonatal Intensive Care Unit (Prospective Study)Prevailing Microorganisms Causing Neonatal Sepsis in Neonatal Intensive Care Unit (Prospective Study)
NCT03308526 ·Status: UNKNOWN
-
Simplified Antibiotic Therapy for Sepsis in Young Infants
NCT01027429 ·Status: COMPLETED ·Phase: PHASE3
-
De-escalation of Empirical Antimicrobial Therapy Study in Severe Sepsis
NCT01626612 ·Status: COMPLETED ·Phase: PHASE3
-
Neutrophil Extracellular Traps and Neonatal (PV4991) & Pediatric Sepsis (PV5063)
NCT02567305 ·Status: UNKNOWN
-
Study of Procalcitonin (PCT)-Guided Antibiotic Use in Severe Sepsis Patients Without Obvious Infection
NCT01025180 ·Status: TERMINATED ·Phase: PHASE4
-
Electronic Application of a Severe Sepsis Screening Tool and Management Bundle
NCT01724463 ·Status: UNKNOWN
-
Treatment Outcome With Antibiotic Use and Its Resistance Pattern Among Patient With Neonatal Sepsis
NCT05742477 ·Status: UNKNOWN
-
Procalcitonin Monitoring May Decrease Antibiotic Use in the Intensive Care Unit
NCT01085994 ·Status: UNKNOWN
-
Early Identification of Sepsis in Children
NCT03884595 ·Status: UNKNOWN
-
Endotoxin in Gram-negative Septic Shock
NCT01602354 ·Status: UNKNOWN
-
Use of Procalcitonin, a Blood Test to Guide Antibiotic Therapy for Sepsis in Adults
NCT05955612 ·Status: COMPLETED ·Phase: PHASE3
-
Procalcitonin in Diagnosis of Bacterial Infections in Young Infants
NCT03509727 ·Status: COMPLETED
-
Safety and Efficacy of Procalcitonin Guided Antibiotic Therapy in Adult Intensive Care Units (ICU's)
NCT01139489 ·Status: COMPLETED ·Phase: NA
-
Evaluation of bioMarkErs to Reduce Antibiotics Use in hospitalizeD nEonates
NCT03299751 ·Status: COMPLETED ·Phase: NA
-
Impact of a Procalcitonin Testing and Treatment Algorithm on Antibiotic Use and Outcomes in the Pediatric Intensive Care Unit
NCT03440918 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Corticosteroid Therapy in Childhood Severe Sepsis - a Randomised Pilot Study
NCT00732277 ·Status: COMPLETED ·Phase: PHASE2
-
Methylene Blue and Ozone in Early Sepsis
NCT02910765 ·Status: UNKNOWN ·Phase: PHASE4
-
Early Vasopressors in Sepsis
NCT05179499 ·Status: RECRUITING ·Phase: PHASE3
-
Beta-lactam Intermittent Versus Continuous Infusion and Combination Antibiotic Therapy in Sepsis
NCT05681442 ·Status: RECRUITING ·Phase: PHASE4
-
Neurodevelopmental Outcomes After Suspected or Proven Sepsis: Secondary Analysis of INIS Trial Database
NCT02281890 ·Status: COMPLETED
-
7 Days Versus 14 Days of Antibiotics for Neonatal Sepsis
NCT03280147 ·Status: COMPLETED ·Phase: PHASE3
-
Early Diagnostic of Sepsis and Potential Impact on Antibiotic Management Based on Serial.Pancreatic Stone Protein (PSP) Measured Using the AbioScope.
NCT03474809 ·Status: COMPLETED