Antibacterial Tactics Based on Presepsin Level in Thoracic Aorta Surgery Patients
NCT06336213 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-01-29
Summary
According to the literature, presepsin was recommended not only as an effective indicator in the diagnosis of sepsis in intensive care units, but also as a reliable prognostic marker of postoperative inflammatory processes in cardiac surgery. Previous study carried out in Petrovsky NRCS related to biomarkers in cardiac surgery and presepsin in particular showed good sensitivity in infection complications prognosis.
Conditions
- Aortic Aneurysm and Dissection
- Cardiac Valve Disease
- Thoracic Aortic Aneurysm
- Thoracic Aortic Dissection
Interventions
- DRUG
-
Ampicillin-sulbactam
If a patient meets dual criteria (presepsin \> 519,5 pg/ml at the end of surgery and the absence of presepsin increase after 6 hours after the end of surgery) then switching to ampicillin/sulbactam 3 g every 6 hours at least 72 h after the surgery is done.
Sponsors & Collaborators
-
Petrovsky National Research Centre of Surgery
lead OTHER
Principal Investigators
-
Boris Akselrod, Professor · Petrovsky NRCS
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-23
- Primary Completion
- 2026-12-15
- Completion
- 2027-02-15
Countries
- Russia
Study Locations
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