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Impact of Procalcitonin-guided Algorithm on Early Discontinuation of Antibiotic Therapy
Sponsor: University Hospital, Toulouse
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.
Official title: Impact of Procalcitonin-guided Algorithm on Early Discontinuation of Antibiotic Therapy in Pediatric Intensive Care Units : a Multicenter Randomized Controlled Trial
Key Details
Gender
All
Age Range
3 Days - 17 Years
Study Type
INTERVENTIONAL
Enrollment
296
Start Date
2023-05-02
Completion Date
2027-02-02
Last Updated
2024-09-25
Healthy Volunteers
No
Conditions
Interventions
Measurement of the PCT plasma levels
antibiotic treatment duration will be based on PCT plasma levels
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.
Locations (7)
CHU Amiens Picardie
Amiens, France
CHU de Bordeaux
Bordeaux, France
CHU de Clermont Ferrand
Clermont-Ferrand, France
CHU de NANTES
Nantes, France
APHP
Paris, France
CHU La Réunion
Saint-Denis, France
University Hospital of Toulouse
Toulouse, France