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EARLY Antibiotics aDAptation in Severe Pneumonia(The EARLY ADAPT Study)
Sponsor: University Hospital, Geneva
Summary
The objective of the study is to determine whether rapid multiplex PCR testing of respiratory samples can reduce exposure to broad-spectrum antibiotics in intensive care unit patients with suspected or confirmed ventilator-associated pneumonia, compared to standard diagnostic methods. As secondary objectives, the investigators will study antibiotic management and overall antibiotic consumption, as well as escalation or de-escalation events. The investigators will study the potential clinical impact of using multiplex PCR to see if the length of stay in the intensive care unit is reduced, as well as the duration of mechanical ventilation.
Official title: EARLY Antibiotics aDaptation in Ventilator-Acquired-Pneumonia Treatment After Implementation of a Broad-Panel Respiratory Multiplex PCR Test: A Multicenter Randomized Control Trial Conducted In Swiss Intensive Care Units. The EARLY ADAPT Study.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
170
Start Date
2026-01-05
Completion Date
2027-11-30
Last Updated
2025-12-05
Healthy Volunteers
No
Conditions
Interventions
PCR multiplex BioFire Pneumonia plus
In the intervention arm, in addition to traditional cultures for identifying pathogens and their resistance, multiplex PCR will be performed on the patient's respiratory samples. Empirical antibiotic therapy will be directly adapted to the results of multiplex PCR according to the guidelines provided.
Locations (5)
University hospitals of Geneva, Division of Intensive Care
Geneva, Canton of Geneva, Switzerland
Dept. of Intensive Care Medicine, University hospital of Lausanne
Lausanne, Switzerland
Division of Intensive care, Hospital of Lugano
Lugano, Switzerland
Division of Intensive care, Hospital of Neuchâtel
Neuchâtel, Switzerland
Division of Intensive care, University hospital of Sion
Sion, Switzerland