Application of the Recommendations of the SPLIF (French Society of Infectious Pathology) in a Geriatric Population on the Duration of Treatment for Bacterial Pneumonia

Completed

• Conditions: Pneumonia, Bacterial; Pneumopathy

• Registration Number: NCT06307730
• Lead Sponsor: Centre Hospitalier de Saint-Denis

Brief Summary

Pneumopathy is the leading cause of death from infectious disease in the elderly. Prior to 2021, the recommended duration of antibiotic therapy for pneumonia, in adults, was 7 days.

Two theses have shown that these recommendations were poorly applied in geriatric services. Indeed, the duration of treatment exceeded 7 days, and less than 30% of antibiotic antibiotic treatments were re-evaluated at 72 hours.

In 2021, the SPLIF ( published new recommendations reducing this duration to 5 days in the event of clinical improvement observed on the 3rd day of treatment. These new recommendations are based on studies, in which the average age of participants was 65 years. However, the average age of patients in geriatric short-stay departments is 84.7 years.

In addition, the geriatric population is characterized by immunosenescence, pulmonary vulnerability and undernutrition, raising questions about the validity of these recommendations in the geriatric population.

The investigators offer a monocentric, retrospective, observational study of the geriatric hospital Casanova to assess the application of SPLIF recommendations in the geriatric population.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-02
• Primary Completion: 2023-04-30
• Study Completion: 2023-04-30
• Status Verified: 2024-03
• Study First Submitted: 2024-03-06
• Study First Submitted QC: 2024-03-12
• Last Update Submitted: 2024-03-12
• Study First Posted: 2024-03-13
• Last Update Posted: 2024-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• All patient treated for bacterial/community/nosocomial pneumonia who stayed in the geriatric short-stay at Casanova's Hospital between January 2, 2023 and April 30, 2023

Exclusion Criteria

• HIV Positif
• Immunosupressed patient
• Complicated pneumonia (abcess, pleuropneumonia)

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Weight	Day 1
Phone Number	Day 1
Sex	Day 1
Age	Day 1
Origins	Day 1	Coming from Home, An institution...
Autonomy in daily life's score before hospitalisation	Day 1	score between 0 (autonomous) and 6 (dependent)
Charlson's morbidity score	Day 1

Trial Locations

Locations (1)

Centre Hopitalier de Saint-Denis; 🇫🇷 Saint-Denis, Seine Saint Denis, France