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LUNG INFECTION in ICU (LUNG-I3)

Recruiting
Conditions
VAP - Ventilator Associated Pneumonia
Registration Number
NCT06073834
Lead Sponsor
BioMérieux
Brief Summary

objective of LUNG-I3 study is to assess the quantitative and functional differences in cells between blood and bronchoalveolar lavage (BAL) fluid after an infection, with a special focus on alveolar macrophages and neutrophils

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
68
Inclusion Criteria

All the following criteria

  • Age 18 years or greater

  • Severe ICU patients hospitalized for one of the above diseases:

    • Septic shock (requirement of vasopressor to maintain a mean arterial pressure of 65 mm Hg or greater and serum lactate level greater than 2 mmol/L (>18 mg/dL) in the absence of hypovolemia) caused either by pneumonia (n=20) or another source n=20)
    • Severe trauma (level I and II), Injury Severity Score ≥ 25 OR
    • Burn with TBSA over 20%
  • NAD > 0.1 µg/kg/min

  • At least 2 SOFA criteria ≥ 2 points

Exclusion Criteria
  • Aspiration pneumonia

  • Unable to obtain a valid and written consent from a patient or their legally authorized representative in accordance with the local regulatory instances (this includes in FR: Person not affiliated to a health insurance scheme, or not a beneficiary of such a scheme. Persons who are the subject of a legal protection order. Person with restricted freedom following a legal or administrative decision and a person admitted without their consent pursuant to Articles L.3212-1 and 3213-1, which are not included in Article L.1121-8 of the French Public Health Code.)

  • COPD

  • Smoke inhalation in burn patients

  • Participation in an intervention study

  • Pregnant or breastfeeding women

  • Immunocompromised patients, defined as

    • patients with solid tumors with chemotherapy in the last 3 months or a progressive metastatic disease
    • hematologic malignancies
    • solid organ transplantation
    • HIV infection with or without AIDS
    • treatment with corticosteroids (> 3 months at any dosage or ≥ 1 mg/kg prednisone equivalent per day for > 7 day)
    • treatment with other immunosuppressive drugs.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
immune cells patterns in VAPbefore and at time of VAP diagnosis

The primary endpoint will be to describe and compare the distribution of immune cells within the lung and the blood before VAP diagnosis (VAP prediction) and at the time of VAP diagnosis.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hopital Edouard Herriot

🇫🇷

Lyon, France

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