CTRI/2021/05/033535
Completed
Phase 3
To compare short course antibiotic therapy with conventional antibiotic therapy after successful biliary drainage in patients with moderate to severe acute cholangitis: Single centre, randomised, non-inferiority trial - SCINAC
ConditionsHealth Condition 1: K830- Cholangitis
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Health Condition 1: K830- Cholangitis
- Sponsor
- ot applicable
- Enrollment
- 120
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Patients with age18 years or older.
- •2\. Patients diagnosed as having moderate to severe acute cholangitis according to Tokyo guidelines 2018\.
- •3\. Patients underwent successful biliary drainage via procedures like ERCP, EUS\-guided drainage and PTBD.
Exclusion Criteria
- •1\. The patients not willing to participate in the study.
- •2\. When incomplete biliary drainage is suspected (Patient with primary sclerosing cholangitis or portal cavernoma cholangiopathy with multiple intrahepatic biliary stricture or complex hilar stricture like Bismuth type III or IV).
- •3\. Moribund patient like patients requiring ventilatory support or patients with Glasgow coma scale of less 8\.
- •4\. Patients with associated or cholangitis related complication which requires longer antibiotics (like liver abscess, acute cholecystitis or metastatic complications like infective endocarditis, pneumonia or septic arthritis at the time of diagnosis).
- •6\. Immunocompromised patients like patients who receiving cancer chemotherapy, steroids (Prednisolone \>10mg/d), or immunosuppressive agents.
- •7\. Blood or bile culture grew fungus.
- •8\.Patients with concomitant acute pancreatitis and other infections elsewhere in the body which requires longer hospitalization and/or antibiotics.
- •9\. Pregnant females.
Outcomes
Primary Outcomes
Not specified
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