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Comparison of the effect of ampicillin and cefotaxime with ampicillin and amikacin in the treatment of neonatal sepsis

Phase 2
Recruiting
Conditions
Early neonatal sepsis.
Other sepsis
Registration Number
IRCT20100102002954N22
Lead Sponsor
Shahroud University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
94
Inclusion Criteria

Infants with early sepsis in the first 7 days of life;
Existence of respiratory distress, hypoxia or symptoms of acute respiratory distress syndrome;
Poor perfusion or urinary output less than 0.5 cc / kg / hr;
Metabolic acidosis with pH <7.2;
Cardiovascular instability with a heart rate of less than 160 beats per minute;
Decreased infant reflexes;
Severe cyanosis;
Frequent or prolonged seizures;
Increase in body temperature to more than 38.5 or less than 36 ° C axillary;
Apnea;
Severe abdominal distension;
And informed consent of parents to participate in the research.

Exclusion Criteria

Infants with major congenital anomalies;
Severe prematurity and less than 28 weeks;
Very low birth weight (less than 1500 g);
Congenital heart disease;
Severe asphyxia (Apgar 5 minutes less than 5);

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Duration of making CRP marker negative. Timepoint: At the beginning and during the study. Method of measurement: laboratory tests.;Need for intubation and mechanical ventilarion. Timepoint: During the study. Method of measurement: Checking patient records.;Metabolic acidosis. Timepoint: During the study. Method of measurement: Laboratory test (ABG).
Secondary Outcome Measures
NameTimeMethod
Duration of hospitalization. Timepoint: At the end of the study. Method of measurement: The time between the time / date of hospitalization and the time / date of discharge from the hospital, expressed in hours.;Mortality rate. Timepoint: At the end of the study. Method of measurement: Mortality rate refers to the number of deaths among these infants, expressed as a percentage.
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