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Efficacy of levofloxacin and colistin inhalation form in treatment of pneumonia

Phase 1
Recruiting
Conditions
Ventilator associated pneumonia (VAP) caused by multidrug resistant pathogens.
Ventilator associated pneumonia
J95.851
Registration Number
IRCT20100107003014N26
Lead Sponsor
Mazandaran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
70
Inclusion Criteria

Age older than 18 years and less than 80 years
Mechanical ventilation for more than 48 hours
Pneumonia diagnosis based on the 2016 guidelines of the Infectious Diseases Society of America (IDSA)
CPIS score above 6
Positive culture of sputum sample and growth of gram-negative bacteria resistant to treatment (MDR) (Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacteriaceae, etc.)

Exclusion Criteria

Pregnancy or breastfeeding
History of allergy to any of the drugs Colistin, Levofloxacin and Meropenem
Acute respiratory distress syndrome
Pulmonary tuberculosis disease under treatment
Cystic fibrosis disease
Major interaction of other drugs used by the patient with levofloxacin, colistin or meropenem
Baseline creatinine clearance less than 15 mL/min
History of receiving antibiotics effective against MDR pathogens during hospitalization
Presence of pneumonia before intubation

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Average CPIS score reduction in two groups. Timepoint: days 1, 5, 7 (or stop intervention day). Method of measurement: CPIS scoring table.
Secondary Outcome Measures
NameTimeMethod
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