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临床试验/NCT01975350
NCT01975350终止不适用

Prospective Observation of Colistimethate Sodium Inhalation in Patients With Ventilator-associated Tracheobronchitis/Pneumonia or Lower Respiratory Tract Colonization by Multidrug Resistant Gram-negative Bacteria

National Taiwan University Hospital1 个研究点 分布在 1 个国家目标入组 49 人开始时间: 2013年10月1日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
入组人数
49
试验地点
1
主要终点
clinical cure rate

研究概览

简要总结

There might be additional benefit on clinical outcomes from adjunctive colistimethate sodium inhalation as therapy for multidrug resistant Gram-negative ventilator-associated pneumonia.

详细描述

Besides, early antibiotics intervention might be benefit for patients with ventilator-associated tracheobronchitis or lower airway colonization with multidrug resistant Gram-negative bacteria.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • age ≥ 20 years old
  • medical ICU patients with invasive ventilator use ≥ 48 hours
  • multidrug resistant Gram-negative bacteria obtained from lower respiratory tract

排除标准

  • concurrent use of other antimicrobial agents active for isolated multidrug resistant Gram-negative bacteria (as defined as resistant to carbapenem, fluoroquinolone, and anti-pseudomonas beta-lactams), such as tigecycline, aminoglycosides, and sulbactam
  • patients who refuse to receive any inhaled therapy

结局指标

主要结局

clinical cure rate

时间窗: From date of starting colistimethate sodium to 28th days or til discharge from hospital, whichever came first, assessed up to 28 days

including clinical improvement and microbiological outcome(eradication of the pathogen as no growth of the pathogen in the final culture of specimens during the entire hospitalization)

次要结局

  • all cause mortality(From date of starting colistimethate sodium to 28th days or til death, whichever came first, assessed up to 28 days)
  • ventilator-associated pneumonia rate(From date of starting colistimethate sodium to discharge date of hospital, assessed up to 3 months)
  • intensive care unit stay(From date of starting colistimethate sodium to discharge date of intensive care unit, assessed up to 3 months)
  • microbiologic eradication in colonization patients(From date of starting colistimethate sodium to 28th days or til discharge from hospital, whichever came first, assessed up to 28 days)
  • hospital stay(From date of starting colistimethate sodium to discharge date of hospital, assessed up to 3 months)
  • ventilator-associated pneumonia-related mortality(Death that occurred during the colistimethate sodium treatment period when the signs of pneumonia remained and as death due to septic shock, assessed up to 28 days)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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