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临床试验/NCT00308659
NCT00308659Unknown不适用

Diagnostic Strategy Evaluation Study of Two Diagnostic Strategies for the Treatment of SCAP : Noninvasive Strategy and Semiinvasive Strategy Including FOB Distal Samplings

Assistance Publique - Hôpitaux de Paris2 个研究点 分布在 1 个国家开始时间: 2006年3月最近更新:
适应症

试验速览

阶段
不适用
试验地点
2

研究概览

简要总结

Main hypothesis: microbiological diagnossis off severe community acquired pneumonia can be performed by non invasive or semi invasive microbiological tools, semi invasive tools including protected distal bronchial samplings by the mean of Fiber optic bronchoscopy (FOB). A microbiological diagnosis could improve antibiotic therapy efficacy and improve patient's outcome.

These Two strategies have never been prospectivally evauated.

  • Aim of the study: To evaluate 2 diagnostic strategies: non invasive or semi invasive including protected distal bronchial samplings by the mean of Fiber optic bronchoscopy (FOB)for the care of patients admitted in intensive care for severe community acquired pneumonia and receiving an empirical antibiotic therapy as recommanded by 2001 American thoracic guidelines
  • Type of study randomized multicentric controlled open study

详细描述

Type of study randomized multicentric controlled open study

Number of patients: 200 patients (100 patients in each group)admitted in ICU for SCAP

  • Number of center : 5
  • Clinical strategies under evaluation :
  • Group A: semi-invasive strategy: FOB within 24 hours after ICU admission
  • Group B: non-invasive strategy: no FOB within 24 hours after ICU admission
  • Evaluation criteria:

Main criteria: Changes in initial empirical antibiotic treatment according to microbiological results obtained in each group.

others

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

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

入选标准

  • New radiological infiltrate SCAP clinical diagnosis admitted in ICU Admitted in hospital for less than 24 hours Aged 18 or older Signed informed consent

排除标准

  • Pregnancy Muribond patients Previuos hospitalisation within One month Neutropenia None HIV status

研究者

申办方类型
Other

研究点 (2)

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