Aerosolized Antibiotics in Mechanically Ventilated Patients
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Ventilator associated pneumonia Systemic Antibiotic use Clinical pulmonary infection score
研究概览
简要总结
The purpose of this study was to determine the effect of aerosolized antibiotics on respiratory infection in mechanically ventilated patients.We hypothesize that aerosolized antibiotics , which achieve high drug concentrations in the airway, would more effectively treat respiratory infection, decrease the need for systemic antibiotics and decrease antibiotic resistance.
详细描述
In patients requiring mechanical ventilation, signs of respiratory infection often persist despite treatment with powerful antibiotics given through the patient's vein. In this trial, patients with purulent secretions were assigned aerosolized antibiotics or placebo by a randomizing protocol. Neither the patients or their doctors knew what the patient was receiving.Need for a systemic antibiotic was determined by the clinical physician. Comparisons were made between placebo and study drug for their effects on pneumonia, respiratory signs of infection, ability to wean patients from the ventilator, systemic(given in the vein) antibiotic use and the development of organisms that were resistant to antibiotics.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •be on mechanical ventilation greater than 3 days
- •greater than or equal to 18 years of age survival greater than 14 days
- •greater than 2 ccs of tracheal secretions/4 hours
排除标准
- •allergy to drugs, pregnancy
结局指标
主要结局
Ventilator associated pneumonia Systemic Antibiotic use Clinical pulmonary infection score
次要结局
- Weaning from mechanical ventilation Bacterial resistance