Procalcitonin as a Marker for the Length of Antibiotic Treatment in Peritonitis and Intra-abdominal Infections
Study Details
Study Description
Brief Summary
Procalcitonin level used for determining length of antibiotic treatment in peritonitis and intra-abdominal infections. Hypothesis is that length of antibiotic use can be shortened by this method.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Prospective randomized trial
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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procalcitonine monitoring PCT group: antibiotic use is tailored by serum procalcitonin values, determined every 48houres. |
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control group control group: antibiotic use and length of treatment as defined by guidelines |
Outcome Measures
Primary Outcome Measures
- antibiotic treatment length, hospitalisation length without antibiotic, infection recurrence, antibiotic cost [at one month and during hospital stay]
Eligibility Criteria
Criteria
Inclusion Criteria:
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More than 18 yo
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Patient requiring surgery for peritonitis or intra-abdominal infection following: perforation, necrosis, previous operation...
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Mannheim Peritonitis score > 14
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SIRS present
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Probability of survival > 72h
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Informed consent by patient/relatives
Exclusion Criteria:
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No SIRS
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Long date corticoid treatment
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Immunosuppression
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Thyroid medullary carcinoma
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Anaphylactic shock
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Acute hepatic deficiency
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University Hospital of Lausanne | Lausanne | Switzerland | 1011 |
Sponsors and Collaborators
- University of Lausanne Hospitals
Investigators
- Principal Investigator: Steve Aellen, MD, Department of visceral surgery, university hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 141/08, Propéritonite