The Effect of Semi-quantitative Procalcitonin Assay to The Adequacy of Empirical Antibiotics and Mortality in Septic Patients

March 6, 2014 updated by: Dana Dharaniyadewi, Indonesia University

Pengaruh Pemeriksaan Procalcitonin Semikuantitatif Terhadap Adekuasi Terapi Antibiotik Empirik Awal Dan Mortalitas Pada Pasien Sepsis

Sepsis is a serious clinical condition with a considerable morbidity and mortality. Procalcitonin (PCT) is a good biomarker for early diagnosis and infection monitoring. The present study aimed to investigate the effect of semi-quantitative PCT test to the empirical antibiotic initiation time, the appropriateness of empirical antibiotics and mortality in septic patients.

The hypothesis of the study are :

  • There is an effect on mortality between septic patients who do and do not do semi-quantitative PCT examination
  • There is an effect on empirical antibiotic initiation time between septic patients who do and do not do semi-quantitative PCT examination
  • There is an effect on appropriateness of empirical antibiotic between septic patients who do and do not do semi-quantitative PCT examination

Study design is randomized diagnostic trial which is also a pragmatic trial.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

205

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Indonesia
    • DKI Jakarta
      • Jakarta, DKI Jakarta, Indonesia, 10430
        • Cipto Mangunkusumo hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • aged more than 18 years old
  • have at least two concomitant systemic inflammatory response syndrome criteria
  • have focal infection
  • with or without sign of organ hypoperfusion or dysfunction

Exclusion Criteria:

  • post operative patient
  • trauma patient
  • have obtained prior antibiotic
  • refused to participate

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: semi-quantitative procalcitonin
patients whom checked semi-quantitative procalcitonin examination
Other: semi-quantitative procalcitonin
Other Names:
  • PCT-Q
No Intervention: control
patients whom do not checked semi-quantitative procalcitonin examination

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
mortality rate
Time Frame: 14 days
mortality in 14 days since the patients were included in this study
14 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
the timing of empirical antibiotic first dose
Time Frame: in 24 hours since the patient was diagnosis as sepsis
when does the patient get their first dose of empirical antibiotic in 24 hours since the patient was diagnosis as sepsis?
in 24 hours since the patient was diagnosis as sepsis
the appropriateness of empirical antibiotic
Time Frame: in 24 hours since the patient was diagnosed as sepsis
does the empirical antibiotic that given in 24 hours since the patient was diagnosis as sepsis is effective?
in 24 hours since the patient was diagnosed as sepsis

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Indonesia University

Investigators

  • Principal Investigator: Dana Dharaniyadewi, MD, Faculty of Medicine, Indonesia University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2012

Primary Completion (Actual)

April 1, 2013

Study Completion (Actual)

April 1, 2013

Study Registration Dates

First Submitted

May 20, 2013

First Submitted That Met QC Criteria

May 22, 2013

First Posted (Estimate)

May 24, 2013

Study Record Updates

Last Update Posted (Estimate)

March 7, 2014

Last Update Submitted That Met QC Criteria

March 6, 2014

Last Verified

March 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • AB-PCTQ1

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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