Sepsis
Conditions
Keywords
semiquantitative, procalcitonin, sepsis, antibiotics, mortality
Brief summary
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.
Interventions
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality rate | 14 days | mortality in 14 days since the patients were included in this study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the timing of empirical antibiotic first dose | 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? |
| the appropriateness of empirical antibiotic | 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? |
Countries
Indonesia