Infectious Diseases
Conditions
Keywords
colistin, ICU, critical care
Brief summary
Colistin is a rapidly acting bactericidal antimicrobial agent that possesses a post antibiotic effect against MDRO Gram-negative bacteria, such as as Pseudomonas aeruginosa, Acinetobacterbaumannii, and Klebsiella pneumonia.
Interventions
High Dose Colistin
Standard Dose Colistin
Sponsors
Study design
Eligibility
Inclusion criteria
* Inclusion Criteria: 1. Patient age more than or equal 18 years old. 2. Patient has clinical signs and symptoms of infection with suspected or proven infection due to Carbapenem resistant microorganism. 3. Patient was started with Empirical therapy of Colistin and positive MDRO within 5 days of empirical therapy. *
Exclusion criteria
1. Patient age less than 18 years. 2. Pregnant patient. 3. If received Colistin treatment for less than 72 hours. 4. Renal Replacement Therapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate safety of high dose Colistin | 7 to 21 days after giving Colistin | Evaluate the safety of high dose Colistin to treat MDRO infection in critically ill patients. The safety of high dose Colistin will be determined by number of participants whom renal function will be deviated from the baseline after administering high dose of Colistin. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| All cause mortality | 7 days after the end of therapy or at 28 days after enrollment | — |
| Ventilation free days | 28 days after enrollment | — |
| Length of ICU stay | 28 days after enrollment | — |
| Microbiological response | A day 7 and at the end of therapy | whole body cultures will be done at day 7 of treatment and at the end of therapy |
Countries
Saudi Arabia