Bacterial Sepsis
Conditions
Brief summary
This pilot study aims to test the tolerability of low-carbohydrate enteral nutrition in patients with bacterial septic shock.
Detailed description
This study seeks to assess the tolerability of utilizing low-carbohydrate nutrition in patients admitted to the MICU with bacterial septic shock. Low carbohydrate feeds have been used before in the critical care setting and were well-tolerated.
Interventions
low-carbohydrate enteral nutrition
standard enteral nutrition
Sponsors
Study design
Intervention model description
The ultimate goal is to perform a prospective, single-center, double-blinded, parallel group, randomized, controlled trial on the safety and efficacy of low-carbohydrate enteral nutrition in adult patients admitted to the MICU with bacterial septic shock.
Eligibility
Inclusion criteria
1. Patients aged 18-65 admitted to the MICU with a diagnosis of severe sepsis or septic shock 2. Patients with 35 \> BMI \> 18.5 3. Patients with serum pro-calcitonin \> 1 ng/mL in the first 24 hours of hospitalization
Exclusion criteria
1. Patients with chronic kidney disease as defined by glomerular filtration rate \< 60 for \> 6 months 2. Patients with chronic liver disease as defined by radiographic or tissue evidence of cirrhosis or persistently abnormal liver function tests for \> 6 months 3. Patients with current malignancies 4. Patients with autoimmune disease on current immunotherapy 5. Patients on corticosteroids at doses of prednisone or prednisone-equivalents \> 5 mg for \> 6 months 6. Patients with weight-reduction surgeries 7. Patients with positive viral studies in the first 24 hours of admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay (LOS) in the ICU. | discharge: average 5 days. | The primary clinical outcome will be to reduce the length of stay (LOS) in the ICU. Average length of stay is 5 days. |
Countries
United States