Community-acquired Pneumonia, Critical Illness
Conditions
Keywords
Community-acquired Pneumonia, Critical Illness, Point-of-care
Brief summary
Clinical Impact on Point-of-Care Multiplex PCR Testing for Critically Ill Adult Patients With Community-acquired Pneumonia - A cluster randomization study in ICU units within one medical center.
Detailed description
Point-of-Care Multiplex PCR Testing could narrow down the pathogens causing severe community-acquired pneumonia(CAP). Our hypothesis is that the result of Point-of-Care Multiplex PCR Testing could help primary physician to reduce antibiotics use.
Interventions
Point-of-care Multiplex PCR Respiratory Panel (BIOFIRE FilmArray) and Pneumonia Panel results (BIOFIRE FilmArray)
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients (age \>20 y/o) * ICU admission for acute respiratory failure due to community-acquired pneumonia by clinical diagnosis * Treatment with endotracheal Intubation
Exclusion criteria
* Aspiration pneumonia (including witnessed aspiration and chronic bedridden status) * Nosocomial infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intravenous antibiotic-free day within 14 days | up to 14 days | days without intravenous antibiotics within 14 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU stay | up to 21 days | days of stay in ICU |
| Antibiotic-free day within 21 days | 21 days | days without antibiotics within 21 days |
| Intravenous antibiotic-free day within 21 days | up to 21 days | days without intravenous antibiotics within 21 days |
| Ventilator-free day within 28 days | up to 28 days | days without intravenous antibiotics within 28 days |
Countries
Taiwan