Sepsis
Conditions
Brief summary
There is a high prevalence of vitamin D deficiency in the critically ill patient population, with approximately 60% of patients found to be vitamin D deficient, (25(OH)D concentrations \<20 ng/mL) and an additional 30% of patients being vitamin D insufficient, (25(OH)D = 20-30 ng/mL).Approximately 80% of sepsis/septic shock patients experience respiratory failure and require mechanical ventilation. Furthermore, several studies document that vitamin D deficiency could be associated with poor outcomes in critically ill patient.
Interventions
Vitamin D3 tablets 50,000 IU units
Vitamin D tablets 5000 units as daily requirements
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with sepsis and required mechanical ventilation (MV) within 24 hours from ICU admission. * Expected to require mechanical ventilation for at least 72 hours after study entry.
Exclusion criteria
* Age \<18 years. * inability to obtain informed consent from the patient and/or legally authorized representative. * BMI\> 40. * Pregnant or breastfeeding. * Chronic kidney diseases * Pancreatitis. * Hepatic insufficiency * Cases with coagulopathy * Moribund and not expected to survive 96 hours. * Ongoing shock * History of therapy with high dose vitamin D3 within previous 6 months. * History of disorders associated with hypercalcemia * Cancer as the cause of sepsis. * Subjects undergoing chemotherapy. * Immune compromised patients. * Pneumonia developed \< 48 hours following intubation. * Patients with history of aspiration before intubation. * known allergy to vitamin D.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in procalcitonin level (ng/ml) and antimicrobial peptide cathelicidin (LL37) (ng/ml) level at day 7. | 7 days | Change in procalcitonin level (ng/ml) and antimicrobial peptide cathelicidin (LL37) (ng/ml) level at day 7. |
Countries
Egypt