Application of the Recommendations of the SPLIF (French Society of Infectious Pathology) in a Geriatric Population on the Duration of Treatment for Bacterial Pneumonia

Duration of Antibiotic Treatment for Infectious Pneumonia in Eldery Subjects

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06307730

Enrollment

Registered

2024-03-13

Start date

2023-01-02

Completion date

2023-04-30

Last updated

2024-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pneumonia, Bacterial, Pneumopathy

Keywords

pneumopathy, Bacterial, nosocomial

Brief summary

Pneumopathy is the leading cause of death from infectious disease in the elderly. Prior to 2021, the recommended duration of antibiotic therapy for pneumonia, in adults, was 7 days. Two theses have shown that these recommendations were poorly applied in geriatric services. Indeed, the duration of treatment exceeded 7 days, and less than 30% of antibiotic antibiotic treatments were re-evaluated at 72 hours. In 2021, the SPLIF ( published new recommendations reducing this duration to 5 days in the event of clinical improvement observed on the 3rd day of treatment. These new recommendations are based on studies, in which the average age of participants was 65 years. However, the average age of patients in geriatric short-stay departments is 84.7 years. In addition, the geriatric population is characterized by immunosenescence, pulmonary vulnerability and undernutrition, raising questions about the validity of these recommendations in the geriatric population. The investigators offer a monocentric, retrospective, observational study of the geriatric hospital Casanova to assess the application of SPLIF recommendations in the geriatric population.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

60 Years to No maximum

Healthy volunteers

Inclusion criteria

* All patient treated for bacterial/community/nosocomial pneumonia who stayed in the geriatric short-stay at Casanova's Hospital between January 2, 2023 and April 30, 2023

Exclusion criteria

* HIV Positif * Immunosupressed patient * Complicated pneumonia (abcess, pleuropneumonia)

Design outcomes

Primary

Measure	Time frame	Description
Sex	Day 1	—
Age	Day 1	—
Weight	Day 1	—
Phone Number	Day 1	—
Origins	Day 1	Coming from Home, An institution...
Autonomy in daily life's score before hospitalisation	Day 1	score between 0 (autonomous) and 6 (dependent)
Charlson's morbidity score	Day 1	—

Countries

France

Outcome results