Ventilator Associated Pneumonia
Conditions
Keywords
Lactoferrin,VAP
Brief summary
The aim of the study is to 1. Evaluate the preventive value of Lactoferrin on VAP among ventilated neonates. 2. Evaluate the Primary outcome of Lactoferrin on: Sepsis, Feeding intolerance, Vomiting, Constipation or diarrhea 3. Evaluate the effect of Lactoferrin in critically ventilated neonates on: Incidence of VAP Duration of mechanical ventilation Duration of hospital stay
Detailed description
Randomised controlled trial
Interventions
oral dose separate from feeds \[at a daily dose of 100mg/day\] via orogastric tube from first day of enrollment till time of successful extubation plus standard preventive measures of VAP; these include semi recumbent position, hand washing, suctioning when needed, endotracheal tube with subglottic secretion drainage, using heat and moisture exchanger filter, oral hygiene, changing of tubes only when needed and changing of ventilator circuit every 5 days.
They will receive standard preventive VAP strategies only.
Sponsors
Study design
Eligibility
Inclusion criteria
Preterm neonates requiring mechanical ventilation. Gestational age: (GA 28-36 weeks). Expected need for mechanical ventilation for ≥ (48hours)
Exclusion criteria
Congenital anomalies of the lung or airway. Major congenital heart disease. Proven early-onset sepsis at enrollment. Severe perinatal asphyxia (e.g., Apgar \< 3 at 5 minutes or seizures). Known contraindication or allergy to lactoferrin. Severe gastrointestinal pathology (e.g., NEC stage II or higher). Any condition deemed by the clinical team to interfere with study participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevention of VAP | From enrollment until day 28 of life or NICU discharge, whichever occurs first. | Diagnosis of VAP using the CDC/NHSN clinical and radiological criteria for neonatal ventilator-associated events. Outcome measured as the percentage (%) of enrolled neonates who develop VAP during NICU stay or up to 28 days of life. |
Countries
Egypt