Bloodstream infection sepsis.
Conditions
Interventions
None listed
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients will need to be over the age of 18, be suffering from an assumed infection deemed clinically worthy for blood culturing.
Exclusion criteria
Exclusion criteria: - Pregnancy. - Neutropenia, defined as leukocyte count less then 0,5x10.000/L. - Moribund patients. - Predetermined illness with and expected death within 24 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Safety, expressed as mortality at day 28 and 90, with a mortality difference not exceeding a between groups difference of 10% by non-inferiority analysis. 2. Cost-effectiveness, expressed in euro, calculated by deducting costs of procalcitonine testing from saved blood cultures compared with standard treatment spending on blood cultures in the control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of stay on the ICU. 2. Length of hospital stay. 3. Positive predictive value (PPV), negative predictive value (NPV), sensitivity and specificity of procalcitonin for predicting microbial bloodstream infections. | — |
Countries
Netherlands
Outcome results
None listed