febrile illness
Conditions
Interventions
bacterium versus virus
diagnosis
febrile children
infectious diseases
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: All children
Exclusion criteria
Exclusion criteria: Participation may not lead to an earlier need for blood transfusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Biomarker discovery study (BIVABI): the identification of a minimal discriminatory biomarker signatures that define febrile diagnoses, including infection (bacterial vs viral), or inflammatory illness. MOFICHE: Primary outcomes: Antibiotic prescription, hospitalization and number/type of investigations. Number of children re-attending within 5 days of the first hospital presentation. BIVA-studies: The identification of (serious) bacterial or viral infection (confirmed by culture and/or molecular microbiology), or inflammatory disease by using new clinical, proteomic and transcriptomic biomarkers. Sensitivity and specificity of the new biomarkers and the added value of new biomarkers to usual clinical signs and diagnostic work up to discriminate viral and bacterial infections in children, including diagnostically challenging groups (immunocompromised patients, patients with inflammatory/rheumatological disorders , severe ill patients at intensive care departments). Airway device: Percentage of children in which collection and analysis of exhaled air using the Aeonose device was successful. | — |
Secondary
| Measure | Time frame |
|---|---|
| BIVABI study: identification of minimal biomarker signatures that discriminate children with febrile illness on the basis of their severity MOFICHE: Secondary outcome: number of prescriptions of broad spectrum antibiotics versus the number of prescription of narrow spectrum antibiotics (dose in 24 hours). Clinical and general characteristics of antibiotic prescription, hospitalization duration of stay and investigations. BIVA-studies: Secondary: The identification of biomarkers predictive of disease severity in children with bacterial and viral infection, using a combination of clinical phenotypic markers and proteomic and transcriptomic biomarker signature discovery. | — |
Countries
Austria, Gambia, Germany, Greece, Latvia, Netherlands, Slovenia, Spain, Switzerland, United Kingdom
Outcome results
None listed