This study aim to compare the antibiotic free day and time of antibiotic use between procalcitonin group and usual care group For the Protocol in Procalcitonin group as below and we use procalcitoi procalcitonin
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Suspect bacterial infection (HAP,VAP,soft tissue and skin infection,intraabdominal infection, blood stream infection, UTI) 2.Age >18 yr 3.Admit in surgical ICU , surgical sub ICU and sub ICU trauma 4. Patient or their legal representative informed and consented 5. No antibiotic for treatment in 7 days prior to enroll, except for prophylaxis 6.Fever or subtemperature of unknown source during post op 7.Fever post op during antibiotic for treatment
Exclusion criteria
Exclusion criteria: Exclusion criteria 1.Pregnancy 2.HIV or ANC<500 3.Immunocompromised patient or patient who received chemotherapy within 45 days 4.Moribund patient 5. Suspected CNS infection, Endocarditis, Osteomyelitis, Aortitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| antibiotic time and antibiotic free day 3 day days of antibiotic use | — |
Secondary
| Measure | Time frame |
|---|---|
| mortality rate, rate of reinfection still recording number of reinfection patient | — |
Countries
Thailand
Contacts
Faculty of medicine, Chiangmai university