EARLY Antibiotics aDAptation in Severe Pneumonia(The EARLY ADAPT Study)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Geneva

About this trial

The objective of the study is to determine whether rapid multiplex PCR testing of respiratory samples can reduce exposure to broad-spectrum antibiotics in intensive care unit patients with suspected or confirmed ventilator-associated pneumonia, compared to standard diagnostic methods.

As secondary objectives, the investigators will study antibiotic management and overall antibiotic consumption, as well as escalation or de-escalation events. The investigators will study the potential clinical impact of using multiplex PCR to see if the length of stay in the intensive care unit is reduced, as well as the duration of mechanical ventilation.

Eligibility criteria

Qualifiers

Adult patients (≥ 18 years old)

Hospitalized in intensive care with invasive mechanical ventilation ≥ 48 hours

Administration of antimicrobial therapy for suspected VAP at the time of inclusion.

Expected survival > 96 hours.

Disqualifiers

Enrollment prior to the current trial

Participation in an interventional study on the management of AMR that has a direct impact on antibiotic therapy practices.

Trial design

Treatments tested in this trial

  • PCR multiplex BioFire Pneumonia plus

Treatment groups

170 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University Hospital, Geneva

Lead sponsor

BioMérieux

Collaborator

Hospital Fribourg, Switzerland

Collaborator

Hôpital universitaire de Lausanne

Collaborator

Hospital of Neuchâtel

Collaborator

Centre Hospitalier du Centre du Valais

Collaborator

Hospital Lugano

Collaborator