Hyperhydration in Children With Shiga Toxin-Producing E. Coli Infection

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age9-21
SponsorUniversity of Calgary

About this trial

The objective of this study is to determine if early high volume intravenous fluid administration (hyperhydration) may be effective in mitigating or preventing complications of shiga toxin-producing E. coli (STEC) infection in children and adolescents when compared with traditional approaches (conservative fluid management).

Eligibility criteria

Qualifiers

Aged 9.0 months to <21 years at the time of informed consent.

Bloody diarrhea within the preceding 7 days

Positive STEC culture OR

Positive antigen/polymerase chain reaction test for toxin/gene type not otherwise specified OR

Disqualifiers

Hematocrit <30% AND

Platelet count <150 x 103/mm3 AND

Creatinine > 2.0 mg/dL (177 µmol/L)

The presence of only 1 or 2 of these criteria will not result in patient exclusion, regardless of how close the 3rd criterion is to meeting the exclusion criteria.

Trial design

Treatments tested in this trial

  • Infusion of 200% maintenance fluids as balanced crystalloid IV solution
  • Oral fluids; infusion of up to 110% maintenance fluids as balanced crystalloid IV solution

Treatment groups

1,040 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Calgary

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

Collaborator

Children's Hospital Medical Center, Cincinnati

Collaborator

Washington University School of Medicine

Collaborator

University of Utah

Collaborator

Seattle Children's Hospital

Collaborator

University of Colorado, Denver

Collaborator

Emory University

Collaborator

University of California, Davis

Collaborator

Baylor College of Medicine

Collaborator

Indiana University

Collaborator

University of Alabama at Birmingham

Collaborator

Arkansas Children's Hospital Research Institute

Collaborator

Children's National Research Institute

Collaborator

Children's Hospitals and Clinics of Minnesota

Collaborator

Medical University of South Carolina

Collaborator

University of Louisville

Collaborator

University of Oklahoma

Collaborator

Oregon Health and Science University

Collaborator

University of California, San Diego

Collaborator

McMaster University

Collaborator

The Hospital for Sick Children

Collaborator

University of Alberta

Collaborator

University of Kentucky

Collaborator

Case Western Reserve University

Collaborator

Nationwide Children's Hospital

Collaborator

Vanderbilt University Medical Center

Collaborator