Probiotics to Actively Counter Ventilator Associated Pneumonia (PROACT)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorUniversity of Bari

About this trial

PROACT study aims to resolve uncertainties to influence actual practice guidelines or public health policing regarding VAP prevention in ICU by using probiotics administration.

Multi-trauma patients with a head injury OR stroke or brain haemorrhage patients without any sign of aspiration and lung infection will be enrolled and randomized to either placebo or probiotic treatment to assess if VAP and mortality can be reduced in the interventional group.

Eligibility criteria

Qualifiers

adults aged 18-80 years

at least one of the following conditions: a) recent trauma involving head injury and at least one more organ system; b) stroke or brain hemorrhage without any sign of aspiration and lung infection

intubation and start of mechanical ventilation. This needs to start immediately after the event described in the inclusion criteria (b). For cases of head trauma this is defined as start in the ambulance or the emergency department

likelihood that the duration of mechanical ventilation would be at least six days

Disqualifiers

has received mechanical ventilation more than 72 hours from start of screening

pregnancy or Lactation

patients at risk of iatrogenic probiotic infection e.g. immunosuppression which includes

HIV <200 CD4 cells/μL

Trial design

Treatments tested in this trial

  • LactoLevure
  • Placebo

Treatment groups

186 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Bari

Lead sponsor

Uni-Pharma

Collaborator