Antibiotic Treatment in Ventilator Associated Tracheobronchitis (VAT)
Recruitment status was: Recruiting
Mechanically Ventilated patients in the intensive care unit (ICU) often present with fever, and purulent sputum, but without radiological evidence of pneumonia.
These patients may have tracheobronchitis. Some suspect that this condition precedes the development of pneumonia. Antibiotic treatment in tracheobronchitis is controversial.
The investigators will recruit patients with tracheobronchitis and randomize them into 2 groups. One group will be treated with antibiotics and the other group will serve as control.
|Tracheobronchitis||Drug: Piperacillin/Tazobactam for 7 days||Phase 2 Phase 3|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Antibiotic Treatment in Ventilator Associated Tracheobronchitis (VAT): A Randomized, Controlled Trial|
- Rate of development of new pneumonia [ Time Frame: 2 years ]
- ICU length of stay (LOS) and mortality [ Time Frame: 2 years ]
|Study Start Date:||September 2009|
|Estimated Study Completion Date:||September 2011|
|Estimated Primary Completion Date:||September 2010 (Final data collection date for primary outcome measure)|
No Intervention: Control arm
Experimental: Experimental arm
Drug: Piperacillin/Tazobactam for 7 days
Piperacillin/Tazobactam for 7 days
Patients with proved tracheobronchitis who are mechanically ventilated for more than 48 hrs, will undergo a CT scan to rool our pneumonia that may not be seen on a routine chest x-ray.
After ruling out pneumonia by CT scan, patients will be randomized into 2 groups. Intervention group will receive 7 days of treatment with Piperacillin/Tazobactam. A control group will receive nothing.
Primary endpoint wil be the rate of new pneumonias and secondary endpoint will be ICU Length of stay, days on mechanical ventilation and 28 day mortality.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01027832
|Contact: Arie Soroksky, MDemail@example.com|
|Assaf Harofe MC||Recruiting|
|Beer Yakov, Zerifin, Israel, 70300|
|Contact: Arie Soroksky, M.D. 972-8-9779320 firstname.lastname@example.org|
|Principal Investigator: Arie Soroksky, M.D.|
|Principal Investigator:||Arie Soroksky, MD||Tel Aviv University, Faculty of Medicine, Israel.|