Evaluation of the American Thoracic Society Criteria for Predicting Multidrug-resistant Bacteria in Critically Ill Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01667991
Recruitment Status : Completed
First Posted : August 17, 2012
Last Update Posted : August 20, 2012
Information provided by (Responsible Party):
Jianfeng Xie, Southeast University, China

Brief Summary:
Appropriate initial antibiotic treatment based on early diagnosis of etiology will improve the outcome of sepsis. The incidence rates of multidrug-resistant (MDR) bacteria, which are different between countries, will affect the accuracy of etiological diagnoses according to the American Thoracic Society (ATS) guidelines. Therefore the investigators determined the accuracy of the ATS criteria in predicting infection or colonization related to MDR bacteria in China.

Condition or disease

Detailed Description:
All data concerning patient characteristics at ICU admission and during ICU stay were prospectively collected.Screening for MDR bacteria (using nasal swabs, tracheal aspirates from intubated patients and specimens from the infection location) was performed at ICU admission and discharge. Risk factors for infection or colonization with MDR bacteria were recorded, and the accuracy of the ATS criteria in predicting infection or colonization with these bacteria at ICU admission was documented. All of the infected patients were treated by the attending physician, and the choice and adjustment of antibiotic were in accordance with the recommendations of the ATS guidelines.

Study Type : Observational
Actual Enrollment : 610 participants
Observational Model: Case-Only
Time Perspective: Prospective
Study Start Date : April 2010
Actual Study Completion Date : September 2011

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Critically ill patients admitted to icu

Inclusion Criteria:

  • All patients hospitalized in the ICU were eligible for this study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01667991

Sponsors and Collaborators
Southeast University, China
Study Director: Jianfeng Xie, MD Zhongda Hospital

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Jianfeng Xie, Department of Critical Care Medicine, Zhong-Da Hospital, School of Medicine Southeast University, Southeast University, China Identifier: NCT01667991     History of Changes
Other Study ID Numbers: MDR in China 123
First Posted: August 17, 2012    Key Record Dates
Last Update Posted: August 20, 2012
Last Verified: August 2012

Keywords provided by Jianfeng Xie, Southeast University, China:
multidrug-resistant bacteria