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| ID | Type | Description | Link |
|---|---|---|---|
| 2011/10076 (OUSH) | Other Identifier | 2011/10076 (Oslo University Hospital) |
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The main purpose of the study is to examine if changes in pharmacokinetics of important antiinfectives in Critically Ill patients in need of continuous renal replacement therapy (CRRT), causes inadequate concentrations in plasma.
The effect of different modus of CRRT: CVVH and CVVHD will be compared, as well as type of filter, filter lifetime etc.
Hypothesis: The risk of incorrect dosage of antiinfectives - to low/ to high- is increased in critically ill patients receiving CRRT. Inadequate plasma concentrations of antiinfectives may contribute to increased mortality in this group.
The main purpose of the study is to examine if changes in pharmacokinetics of important antiinfectives in Critically Ill patients in need of continuous renal replacement therapy (CRRT), causes inadequate concentrations in plasma.
The effect of different modus of CRRT: CVVH and CVVHD will be compared, as well as type of filter, filter lifetime etc.
Hypothesis: The risk of incorrect dosage of antiinfectives - to low/ to high- is increased in critically ill patients receiving CRRT. Inadequate plasma concentrations of antiinfectives may contribute to increased mortality in this group.
The antiinfectives to be examined are meropenem, fluconazol, cefotaxim, ciprofloxacin, tazobactam-piperacillin, vancomycin,penicillin,cloxacillin.
Endpoints:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| antiinfectiva: vancomycin | 80 patients Completed. | ||
| antiinfectiva: meropenem | 80 patients recruiting | ||
| antiinfectiva: flukonazol | 80 patients | ||
| antiinfectiva: cefotaxim | 80 patients | ||
| antiinfectiva: benzylpenicilline | 80 patients | ||
| antiinfectiva: tazobactam piperacillin | 80 patients recruiting | ||
| antiinfectiva: cloxacillin | 80 patients | ||
| antiinfectiva: ciprofloxacin | 80 patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Sub-therapeutic levels of measured antiinfectiva | Pharmacokinetic/pharmacodynamic index achieved for each antiinfectiva | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| SOFA-score | Sequential organ failure assessment, first 3 days after initiation of therapy | 72 hrs |
| Mortality | 90-days |
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Inclusion Criteria:
Patients admitted to ICU in need of antiinfectives:
requirement for antiinfectives> 72 hrs
Age > 18 yrs
signed informed consent
Exclusion Criteria:
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Critically ill patients admitted to the ICU at Oslo University Hospital, in need of treatment with antiinfectives.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elin Helset, MD PhD | Contact | +4722119585 | ehj@ous-hf.no |
| Name | Affiliation | Role |
|---|---|---|
| Elin Helset, MD PhD | Oslo University Hospital | Study Chair |
| Jan Fr Bugge, MD PhD | Oslo University Hospital | Principal Investigator |
| Elizabeth von der Lippe, MD PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital | Recruiting | Oslo | Norway |
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| Oslo University Hospital |
| Principal Investigator |
| Hilde Ma Sporsem, cand pharm | Sykehusapotekene Oslo | Principal Investigator |
| Yvonne Lao, cand pharm | Sykehusapotekene Oslo | Principal Investigator |
| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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