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The objectives of the retrospective cohort study is to describe the actual current practice of antibiotic treatment duration for bloodstream infections in critically ill patients at two tertiary hospitals (ICU Inselspital Bern and ICU CHUV Lausanne), to examine patient, pathogen and infectious syndrome factors associated with selection of shortened treatment duration, and to describe the expected time course of clinical resolution among bacteremic patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bern ICU |
| ||
| Lausanne ICU |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood Culture | Diagnostic Test | Blood Culture |
|
| Measure | Description | Time Frame |
|---|---|---|
| Antibiotic Treatment Duration | Days of adequate antibiotic treatment in Patients with Bacteremia | Hospital discharge, expected to be on average ca. 15-20 days |
| Measure | Description | Time Frame |
|---|---|---|
| Days of ICU stay | Days of ICU Stay in Patients with Bacteremia | ICU discharge, expected to be on average ca. 5-15 days |
| Days of hospital stay | Days of Inhospital Stay in Patients with Bacteremia |
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Inclusion Criteria:
Patient has a positive blood culture with a pathogenic organism Patient is critically ill at the time the blood culture was collected as defined by the following:
Exclusion Criteria:
Patient has a single positive blood culture with a common contaminant organism:
Explicit documentation that the patient does not want to participate in any study
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Patient is critically ill at the time the blood culture was collected and was treated at the ICU/IMC at the time of blood culture collection or has been admitted to ICU/IMC in the 48 hours after blood culture collection.
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| Name | Affiliation | Role |
|---|---|---|
| Josef Prazak, MD, PhD | Insel Gruppe AG, University Hospital Bern | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Departement of Intensive Care Medicine | Bern | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36696827 | Derived | Zuercher P, Moser A, Frey MC, Pagani JL, Buetti N, Eggimann P, Daneman N, Fowler R, Que YA, Prazak J. The effect of duration of antimicrobial treatment for bacteremia in critically ill patients on in-hospital mortality - Retrospective double center analysis. J Crit Care. 2023 Apr;74:154257. doi: 10.1016/j.jcrc.2023.154257. Epub 2023 Jan 23. |
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| ID | Term |
|---|---|
| D016470 | Bacteremia |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D018805 | Sepsis |
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| ID | Term |
|---|---|
| D000071997 | Blood Culture |
| ID | Term |
|---|---|
| D008828 | Microbiological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Hospital discharge, expected to be on average ca. 15-25 days |
| D018746 |
| Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008919 | Investigative Techniques |