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The goal of this observational study is to learn about the eravacycline combination therapy in multidrug-resistant acinetobacter gaumannii pneumonia. The main question is to evaluate the the effectiveness and safety.
Participants will be given Eravacycline and Polymyxin,or other antibiotcs that the Investigator considered suitable. During the clinical trial, participants will be monitored for blood drug concentrations and drug concentrations in the ELF (Epithelial Lining Fluid。Clinical efficacy rate and microbiological clearance rate will be assessed at the same time
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eravacyline combination |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eravacycline Injection | Drug | Eravacycline at the recommended dose and administration method according to the instructions: 1 mg/kg intravenous administration, every 12 hours. The intravenous infusion duration is approximately 60 minutes. For patients with severe liver impairment (Child-Pugh class C), administer 1 mg/kg of this product every 12 hours on the first day, followed by 1 mg/kg every 24 hours starting from the second day. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Responded Rate | Complete the treatment, and meet one of the following criteria to be considered clinical respond: 1. Patient's oxygenation index is stable or improved; 2. Patients with a SOFA score <3 remain unchanged or decrease, and patients with a SOFA score ≥3 decrease by at least 30%; 3. Normal body temperature for more than 3 days; 4. Improvement in pulmonary imaging; 5. Infection indicators show a continuous downward trend for 3 consecutive day | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| The microbiological clearance rate | The microbiological clearance rate at the end of treatment | within 14days |
| The all-cause mortality rate within 28 days | The all-cause mortality rate within 28 days |
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Inclusion Criteria:
Exclusion Criteria:
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This study plans to include patients diagnosed with CRAB pneumonia who seek medical attention at the Intensive Care Medicine Department of Fujian Medical University Union Hospital from January 2024 to April 2024
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hui Zhang, PhD | Contact | +86 130 1572 3860 | xhzh@fjmu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Hui Zhang, PhD | Fujian Medical University Union Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fujian Medical University Union hospital | Recruiting | Fuzhou | Fujian | 350000 | China |
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| ID | Term |
|---|---|
| D018410 | Pneumonia, Bacterial |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D011014 | Pneumonia |
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| ID | Term |
|---|---|
| C571179 | eravacycline |
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|
| 28 days |
| "Incidence Rate of Adverse Event | safety data according to CTC-AE | 28days |
| D012141 |
| Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |