Tetanus Clinical Trial
Official title:
Can the Incidence of Nosocomial Pneumonia in Severe Tetanus be Reduced by Nursing Patients Semi-recumbent? A Randomised Comparison of Supine or Semi-recumbent Body Position
This is a randomised controlled trial of the incidence of nosocomial pneumonia in patients with severe tetanus admitted to the intensive care ward nursed in a supine or semi-recumbent position.
Background: Hospital-acquired pneumonia remains a common and important cause of morbidity
and mortality in patients with severe tetanus who require a tracheostomy whether or not they
are mechanically ventilated. We propose to investigate if the incidence of hospital-acquired
pneumonia can be reduced by nursing tetanus patients semi-recumbent at 30o rather than
supine as is the current practice.
The aim of this study will be to assess the frequency of clinically suspected and
microbiologically confirmed hospital acquired pneumonia in patients nursed in a
semi-recumbent or supine body position. A secondary end-point will be the mortality in each
group. Patients at risk of developing hospital acquired pneumonia (in hospital without
developing pneumonia for more than two days) will be evaluated
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Supportive Care
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