Ventilator-associated Pneumonia Clinical Trial
Official title:
Prevention of Early Ventilator-associated Pneumonia With Antibiotic Therapy in Patients Treated With Mild Therapeutic Hypothermia After Cardiac Arrest.
Mild therapeutic hypothermia is currently recommended in management of cardiac arrests with
shockable rhythm. In mechanically ventilated patients who were resuscitated after
out-of-hospital cardiac arrests, mild therapeutic hypothermia side effects are conductive for
infectious complications and especially for ventilator-associated pneumonia (VAP).
Despite high incidence of VAP and other infectious complications, it is not currently
recommended to use antibiotic prophylaxis on the responsible germs. Yet VAP incidence could
be decreased if an antibiotic therapy was systematically given to patient treated with mild
therapeutic hypothermia after a cardiac arrest. Several retrospective studies showed less
infectious complications but also decreased morbidity and mortality related to these
complications when antibiotic therapy was given early to patients treated with therapeutic
hypothermia after cardiac arrest.
Multicenter add-on randomized controlled double-blind trial assessing the efficacy of preventive antibiotics amoxicillin-clavulanic acid vs placebo to prevent occurrence of early VAP after out-of-hospital cardiac arrest receiving mild therapeutic hypothermia, in addition to usual VAP prevention measures. ;
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