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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05743816
Other study ID # 2019.0048
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date July 30, 2019
Est. completion date February 29, 2024

Study information

Verified date February 2023
Source St George's, University of London
Contact Sana Ibrahim, BSc
Phone 02087255382
Email sibrahim@sgul.ac.uk
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

This is a multicentre observational study involving NNUs across the UK. Study personnel (Neonatologists and research Nurses) from these NNUs will identify eligible babies in whom a positive culture has been obtained. This study will help identify the infections leading to death in babies on UK neonatal units, define the clinical characteristics of babies dying from infections, and describe the management of babies dying from infections with a specific focus in their antimicrobial treatment.


Description:

The neonIN surveillance network captures data on episodes of invasive neonatal infection on a web-based database. Over 30 UK neonatal units currently contribute to this database in real-time. An episode of neonatal infection is defined as a positive culture collected from a normally sterile site such as the blood, cerebrospinal fluid (CSF) or urine (via catheter or suprapubic aspirate) for which clinicians prescribed at least five days of appropriate antibiotics. Clinical, demographic and microbiological data (including antimicrobial susceptibilities) are collected using a standardised online questionnaire. Denominator data regarding the total number of live-births and neonatal-admissions are collected for each neonatal unit. Through our study we aim to understand and describe better those infections and risk factors that lead to death. The case-control study will enable us to determine if gaps in optimal management, such as the wrong antibiotic or the wrong dose, are associated with poor outcomes. We can then translate such information into practice and develop / improve clinical guidance in order to improve outcomes. For the purpose of this study, we will request information on the baby's status (alive/died/not known) at 28 days after the positive culture was obtained. If the baby is alive, then this baby becomes eligible as a control. If the baby has died, then further details will be sought including the date of death and whether death was attributed to the infection.


Recruitment information / eligibility

Status Recruiting
Enrollment 800
Est. completion date February 29, 2024
Est. primary completion date September 30, 2023
Accepts healthy volunteers
Gender All
Age group 28 Days to 12 Months
Eligibility Inclusion criteria: • Infants on participating NNUs who have an episode of infection with a positive culture.

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
United Kingdom St George's University of London London

Sponsors (2)

Lead Sponsor Collaborator
St George's, University of London Antibiotic Research UK

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Identifying infections To identify the infections leading to death in babies on UK neonatal units 5 years
Primary Clinical characteristics To define the clinical characteristics of babies dying from infections 5 years
Primary Management of infections To describe the management of babies dying from infections with a specific focus in their antimicrobial treatment and the antimicrobial resistance profiles of the relevant organisms 5 years
Secondary Comparing bacterial infections In a case-control study we will assess the hypothesis that babies who die from bacterial infections on neonatal units do so because they receive inappropriate antibiotic management. To do this we will compare babies who die from bacterial infections with babies who survive bacterial infections on a range of factors including appropriateness, dose and timeliness of antibiotic use. 5 years
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