Neonatal SEPSIS Clinical Trial
Official title:
A Prospective, Multinational, Observational, Cohort Study Sepsis in Hospitalised Neonates in Areas With High Endemic Levels of Antimicrobial Resistance.
Prospective, multinational, multicentre, observational cohort study of neonatal sepsis in partner institutions. The cohort study will be designed to evaluate health care utilization and current clinical practice and to assess risk factors for and outcomes of babies with neonatal sepsis (culture-negative and culture-positive).
1. NeoSEPSIS: Consecutive hospitalized babies with neonatal sepsis will be recruited and
followed up until discharge from hospital or death (for a maximum of 28 days). A minimal
neonatal sepsis dataset will determine (i) clinical presentations, associated features
and risk factors (for example prematurity, SGA (small for gestational age)), (ii) rates
of culture-positivity among babies with sepsis, (iii) current empirical treatment
approaches (antimicrobials selected, dose, etc) (iv) outcomes of sepsis, including
death, need for intensive care interventions and recurrence of sepsis during the
follow-up period. Microbiological samples will be taken from sterile sites, blood and
CSF, as clinically indicated and will be processed locally.
2. NeoBSI: Consecutive babies with positive blood/CSF cultures and sepsis will be
recruited. Patient inclusion will be based on identification of relevant specified
bacteria from blood / CSF cultures. In addition to the data collected for NeoSEPSIS,
information will be collected on the isolates and their antimicrobial susceptibility
patterns.
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