Status:

RECRUITING

Antibiotic Dosing in Geriatric Patients At the Emergency Department

Lead Sponsor:

University Hospital, Ghent

Conditions:

Elderly Infection

Frailty

Eligibility:

All Genders

75+ years

Brief Summary

In this pilot study, we will investigate whether - with the current dosing regimens, used in the Ghent University Hospital - pharmacodynamic targets regarding beta-lactam antibiotics (more specific Am...

Detailed Description

In drug research studies, older people - and especially patients with a geriatric profile or frailty risk - are very frequently excluded. Moreover, drug dosing is often extrapolated from studies in yo...

Eligibility Criteria

Inclusion

  • Patients presenting at the emergency department and later on admitted to the geriatric department
  • Patient age 75 years or older
  • Patients with geriatric profile according to KATZ scale, G8 screening test or CIRS score.
  • Patient receiving antibiotic treatment (amoxicillin-clavulanate, piperacillin-tazobactam)
  • Intravenous access available for blood sampling. For measurement of the peak concentration an intravenous access other than the drug infusion line is required.

Exclusion

  • Admission to other units than the geriatric department incl. the ICU.
  • Absence of informed consent
  • Known hypersensitivity to beta-lactam antibiotics
  • Patients who received oral amoxicillin-clavulanate prior to admission will not be included in the iv. amoxicillin-clavulanate group.

Key Trial Info

Start Date :

January 3 2018

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

January 1 2025

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT04436991

Start Date

January 3 2018

End Date

January 1 2025

Last Update

September 19 2024

Active Locations (1)

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University Hospital Ghent

Ghent, Belgium, 9000