Status:

RECRUITING

Appropriate Use of Blood Cultures in the Emergency Department Through Machine Learning

Lead Sponsor:

Amsterdam UMC, location VUmc

Conditions:

Artificial Intelligence

Machine Learning

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to study whether the use of our blood culture prediction tool is non-inferior to current practice and if it can improve certain outcomes in all adult patients presen...

Detailed Description

Rationale: The overuse of blood cultures in emergency departments leads to low yields and high numbers of contaminated cultures, which is associated with increased diagnostics, antibiotic usage, prolo...

Eligibility Criteria

Inclusion

  • Age \>= 18 years
  • Have a clinical indication for a blood culture analysis (according to the treating physician)
  • Have sufficient data recorded (laboratory results and vital sign measurements) for a prediction to be made (at least 20% of the needed parameters)

Exclusion

  • Central Venous Line (CVL) or Peripherally Inserted Central Catheter (PICC) in situ
  • Neutrophil count \< 0.5 \* 109/L
  • Candidemia or S. aureus bacteraemia in the past 3 months.
  • Most likely diagnosis of endocarditis/spondylodiscitis/infected prosthetic material
  • Pregnant or breastfeeding patients
  • Not capable of giving informed consent

Key Trial Info

Start Date :

February 19 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2027

Estimated Enrollment :

7584 Patients enrolled

Trial Details

Trial ID

NCT06163781

Start Date

February 19 2024

End Date

July 1 2027

Last Update

May 7 2024

Active Locations (1)

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Amsterdam UMC - location AMC

Amsterdam, Netherlands