Overview

Early Oral Step-down Antibiotic Therapy for Uncomplicated Gram-negative Bacteraemia

Status:
Not yet recruiting
Trial end date:
2025-03-01
Target enrollment:
Participant gender:
Summary
Current management of uncomplicated Gram-negative bacteraemia entails prolong intravenous (IV) antibiotic therapy with limited evidence to guide oral conversion. This trial aim to evaluate the clinical efficacy and economic impact of early step-down to oral antibiotics (within 72 hours from index blood culture collection) versus continuing standard of care IV therapy (for at least another 48 hours post-randomisation) for clinically stable / non-critically ill inpatients with uncomplicated Gram-negative bacteraemia.
Phase:
Phase 3
Details
Lead Sponsor:
Tan Tock Seng Hospital
Collaborators:
Changi General Hospital
Imperial College Healthcare NHS Trust
John Hunter Hospital
Melbourne Health
National University Hospital, Singapore
Ng Teng Fong General Hospital
Royal Brisbane and Women's Hospital
Samsung Medical Center
Sengkang General Hospital
Singapore Clinical Research Institute
Singapore General Hospital
University of Malaya
Treatments:
Anti-Bacterial Agents
Cefazolin
Ceftriaxone
Ciprofloxacin
Fluoroquinolones
Sulfamethoxazole
Trimethoprim
Trimethoprim, Sulfamethoxazole Drug Combination