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Molecular Microbiology- Guided Antimicrobial Stewardship Versus Standard Stewardship in Hospitalized Patients

RecruitingNAAges 18 Years - anyAllMaria Espinosa Perez
NCT07684300 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The goal of this clinical trial is to learn whether integrating rapid multiplex molecular microbiology results with predefined clinical and laboratory criteria into an antimicrobial stewardship program improves antimicrobial use in hospitalized adults receiving empiric high-impact antimicrobial therapy. The main questions it aims to answer are: Does this strategy reduce the duration of exposure to high-impact antimicrobial therapy compared with standard antimicrobial stewardship practice? Does this strategy improve the appropriateness of antimicrobial treatment? Does this strategy affect clinical outcomes, including hospital readmission, intensive care unit admission, infection recurrence, mortality, and healthcare costs? Researchers will compare a protocolized antimicrobial stewardship strategy that incorporates multiplex molecular microbiology results and predefined clinical criteria

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age ≥18 years * Hospitalized in one of the participating study units at Hospital General Universitario de Elche. * Initiation of empiric high-impact antimicrobial therapy subject to antimicrobial stewardship program (ASP) review. * Provision of written informed consent by the participant or, when applicable, by a legally authorized representative. Exclusion Criteria: * Severe immunosuppression with profound neutropenia (\<100 neutrophils/mm³). * Previous enrollment in this clinical trial. * Expected survival of less than 48 hours. * Documented microbiological identification of the presumed causative pathogen by conventional methods in a representative and/or sterile sample before randomization and before availability of multiplex molecular microbiology results.
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What it tests

  • Protocolized Antimicrobial Stewardship Strategy
  • Standard Antimicrobial Stewardship
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Where

1 site
Hospital General Universitario de Elche
Elche, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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