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CTRI Number  CTRI/2024/04/066153 [Registered on: 23/04/2024] Trial Registered Prospectively
Last Modified On: 22/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   AMBISPECTIVE OBSERVATION STUDY 
Study Design  Other 
Public Title of Study   To see sepsis rate in nicu 
Scientific Title of Study   To Study Incidence and clinical outcomes of culture positive sepsis in a Level III NICU – a ambispective observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sonali Amol Avale 
Designation  Senior Resident 
Affiliation  Government Medical college , Sambhaji Nagar 
Address  Department of Neonatology , Government Medical college , Sambhaji Nagar

Aurangabad
MAHARASHTRA
431001
India 
Phone  9850584999  
Fax    
Email  sonaliawale1193@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Laxmikant Deshmukh 
Designation  Head of Department of Neonatology 
Affiliation  Government Medical college , Sambhaji Nagar 
Address  Department of Neonatology , Government Medical college , Sambhaji Nagar

Aurangabad
MAHARASHTRA
431001
India 
Phone  9822478275  
Fax    
Email  deshmukhls@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Laxmikant Deshmukh 
Designation  Head of Department of Neonatology 
Affiliation  Government Medical college , Sambhaji Nagar 
Address  Department of Neonatology , Government Medical college , Sambhaji Nagar

Aurangabad
MAHARASHTRA
431001
India 
Phone  9822478275  
Fax    
Email  deshmukhls@yahoo.com  
 
Source of Monetary or Material Support  
Department of Neonatology , Government Medical college , Sambhaji Nagar 
 
Primary Sponsor  
Name  Dr Sonali Amol Avale 
Address  Department of Neonatology , Government Medical college , Sambhaji Nagar 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sonali Amol Avale  Government Medical college , Sambhaji Nagar  Department of Neonatology , Government Medical college , Sambhaji Nagar
Aurangabad
MAHARASHTRA 
9850584999

sonaliawale1193@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Government Medical College , Aurangabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P369||Bacterial sepsis of newborn, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  30.00 Day(s)
Gender  Both 
Details  All neonates with culture positive sepsis in NICU, Government medical College and Hospital Aurangabad from January 2021 to March 2025 
 
ExclusionCriteria 
Details  All neonates with sterile culture reports 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the incidence of MDR and XDR in NICU   4 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
• Mortality
• Duration of hospital stay
• Complications during stay
• CLABSI
• Meningitis
• VAP
• NEC
• ROP  
Death
Discharge 
 
Target Sample Size   Total Sample Size="800"
Sample Size from India="800" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Sepsis is one of the three most common causes of neonatal deaths globally. Most infection-related deaths in the neonatal period occur in low-income and middle-income countries due to poor hygiene and suboptimal practices for infection control. A significant proportion of these deaths are caused by multidrug-resistant pathogens.Despite the massive burden, few high-quality data about neonatal sepsis are available from these countries.The currently available multisite studies on sepsis are from well-established surveillance networks in high income countries such as the USA, the UK,  and Germany . Such infection surveillance networks are a rarity in low-income and middle-income countries; the few available ones have used passive surveillance ( the National Neonatal Perinatal Database [NNPD] and the Asia-Pacific Neonatal Infections Study [APNIS]. Most of the other studies from low-income and middle-income countries are typically from a single site, retrospective, or have relied on routine laboratory reports.  They often lack rigorous data collection and reporting methods, and run the risk of misclassification and underestimation or overestimation of the incidence of sepsis.  The paucity of high-quality data has undermined the recognition of neonatal sepsis as an area of serious concern in public health, the implementation of measures aimed at improvement of health-systems, and investments in research and innovation in low-income and middle-income countries 
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