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CTRI Number  CTRI/2024/03/064698 [Registered on: 22/03/2024] Trial Registered Prospectively
Last Modified On: 21/03/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Educational intervention about appropriate antimicrobial prescription practice]  
Study Design  Other 
Public Title of Study   To improve the quality of antibiotics usage in the treatment of blood infection 
Scientific Title of Study   Rationalizing Antibiotic Treatment for Enterobacterales bactermemia of urinary source: A quality improvement 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 Vandana K E 
Designation  Professor and Head 
Affiliation  Kasturba Medical College 
Address  Department of Microbiology, Kasturba Medical College, Manipal, Karnataka - 576104

Udupi
KARNATAKA
576104
India 
Phone  9902206009  
Fax    
Email  vandana.ke@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vandana K E 
Designation  Professor and Head 
Affiliation  Kasturba Medical College 
Address  Department of Microbiology, Kasturba Medical College, Manipal, Karnataka - 576104

Udupi
KARNATAKA
576104
India 
Phone  9902206009  
Fax    
Email  vandana.ke@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Vandana K E 
Designation  Professor and Head 
Affiliation  Kasturba Medical College 
Address  Department of Microbiology, Kasturba Medical College, Manipal, Karnataka - 576104

Udupi
KARNATAKA
576104
India 
Phone  9902206009  
Fax    
Email  vandana.ke@manipal.edu  
 
Source of Monetary or Material Support  
Manipal Academy of Higher Education, Manipal, Karnataka, India - 576104 
 
Primary Sponsor  
Name  Kasturba Medical College 
Address  Department of Microbiology, Kasturba Medical College, Manipal, Karnataka -576104 
Type of Sponsor  Private medical college 
 
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 Vandana K E  Kasturba Medical College  Department of Microbiology, Room No. 1, 2nd Floor, Basic Sciences building, Kasturba Medical College, Manipal, Karnataka -576104
Udupi
KARNATAKA 
9902206009

vandana.ke@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  In this study, we are studying physicians prescribing practice regarding antibiotic use for patients with Enterobacterales bacteremia of urinary source. 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Days of therapy before intervention  The days of therapy will be measured before and after the educational intervention 
Intervention  Educational  Doctors will be provided with educational sessions on antimicrobial stewardship practices 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Physicians involved in prescribing antibiotics for patients with Enterobacterales bacteremia of urinary source will be included for this educational intervention study. 
 
ExclusionCriteria 
Details  Physicians who are not involved in prescribing antibiotics. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduction in days of therapy (DOT) before and after the educational intervention  Quarterly 
 
Secondary Outcome  
Outcome  TimePoints 
To develop strategies to improve & rationalize antibiotics use for patients with bacterial infections.  We will measure the outcomes at time points 4 weeks & 8 weeks  
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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)   01/04/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Firstly, we will conduct a retrospective case record based analysis of patients admitted with bacteremia caused by Enterobacteriales arising from urinary source infection. The information on antimicrobial use and the patient outcome will be gathered. 

Based on the information obtained, we will plan an educational module on appropriate choice of antimicrobial therapy in the treatment of condition under our study focus. The educational interactive sessions will be delivered to the physicians. We will use the information gathered in the retrospective data analysis in our presentations. 

After the educational intervention, we will measure the appropriateness of antimicrobial therapy and duration in the treatment of condition under our study focus prospectively 


 
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